As you all know, I am an internal medicine person that means I do no training with pediatrics or OB. Today I managed still to see about 5 babies, and to be honest, it wasn't as scary as I anticipated (or perhaps it was because I ran and found someone with each baby I saw).
This little guy has had swelling of his right leg for 2 weeks. Yeah that thing was full of pus. I did conscious sedation myself on a 10 month old for an I&D. We use ketamine here, which is all we used in Ghana. Here, for adults they also add valium. For kids, they switch to atropine. I am a bit worried he really has osteomyelitis, but he is coming back in 2 days and he was started on antibiotics appropriate for osteo (for the record he's on chlorophenicol and cloxacillin).
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