Can't Walk

Musculoskeletal System

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"Fever associated with joint pain and refusal to bear weight is due to an orthopedic infection until proven otherwise. While septic arthritis is most likely to present in this abrupt fashion, acute osteomyelitis should also be kept in mind.\n\nNote also that osteogenic sarcoma may mimic this presentation in patients of this age and should be kept in the back of the mind.\n\nSeptic arthritis is usually marked by swelling and exquisite tenderness of the affected joint. The absence of these features in this patient argue against this diagnosis. In addition, the point tenderness over the medical femoral condyle suggests a bony pathology and is in favor of acute osteomyelitis.\n\nNote that both septic arthritis and acute osteomyelitis may cause pain wi"}]}

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