Metrude

Metrude is a little girl who presented with "she won't walk" and she would cry and refuse. I first saw her the day after she was admitted. They had stuck a needle into her hip and didn't get anything. They really didn't have any other ideas. The differential for a child not walking is big, but they couldn't name any other reason or idea. So over lunch I researched and went back to the doctor and taught him the main causes, what would indicate one over another and what you would order to tell. I still thought she had a septic hip. They were skeptical....so I taught them how to tap a hip. The trick is not to do it blindly...Ultrasound that hip! They were able to tap it and get the pus out easily. Two weeks later it is still healing but now she is running and skipping around the ward.