Elevation of hand to help with swelling
Monitor clinically for hand compartment syndrome
Surgery/Ortho consult for wash-out vs. debridement
Monitor clinically for hand compartment syndrome
Treatment should cover S. aureus, Streptococcus, and MRSA
Vancomycin 25-30 mg/kg IV loading dose then 15-20mg/kg IV q12hrs PLUS
Levofloxacin 750 mg IV once daily (avoid in pediatrics) OR
Ceftriaxone 1g IV daily
If suspicious of Gonococcal infection then use Ceftriaxone 1g IV once daily AND Chlamydia coverage with
Azithromycin 1g PO once OR
Doxycycline 100mg PO twice daily
Levofloxacin 750 mg IV once daily (avoid in pediatrics) OR
Ceftriaxone 1g IV daily
Azithromycin 1g PO once OR
Doxycycline 100mg PO twice daily
Ampicillin/Sulbactam 3g (50mg/kg) IV four times daily
Ceftriaxone 100mg/kg IV once daily AND Metronidazole 7.5mg/kg IV  four times daily OR
Clindamycin 10mg/kg IV four times daily NA TMP/SMX 5mg/kg IV BID
Ampicillin/Sulbactam 50 mg/kg IV four times daily
Treatment should include usual therapy listed above in addition to:
Clarithromycin 500mg PO twice daily PLUS
Ethambutol 15 mg/kg PO once daily OR
Rifampin 600 mg PO once daily
Ethambutol 15 mg/kg PO once daily OR
Rifampin 600 mg PO once daily
AND consult<unk>  disease
Orthopedics
Manpreet SinghNeil YoungDaniel OstermayerrobotRoss DonaldsonYos Yachivev
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Infectious tenosynovitis
Calcaneal bursitis
Calcific tendinitis
Septic bursitis
Olecranon bursitis 
Flexor tenosynovitis
Prepatellar bursitis 
Pes anserine bursitis