Please STOP LIMPING!

In this monologue podcast, Tim Horeczko discusses the differential diagnosis of acute limp or refusal to walk in young children, using the mnemonic "STOP LIMPING" to cover various potential causes such as septic arthritis, toddler's fracture, osteomyelitis, Perthes disease, limb length discrepancy, inflammatory conditions, malignancy, pyomyositis, iliopsoas abscess, neurological issues, and gastrointestinal/genitourinary problems. He emphasizes the importance of considering serious conditions like septic arthritis and provides guidance on using the Kocher criteria. The podcast includes three scenarios to illustrate the application of the mnemonic in clinical practice, stressing the need for careful evaluation, appropriate investigations, and when in doubt, pursuing further workup or referral. The podcast concludes with the importance of being vigilant and thorough in evaluating pediatric limping.