Physical Findings

Stop & Think

Lab and X-Ray

Differential Diagnosis

The Disease

Treatment

Conclusions

Quiz & Evaluation

• Rheumatic fever is possible, but unlikely.
• The arthritis is not migratory.
• History doesn't fit.
• Osteoarthritis doesn't seem likely.
• Typically osteoarthritis involves distal hand joints.
• Age isn't consistent.
• Weight bearing joints are spared in our patient.
• Septic arthritis seems to be out.
• Septic joints are always hot, painful and swollen.
• Besides, CBC doesn't reflect an acute inflammatory episode.
• Gout doesn't seem too likely.
• Uric acid isn't up and these aren't the usual joints.
• Psoriatic arthritis.
• History and physical don't fit.
• Arthritis associated with inflammatory bowel disease.
• History and physical don't fit.
• Wrong joints involved for this one.