f****i
发帖数: 129 | 1 A previously healthy 7-year-old girl is brought to the physician because of
a 2-week history of fever, intermittent rash, and joint pain and swelling.
She had three similar episodes during the past 2 years. She appears ill. Her
temperature is 39.4°C (102.9°F), pulse is 108/min, respirations are 20/
min, and blood pressure is 100/70 mm Hg. Examination shows a generalized
pink macular rash over the trunk and upper and lower extremities. There are
several warm, swollen interphalangeal joints; range of motion is decreased.
This patient most likely has which of the following abnormalities in the
synovium?
A) Calcium deposits
B) Gram-positive bacteria
C) Leukocytes
D) Malignant cells
E) Urate crystals |
w***0
发帖数: 222 | 2 Not likely. If this is RF, do you see the "JOHNs" criteria or minors?,
It does sound like a Rheumatoid arthritis. |
f****i
发帖数: 129 | 3 but how would you explain the rash if it is RA?
【在 w***0 的大作中提到】
: Not likely. If this is RF, do you see the "JOHNs" criteria or minors?,
: It does sound like a Rheumatoid arthritis.
|
w***0
发帖数: 222 | 4 why do you believe RA can not have the rash?
will the diagnosis of either a RF or a RA completely shift your answer? |
w***0
发帖数: 222 | 5 unfortunately you can not make the diagnosis without the history of
infection. This question is not designed for making the diagnosis; even you
may have your points.
when you make the diagnosis of rheumatic fever, don't forget the history of
strep infection. LOLLLLLLL, got you!
take it easy.
fever |
b***t
发帖数: 1104 | 6 oops my mistake. forgot the jerks lurking on this board. didn't learn from
previous. sorry to interrupt here. please go on... |
w***0
发帖数: 222 | 7 Ho Ho Ho, Merry Christmas! Please stay. what happened?
btw, remember I am nobody. if what I said upsetted you, I am sorry. |
