A 3-year-old boy presents with a limp for the past 2 days. He has had a recent upper respiratory tract infection. On examination, he is afebrile and s...

Question

A 3-year-old boy presents with a limp for the past 2 days. He has had a recent upper respiratory tract infection. On examination, he is afebrile and systemically well. He has limited and painful internal rotation and abduction of the right hip. Blood tests including FBC, ESR, and CRP are normal. An ultrasound scan of the hips shows a small joint effusion. What is the most likely diagnosis?

Accepted Answer

Transient synovitis (Irritable Hip)

Answer

Septic arthritis

Answer

Perthes' disease

Answer

Slipped Upper Femoral Epiphysis (SUFE)

Answer

Juvenile Idiopathic Arthritis (JIA)

ukmla MCQ (SBA): Transient Synovitis (Irritable Hip)