QuestionSBA
QuestionChoice
This case is likely to require assessment by orthopaedics and will likely require surgical washout, but the initial priority is joint aspiration.
10035909
c
Surgical irrigation and debridement
QuestionChoice
Septic arthritis is an orthopaedic emergency and can cause permanent and severe damage to joints. Oral antibiotics are not appropriate and intravenous ones are required.
10035911
e
Oral antibiotics
QuestionChoice
This is a last resort and not indicated at present.
10035910
d
Above knee amputation
QuestionChoice
This is correct. This is suggestive of a diagnosis of septic arthritis with an acute red hot swollen joint. The sample is sent for culture, microscopy, gram staining and sensitivities.
10035907
a
Joint aspirate
QuestionChoice
These will need to be initiated following joint aspirate.
10035908
b
Intravenous antibiotics
QuestionComment
Joint aspiration is not management, it is an investigation.
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User
subscriber
Amnesia Contusion
QuestionComment
Wouldn't you complete sepsis 6 first? Especially if joint aspiration will delay abx?
61659
User
subscriber
rockinrobyn9
Concept
Chapter
2693
4189
Septic arthritis
Topic
145
Orthopaedics
19585
Septic arthritis presents with a warm, erythematous joint; joint aspiration is crucial for diagnosis and management.
A 75-year-old woman attends the emergency department with severe pain in her right knee with fever, lethargy and nausea. On examination, the knee joint is warm and erythematous.

What is the most appropriate initial management?
a