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USMLE Step 1 Classic Clues Classic clues seen in clinical case scenarios in USMLE Step 1 questions.

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Old 02-21-2015
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Warning! do not confused

polymyalgia rheumatica;old patient >50 complain of morning stifness of neck ,shoulder,girdle muscle, plus weight loss "increase ESR" commonly have temporal arteritis

Fibomyalgia commonly women ,increase pain with exercise in muscles ,insomnia ,emotional troubles .

Dermatomyositis;bilat.muscles weakness /helotrope rash/gotton papules/increase CK

Anyklosing spondylitis ;back stiffness decrease with exercise /decrease ant. flexion of spine

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