The cause of a wide complex tachycardia must be identified, because certain therapies can result in potentially fatal arrhythmias. If the cause cannot be determined, a test dose of intravenous adenosine can be used. Another approach is intravenous administration of procainamide and a beta-adrenergic blocker. Kansas Transient synovitis is the most common cause of acute hip pain in children three to 10 years of age. Children with this condition typically present with hip pain for one to three days, accompanied by limping or the refusal to bear weight.
Transient synovitis has an uncertain etiology and remains a diagnosis of exclusion.
First, septic arthritis must be ruled out, since femoral head destruction, degenerative arthritis and permanent deformity can occur if septic arthritis is not treated promptly. Hip aspiration is the diagnostic procedure of choice if septic arthritis is suspected. Treatment of transient synovitis consists of bed rest and nonsteroidal anti-inflammatory drugs, with regular temperature checks to exclude the onset of fever. If significant pain and limping persist seven to 10 days after the initial presentation, the patient should be reevaluated. M.D. Western Pennsylvania Hospital, Pittsburgh, Pennsylvania Chronic viral hepatitis B and C are problems of immense proportions.