Q:

A 4 year old child presents with pain of spontaneous onset in his knee of 2 days duration. He has developed mild fever in the 2nd day. He can walk but has a limp. Examination: painful restriction in the right hip. What is the most probable diagnosis?

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A 4 year old child presents with pain of spontaneous onset in his knee of 2 days duration. He has developed mild fever in the 2nd day. He can walk but has a limp. Examination: painful restriction in the right hip. What is the most probable diagnosis?


  1. Osteosarcoma
  2. Septic arthritis
  3. TB arthritis
  4. Exostosis
  5. Osteomyelitis

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The key is B. Septic arthritis. [Points in favour of diagnosis: i) Pain in joints (knee and hip). In osteeomyelitis there is no joint pain but pain in other parts of bone like shaft. ii) Fever iii) Painful restricted movement of joint].

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