A child over three years old has knee joint swelling and pain with effusion. How should it be treated?

Patient's question:

A 3-year-7-month-old child has swelling and pain in the left knee joint with fluid accumulation, and cannot straighten it. Over the past two days, the child has been applying cold compresses, and the knee with swelling and pain has become less warm than before. However, the child has difficulty sleeping during naps due to leg pain and avoids walking in the morning. The child has Type 1 diabetes, but the doctor did not perform an MRI at the hospital. The doctor suggested that the child rest for a week to see if the fluid accumulation can resolve on its own. I am unsure how to administer sedatives for an MRI to a child of this age.

Doctor's answer:

According to the situation you mentioned, it is recommended to have a re-examination at the local hospital. If necessary, you can consider undergoing sedation for MRI. Generally, phenobarbital is used. Based on the situation you described, you should pay attention to rest, avoid excessive exercise, and take measures to prevent catching a cold. Has the child had any local injuries before? Is the temporary living environment damp? Wishing the patient a speedy recovery!

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