dr19
Forum Senior
Topics: 11
Posts: 116
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A 52yo woman is complaining of several weeks of swelling of both hands and ankles.She notes stiffness in the morning that subsides during the day.She has also experienced generalized weakness,cough and intermittent low-grade fevers.The patient denies having a skin rash or dryness of the eyes.Examination reveales symmetrical swelling and warmth of the wrists,knees and PIP and MCP jointsof the hands.there are small subcutaneus nodules palpated over the tendons of her fingers and elbows.A faint pericardial rub is auscultated.Initial lab tests reveal:
WBC=11200/mm3
hematocrit..32%
mean corpuscular vol.....92
platelets=660000/mm3,creatinie...1.2mg/dl
glucose...150mg/dl
What should be the first diagnostic test performed?
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| bergkamp
Forum Newbie
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it`s a clinical diagnosis right? or rheumatoid factor?
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| dr.wad
Forum Senior
Topics: 3
Posts: 335
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echocardiography.
the pt has pericarditis due rheumatoid arthritis .
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| dr19
Forum Senior
Topics: 11
Posts: 116
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let's complete the case:
A) X-rays of hands,wrists and ankles
B)Rheumatoid factor and sedimentation rate
C)Antinuclear antibody
D)Examine the svnovial fluid
E)Echocardiogram
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| hope4dabest
Forum Elite
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C...
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| sandra
Forum Guru
Topics: 199
Posts: 461
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d?
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| sandra
Forum Guru
Topics: 199
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d?
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| shahnaz.r
Forum Junior
Topics: 7
Posts: 77
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C
Anti nuclear antibody to rule out SLE.
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