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a 14yo residing with his parents on a military base presents with a fever of 38.6 and complains of lower back, knee and wrist pain. the arthritis is not lacalized to any one joint. h/o a severe sore throat several weeks ago. p/e of the skin reveals pea-sized swellings over the elbows and wrists. he also has two serpiginous, erythematous pink area on the anterior trunk, each about 5cm in diameter. lab includes negative blood cultures, negative throat culture, normal cbc, esr:100. antistreptolysin-o (ASO) elevated. at this point, appropriate therapy would consist of
a. supportive care alone
b. parenteral penicillin
c. parenteral penicillin and glucocorticoids
d. parenteral penicillin and aspirin
e. parenteral penicillin, aspirin and diazepam
f. aspirin
A&Y. thanks.
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