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PLAB · GMC
MRCP(UK)
FRCPath · RCPath
No account needed
Try real questions
Two in every topic, marked straight away, with the guideline named. Get a plan when you are ready.
Pick an exam and a topic. 2 questions in every topic are open, marked straight away, each with the guideline it comes from. Nothing you type is stored.
Musculoskeletal and rheumatology
A 4-year-old boy is brought to the emergency department by his mother. He has had 24 hours of fever and a limp, and now refuses to weight-bear on his left leg. His temperature is 39.0°C, pulse 138/min and capillary refill time is 2 seconds. He lies with the left hip flexed and externally rotated, and cries when the hip is moved even slightly. There is no history of trauma. White cell count is 18.4 × 10⁹/L (4.0–11.0) and C-reactive protein 96 mg/L (below 10). Blood cultures have been taken.
What is the most appropriate management?