Well he could be teething, if hes 18 months, but it could be an abnormality in his muscles
Small saphenous vein travels up the back of your calf and ends behind your knee. It drains into your popliteal vein.
What is the saphenous vein?
- Blood vessels in your legs called saphenous veins assist in returning blood from your feet and legs to your heart.
- Each of your legs has two saphenous veins.
- Your large saphenous vein and tiny saphenous vein are known by these names.
- The longest vein in your body, the great saphenous vein runs from the bottom of your foot to the top of your thigh.
- It is also referred to as the long saphenous vein.
Function of saphenous vein:
- The circulatory system in your body includes saphenous veins.
- Your body's circulatory system maintains a steady flow of blood throughout it.
- Your blood is always moving.
- That's because it's responsible for supplying all of your organs and tissues with oxygen and nutrients.
- Every minute of every day, this occurs.
Therefore, saphenous vein drains into your popliteal vein.
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Based on the symptoms,
Differential diagnoses for the boy includes:
- Rocky Mountain Spotted Fever (RMSF) owing to his recent visit to Florida
- Meningitis
Course of treatment:
- The patient needs to be admitted
- Diagnostic tests including CBC, cultures of both blood and CSF to rule out meningitis should be done
Explanation:
Initial line of treatment with loading dose of doxycycline at 2.2 mg/kg and ceftriaxone at 100 mg/kg/day can be started.
RMSF is a contagious disease caused by ticks and is predominant in the southeastern regions of the United States like North Carolina. So the boy could have got the disease from his visit to N. Carolina. Doxycycline is a broad spectrum antibiotic is the most preferred treatment of choice for RMSF
Meningitis is a bacterial disease affecting the brain. Ceftriaxone is the treatment of choice for empirical treatment of meningitis.
Since the boy’s symptoms like fever, headache, petechial rashes etc are symptomatic of both RMSF and meningitis, both the antibiotics should be administered initially.
Then depending upon the culture results, other specific antibiotics and treatments can be started.
