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The question
A 5-year-old boy is brought to casualty with right hip pain since yesterday. He refuses to stand. Temperature 39.2 °C, ESR 55 mm/h, WBC 16,800/µL; ultrasound shows a hip effusion. Consider these steps: 1. Aspirate the hip under ultrasound or in theatre. 2. Send fluid for Gram stain, cell count and culture. 3. Wait for culture results before deciding on drainage. 4. Arrange urgent surgical drainage if pus is aspirated. Which steps are correct?
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