GOGETA
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A 20 y/o woman is evaluated for fever of nine weeks’ duration. During this time she has had daily temperature elevations to 40.0 C (104.0 F). The only other symptoms have been malaise and occasional aches in the hands and knees; on one occasion she noted a transient pink rash on the abdomen. A one-week course of ampicillin had little effect.
T=38.9 C (102.0 F); PR=108 per minute, and rhythm is regular. A grade 1/6 systolic ejection murmur is heard best at the LSB. The spleen is palpable 3 cm below the left costal margin on deep inspiration. Electrocardiogram and chest radiograph are normal. Laboratory studies:
Hct 35%
Hgb 11.5 g/dL
WBC 12,800/cu mm; 81%neutrophils,
4% monocytes, 14 lymphocytes,
1% eosinophils
ASO 250 Todd units {<200}
RF Negative
ANA Negative
Blood cultures Pending
Which of the following is the most likely diagnosis?
(A) Enteric fever
(B) Bacterial endocarditis
(C) Lyme disease
(D) Hodgkin's disease
(E) Adult-onset Still's disease
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| Vietnamese
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C. Lyme disease
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| paheli
It'sAllAboutGoodKarma
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Yea, C.
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| mikky
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y not a...transient abdominal rash...rose spots...
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| arlete
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E
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| guangyu
Forum Elite
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B or E? i think is E
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| GOGETA
Trying to get in PGY1
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Answer is e.
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| Ujk
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Diagnosis of AOSD
While there is no simple test for AOSD, most doctors will make the diagnosis if a person has five or more of the criteria below, including two or more from the first (major criteria) list:
Major AOSD Criteria
- High fever lasting one week or longer
- Joint pain lasting two weeks or longer
- Rash
- Abnormal white blood cell count and other blood problems
Minor AOSD Criteria
- Sore throat
- Swelling of the lymph nodes or spleen
- Liver problems
- Absence of rheumatoid arthritis
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| mikky
Forum Elite
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thx ujk
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| mangoshaikh
Forum Newbie
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yeah thank you ujk i would have never got that one but now i know it
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