Form 3 spoilers. Discuss!

[exmike]

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17 y.o. girl has general malaise, progressive intermittent pain in knees over past six weeks. Has history of mouth ulcers. Is using hydrocortisone for rash on her checkcs.

Hg 7.2g/dL
Hct 31%
Leukocyte 21,000/mm3
Platelets 37,000/mm3

What is the diagnosis

Gonococcal arthritis
Juvenile RA
Lyme disease
Psoriatic Arthritis
Reiter's
SLE

 

[exmike]

oh, my vote is for JRA

 

[acab]

Sle

 

[exmike]

Sle

cuz of the rash?

 

[acab]

cuz of the rash?

Because of the rash and mouth ulcers.

 

[abbaroodle]

Because of the rash and mouth ulcers.

I agree. Also add because of malaise, joint pain, and low blood counts (low Hg, Hct, platelets...)

 

[exmike]

doh. look so obvious now. i'm gonna fail... 🙁

 

[acab]

doh. look so obvious now. i'm gonna fail... 🙁

No you won't.

I'm not on top of this game at all, but the first thing I always do is pay close attention to age and sex...17yo female....I immediately think autoimmune. My brain tries to narrow down the algorithm as the stem of the question progresses. I don't think they'd try to trick us all that much.