Author Archives: Anonymous
Rodney, an 11-year-old boy accompanied by his mother present…
Rodney, an 11-year-old boy accompanied by his mother presents to the clinic with reports of a “limp” and “fever” for the last month. His mother reported an oral temperature trend of approximately 99-100 degrees in the evenings. Rodney complains of joint pain and tenderness of his lower and upper body for about 2-3 months.. His mother stated that she has been giving him ibuprofen and acetaminophen as needed, which helps for a while before the pain returns. The patient denies any history of cough, dyspnea, chest pain, weight loss, night sweats, dysuria, hematuria, or abdominal pain. . Rodney has no significant medical history and no known allergies. Physical exam is WNL except for the following results: Left ankle and knee= joints swollen and warm Right hand= PIP joints swollen and warm Limited ROM of the left ankle and knee Limited movement due to pain of the left ankle and knee The spleen is palpable 2cm below the left costal margin; soft and nontenderOf the following differential diagnoses, based on the history and physical, which is the most likely for this patient?
Read DetailsMrs. Pillsbury is a 50-year-old female patient, presents to…
Mrs. Pillsbury is a 50-year-old female patient, presents to the primary care clinic with complaints of joint and muscles pain for 2 weeks. She also reported a fever of 100-101 for 2 days with a headache and fatigue. Enzyme immunoassay (EIA) lab is positive. Western blot came back positive for IgM and IgG antibodies against Borella bacteria. Upon exam, the FNP notes a rash over the left arm. Which of the following is the most likely differential diagnosis?
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