A 10-year-old boy presents with a painful swollen right knee after minor injury, with fever and raised ESR. Aspiration yields cloudy fluid with high n...

Question

A 10-year-old boy presents with a painful swollen right knee after minor injury, with fever and raised ESR. Aspiration yields cloudy fluid with high neutrophils and positive Gram stain. What is the most appropriate management?

Accepted Answer

Urgent IV antibiotics and orthopaedic surgery consultation for washout

Answer

Discharge with oral NSAIDs

Answer

Immobilise only and observe

Answer

Oral antibiotics as outpatient

Answer

Physiotherapy only

ca-mccqe1 MCQ (SBA): Septic arthritis

A 10-year-old boy presents with a painful swollen right knee after minor injury, with fever and raised ESR. Aspiration yields cloudy fluid with high neutrophils and positive Gram stain. What is the most appropriate management?