Osteomyelitis (pediatrics) Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 4-year-old girl is brought to the clinic with a three-day history of limping. Her parents report increased irritability and fatigue. She has no history of recent trauma but experienced an episode of pharyngitis one week ago that resolved without treatment. Her temperature is 38°C (100.4°F), blood pressure is 100/60 mmHg, heart rate is 98 beats per minute, respiratory rate is 24 breaths per minute, and oxygen saturation is 98% on room air. The right thigh is swollen and warm to the touch. A radiograph reveals a small area of localized soft tissue swelling at the metaphysis of the right femur. Magnetic resonance imaging (MRI) shows bone marrow edema. Blood cultures are pending, and laboratory tests reveal an elevated white blood cell count, C-reactive protein (CRP), and erythrocyte sedimentation rate (ESR). Which of the following would be expected on physical examination?

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Diffuse lower extremity weakness and hyporeflexia

Well-demarcated, erythematous rash over the affected limb

Localized bony tenderness

Appreciable joint effusion

Pain relief with passive movement of the limb