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How should I manage a patient with SCFE who presents with mild symptoms and no evidence of acute slippage?
Answer
The provided UK guideline excerpts primarily focus on the initial assessment and investigation of a child presenting with a limp, including when to suspect conditions like slipped capital femoral epiphysis (SCFE) 1,2,3. They state that there should be a low threshold for same day X-rays if there are concerns about slipped upper femoral epiphysis 1,2,3. However, the provided guidelines do not detail the specific management of a patient who has already been diagnosed with SCFE and presents with mild symptoms and no evidence of acute slippage 1,2,3. The guidelines indicate that conditions like slipped upper femoral epiphysis are a concern warranting immediate investigation with X-rays 1,2,3. Furthermore, if there is uncertainty about a diagnosis or symptoms persist, referral to paediatric orthopaedics is advised 1.
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