Quiz 29: 16 year old girl with joint pains

This is a picture of a 16 year old girl seen in the pediatric clinic with pain in her knees and elbows for last 3 months. She has also had pleuritic chest pain for the last week or so. Which serious condition will these findings worry you about? What initial laboratory studies would you order?
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5 comments:

Rachel Shin June 23, 2011 at 11:58 PM  

Great photo. I won't give out the correct answer here but I think it could be any rhem condition. Thanks for sharing your pictures and all the hard work. I am a fan! I am a medical student and don't have any pictures yet but will upload some when I can get em.

Josh.J. June 24, 2011 at 2:39 AM  

I love your collection. You should give detailed explanation to all your quizzes like this one.

Anu P. June 26, 2011 at 11:05 PM  

I agree. No face rash although everything else sounds like lupus.

Sonali Raut June 30, 2011 at 2:50 AM  

Yea...I got this one right. Good photo doc.

J August 1, 2011 at 11:30 AM  

Her tongue is rolled backwards!