Prep for USMLE

Username: Password:     Forgot Password

New:

Author	3 Posts
smitha Forum Elite Topics: 53 Posts: 236	Jun 30, 2003 - 8:03 AM       #1 A 27y.o woman comes to ur office with painful erythematous papules that occured 1 day before her visit.She has no other complaints xcept joint swelling & pain occured 3 days ago.Physical exam. shows low grade fever,symmetric swelling of knees,PIP & MCP JOINTS, &weel demarcated,3 to 4 cm papules over the ant.aspect of her legs. Wat wud be the next step in confirming the likely diagnosis in this pt.????
Prep4USMLE.com Advertisement	Register To Remove Advertisement
Delusional Forum Elite Topics: 41 Posts: 226	Jun 30, 2003 - 4:52 PM       #2 Erythema nodosum..... Well..... I would go with throat culture for Group A beta hemolytic strept. and then ASO.... meantime....shld go for a CXR for Features of Sarcoidosis..... I mean this cld be the presentation of either of them even with the joint swelling..... Am i even close to being correct....?? :? Obviously if i had choices..... Looking for Strept wld be priority then Looking for Sarcoidosis.....
smitha Forum Elite Topics: 53 Posts: 236	Jun 30, 2003 - 5:39 PM       #3 That's ABSOLUTELY CORRECT del!!! This pt. has arthritis & erythema nodosum.......suggesting sarcoidosis..... And yes, it's d/d cud be strep.........but the symmetric distribution of swelling of knees .PIP& MCP wud point more towards sarcoidosis... And the next step wud be to do a biopsy of the suspected lesions(which wud show us noncaseating granulomas)......... And in these pt.s, sometimes an elevation of ACE can be seen(60%).........though nonspecific, can be used to follow the disease.

This thread is closed, so you cannot post a reply.

Similar forum topics Help: Failed Step 1st try, 2nd try in November. GIVE A TRY.......... One last try

Related resources