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Persistent Fever and Ankle Pain in a Child

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Presentation on theme: "Persistent Fever and Ankle Pain in a Child"— Presentation transcript:

1 Persistent Fever and Ankle Pain in a Child
Kathryn H. Pade, MD, Jessica H. Rankin, MD, Marsha A. Elkhunovich, MD  Annals of Emergency Medicine  Volume 67, Issue 6, (June 2016) DOI: /j.annemergmed Copyright © 2016 American College of Emergency Physicians Terms and Conditions

2 Figure 1 Radiograph of the right ankle showing soft tissue swelling (arrow) without cortical bone changes. Annals of Emergency Medicine  , DOI: ( /j.annemergmed ) Copyright © 2016 American College of Emergency Physicians Terms and Conditions

3 Figure 2 Point-of-care ultrasonography conducted by the pediatric emergency physician, demonstrating a 3×1.2×1.9-cm hypoechoic oval structure containing hyperechoic sediment (arrow) located just anterior to the fibular metaphysis. Annals of Emergency Medicine  , DOI: ( /j.annemergmed ) Copyright © 2016 American College of Emergency Physicians Terms and Conditions

4 Figure 3 MRI showing osteomyelitis of the distal fibular metaphysis with adjacent subperiosteal abscess (measured structure). Annals of Emergency Medicine  , DOI: ( /j.annemergmed ) Copyright © 2016 American College of Emergency Physicians Terms and Conditions


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