5.0 of 5 Ratings
A 7-year-old boy presents with right hip pain for the past 2 days. He reports gradual onset of pain and states it hurts to walk. He had a recent cold last week but is otherwise healthy. His temperature is 98.2°F (36.8°C), blood pressure is 107/70 mm Hg, pulse is 90/min, respiratory rate is 19/min, and oxygen saturation is 98% on room air. Physical exam reveals no swelling or warmth surrounding the joint. The patient is sitting with the right hip flexed, abducted, and externally rotated. Passive range of motion of the hip causes discomfort. The patient is able to ambulate but states it hurts. An initial radiograph of the hip is unremarkable. The patient's CRP is 0.10 mg/L. Which of the following is the best next step in management of this patient?
Vancomycin and piperacillin-tazobactam
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