ACR Appropriateness Criteria® Acutely Limping Child Up To Age 5

Publication date: November 2018Source: Journal of the American College of Radiology, Volume 15, Issue 11, SupplementAuthor(s): Expert Panel on Pediatric Imaging:, Nabile M. Safdar, Cynthia K. Rigsby, Ramesh S. Iyer, Adina L. Alazraki, Sudha A. Anupindi, Dianna M.E. Bardo, Brandon P. Brown, Sherwin S. Chan, Tushar Chandra, Jonathan R. Dillman, Scott R. Dorfman, Matthew D. Garber, H. F. Samuel Lam, Jie C. Nguyen, Alan Siegel, Roger F. Widmann, Boaz KarmazynAbstractImaging plays in important role in the evaluation of the acutely limping child. The decision-making process about initial imaging must consider the level of suspicion for infection and whether symptoms can be localized. The appropriateness of specific imaging examinations in the acutely limping child to age 5 years is discussed with attention in each clinical scenario to the role of radiography, ultrasound, nuclear medicine, computed tomography, and magnetic resonance imaging. Common causes of limping such as toddler’s fracture, septic arthritis, transient synovitis, and osteomyelitis are discussed.The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recom...
Source: Journal of the American College of Radiology - Category: Radiology Source Type: research

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Source: Journal of the Association of Physicians of India - Category: General Medicine Tags: J Assoc Physicians India Source Type: research
Pediatric populations are prone to infections and most can be managed appropriately in a primary care setting. There are, however, some infectious processes that require intervention or management from an orthopedic surgeon. The most serious infectious processes in the pediatric population from an orthopedic standpoint are osteomyelitis and septic arthritis. Early recognition of these conditions and prompt referral of serious infections, as well as the ability to differentiate which infections should be referred for specialist evaluation is critical.
Source: Pediatric Clinics of North America - Category: Pediatrics Authors: Source Type: research
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Source: Jornal de Pediatria - Category: Pediatrics Authors: Tags: J Pediatr (Rio J) Source Type: research
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Source: IDCases - Category: Infectious Diseases Source Type: research
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Source: The Pediatric Infectious Disease Journal - Category: Infectious Diseases Tags: Original Studies Source Type: research
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Source: Injury - Category: Orthopaedics Authors: Tags: Editorial Source Type: research
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Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
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Source: Revista Espanola de Medicina Nuclear e Imagen Molecular - Category: Nuclear Medicine Source Type: research
Knee pain is common in children, particular during adolescence. A detailed history and clinical examination often will identify the likely cause. Health care professionals looking after children and young people should be aware of the common causes of knee pain and red flags which are a feature of more sinister causes. Common causes of knee pain include patellofemoral problems, apophysitis such as Osgood Schlatter's disease and Sinding-Larsen-Johansson Syndrome, osteochondritis dissecans, trauma, rheumatological causes such as juvenile idiopathic arthritis, and infective causes as such septic arthritis and osteomyelitis.
Source: Paediatrics and Child Health - Category: Pediatrics Authors: Tags: Symposium: connective tissue and bone Source Type: research
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