new_n_lost
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A 35-year-old man returned from a two-week holiday complaining of pain in the loins and painful swollen knees. On examination he was afebrile and had significant bilateral knee effusions. Mild penile erythema was also noted. Laboratory investigations showed.
Hb 15.6 g/dL
WBC 16.2 x 109/l
Neutrophils 14.1 x 109/l
ESR 65 mm/h
Rheumatoid factor 10 IU/L
Urinalysis No cells, casts or bacteria seen
What is the most likely diagnosis?
1) Arthritis due to Neisseria gonorrhea infection
2) Lymphogranuloma venereum
3) Reactive arthritis
4) Reiter’s syndrome
5) Rheumatoid arthritis
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| rock
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1-arthritis due to n. gonorrhea
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| keepgoing
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1) Arthritis due to Neisseria gonorrhea infection
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| new_n_lost
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FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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| new_n_lost
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Gonococcal arthritis typically affects the knees and is the likeliest diagnosis in this scenario.
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FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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| usmlefever
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ans is 1 without confusion !
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| mytime
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| Ig F
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i m not perfect but i wanna get close to it......
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