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Review Question - QID 218799

Pediatric Abuse Epidemiology Demographics QID: 218799 (OBQ17.48.1)
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QID 218799 (Type "218799" in App Search)
You are called to the pediatric emergency department to evaluate a 10-month-old male for right thigh swelling who was brought to the emergency department by his parents due to concern for an upper respiratory tract infection. He has a past medical history significant for Down syndrome. His parents deny any history of trauma. He has a temperature of 99.1 degrees Fahrenheit. On physical exam, his right thigh is swollen, warm to touch, and tender to palpation. Serum labs show a WBC of 10.0 k/uL, an ESR of 14 mm/hr, and a CRP of 0.8 mg/dL. Figure A shows a portable radiograph of his right femur obtained today. What is the best next step?
  • A
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  • A