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Stephanie's mother has knee PAIN, what can we - triplehelix
#11
E..diagnosis of RA is based on clinical criteria,no specific test
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#12
E. osteoarthritis......involvement of PIP and DIP .
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#13
DIP joints are spared in RA. Also, morning stiffness should be for more than 30 min.
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#14
c and d not an ans as dip not involved in ra...so also no signs of sle...so a and b are out...its oteo
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#15
A---------
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#16
correct answer is E.

No additional studies are indicated for this patient. This patient has knee pain that worsens with ambulation and joint stiffness that lasts 45 minutes. A rheumatoid factor assay is therefore not appropriate in this clinical scenario. In addition, rheumatoid factor positivity alone would not establish a diagnosis of rheumatoid arthritis.

Several studies show a strong association between positive findings on anti“cyclic citrullinated peptide antibody assay and rheumatoid arthritis. This assay most likely has the best predictive value when combined with rheumatoid factor assay. However, an anti“cyclic citrullinated peptide antibody assay is not needed to establish the most likely diagnosis in this patient, which is osteoarthritis.
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#17
still trying to connect "small right knee effusion" with osteo.......?
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#18
Good Afternoon TH,
Would you plz tell us the correct answer. Thanks
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#19
up
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