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Pediatric emergency care · Feb 2022
Review Case ReportsPoint-of-Care Ultrasound of a Shoulder Effusion in a Child With Septic Arthritis: A Case Report.
- Maytal T Firnberg and Joni E Rabiner.
- From the Department of Emergency Medicine, Division of Pediatric Emergency Medicine, New York-Presbyterian Morgan Stanley Children's Hospital/Columbia University Irving Medical Center, New York, NY.
- Pediatr Emerg Care. 2022 Feb 1; 38 (2): e1025e1027e1025-e1027.
AbstractPoint-of-care musculoskeletal ultrasound can facilitate diagnosis of joint effusions and help guide management of suspected septic joints. This case report describes a previously healthy pediatric patient with acute onset shoulder pain and fever who was found to have leukocytosis and bacteremia. Point-of-care ultrasound (POCUS) demonstrated a unilateral shoulder joint effusion. After POCUS was performed, purulent fluid was aspirated from the joint, and she was diagnosed with a septic shoulder. We review the ultrasound technique, sonographic findings, and literature regarding POCUS for shoulder effusions.Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.
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