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Septic arthritis — ABEM Board MCQ

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ModerateMusculoskeletal/Orthopedic emergenciesSeptic arthritisABEM Board

A 27-year-old woman arrives as ESI 3 with fever and a painful swollen knee. Temperature is 38.7 C, HR 112. The knee is held flexed with severe pain on passive range of motion; no trauma is reported. Which of the following is the most likely diagnosis?

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Correct answer: CSeptic arthritis

Acutely painful swollen joint with fever and pain on passive motion is septic arthritis until proven otherwise.

Reference: IDSA septic arthritis guidance; Tintinalli Emergency Medicine