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Transient synovitis — USMLE Step 3 MCQ

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ModeratePediatrics (well-child, chronic management)Transient synovitisUSMLE Step 3

A 4-year-old boy has limp and mild right hip pain after an upper respiratory infection. Temperature is 37.4 C, he can bear weight with discomfort, WBC count is normal, and ESR is mildly elevated. Which of the following is the most likely diagnosis?

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Correct answer: ATransient synovitis

A well-appearing child with recent viral illness, low fever, ability to bear weight, and mild inflammatory markers suggests transient synovitis.

Reference: AAP pediatric hip pain principles