Blog

Ms. A is a 32-year-old woman who presents with a history of systemic lupus erythematosus (SLE) diagnosed 5 years ago. She complains of increasing joint pain and stiffness, particularly in her hands and knees. She also reports fatigue, occasional fever, and a facial rash that worsens with sun exposure. Ms. A has been compliant with her hydroxychloroquine therapy but admits to occasional non-adherence due to gastrointestinal upset. She denies any recent infections or significant changes in her overall health. Clinical Examination: On examination, Ms. A appears fatigued but is alert and oriented. She has a malar rash across her cheeks and nose. There are no signs of oral ulcers. Joint examination reveals tenderness and swelling of the proximal interphalangeal joints bilaterally, with decreased range of motion due to pain. Cardiovascular and respiratory examinations are unremarkable. Laboratory Findings: Complete blood count: Mild normocytic anemia (hemoglobin 11.8 g/dL), normal white blood cell count and platelet count. Urinalysis: Proteinuria (1+), no hematuria. Antinuclear antibodies (ANA): Positive, with a titer of 1:1280. Anti-dsDNA antibodies: Positive. Complement levels (C3 and C4): Low. What is the probable diagnosis?  

A patient reports sudden onset of pain, warmth, and swelling in only one joint, the right knee,  but denies a fever. The patient notes no decrease in pain when the joint is at rest. Which is the most common pathogen for this septic arthritis presentation?

What is the standard of care for croup treatment:

A clinical finding that is often seen in Kawasaki syndrome but does not occur until after the first week of illness is

A 13 year old comes to the clinic with complaints of cough and wheezing. In evaluating this child, the most appropriate first step is to:

What hormone drives teens to be self- conscious?

In girls, the first appearance of breast buds is termed:

Full brain development is accomplished at 24-25 years old.

Physical activity enhances cognitive development.

Pulse oximetry used to screen a newborn of 24 hours shows a reading of