Limping - Diagnosis

Laboratory studies:-Full blood count: white blood cells, hemoglobin, hematocrit and platelet count to eliminate neoplasms: osteosarcoma and leukemia-High erythrocyte sedimentation rate is suggestive of a condition or infectious arthritis, Leukocytosis and elevated ESR suggests septic arthritis or transient synovitisWalk-in patients with fever and limp recommend hemocultures, Serum electrolytes and liver function tests-Urinoanaliza-hematuria may be associated with endocarditis, acute glomerulonephritis and lupus erythematosus-Pyuria is associated with appendicitis or salpingitis-This suggests gout uric crystals.
Imaging Studies:Plain X-ray imaging includes the entire State of the joints above and underlying contralateral leg.Bone scan with technetium 99 accumulates in areas of increased bone cell activity and vascular surgery. It is useful for early detection of disease Legg-Calve, osteomyelitis, dischitei, stress fracture and osteoid osteoamelor.Ultrasonography is useful for diagnosing joint and soft tissue pathology. Evaluate the advantage of dynamic and static structures. It is especially useful in young children where the skeleton is not fully developed and ossified. Can confirm the presence of joint effusion and can guide therapeutic aspiration.CT scanning is indicated in the absence of neuromuscular and neurological pathological elements, when intra-abdominal pathology is suspected. Can be viewed appendicitis, psoas abscess and abnormalities of the urinary treated. Tarsal fusion is well visualized by this method.Magnetic resonance imaging is an excellent way to evaluate bone and soft tissue pathology, without exposing the patient to radiation.The standard method of assessing epansamentele joint and osteonecrosis. Help to evaluate brain and bone marrow.Other diagnostic procedures performed include:Involves aspiration of fluid-arthrocentesis of the hip joint, knee, ankle, metatarsofalangianaFine-needle aspiration or biopsy of bone can be shown opened to confirm the malignancy of boneSite-CSF examination is indicated in meningitis.
Differential diagnosis of the disease include: arthritis, back pain, appendicitis, erythema multiforme, fractures, haemophilia, Legg-Clave's disease, spinal neoplasms, meningitis and encephalitis, osteomyelitis, transient synovitis, osteocondritele, sprains, hip dysplasia, osteocondromul, osteosarcoma, Ewing sarcoma, myositis, muscular dystrophy, reflex sympathetic dystrophy, peripheral neuropathy, lupus erythematosus, gout, sickle cell anemia, the psoas abscess, testicular torsion.