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  #1  
Old 04-05-2015
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Question Spasemaster q5

A 42 year old female comes to your clinic with complains of joint pain, mainly in her wrists and MCP and PIP of both her hands, nodules on her forearms and also has a low grade fever. The joint pain occurs in the morning and subsides about an hour after waking up. On examination you also notice a palpable spleen. The patient's CBC shows a WBC count of 2,000 and Hb of 11 and MCV of 80 and corrected retics of 4%. What's the patient's Diagnosis:

A-Nelson Syndrome
B-Caplan Syndrome
C-Felty Syndrome
D-Juvenile Rheumatoid Arthritis
E-Still disease
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Old 04-05-2015
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C. Felty syndrome
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Old 04-05-2015
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please explain... i understood till RA being assoc with somethng
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Old 04-06-2015
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Correct Answer

Correct, it's choice C-Felty Syndrome

Felty Syndrome is basically: RA + Neutropenia + Splenomegaly
Nelson Syndrome: A patient with a pre-exisiting pituitary adenoma that undergoes bilateral adrenal resection and then later develops diffuse body discoloration due to sudden drop in cortisol which causes an increase in synthesis of ACTH. (This is becoming rare nowadays in practice)
Caplan Syndrome: RA pulmonary nodules + pneumoconiosis
Jeuvenile RA: RA in a teenager which is differentiated from RA by being negative for Rheumatoid Factor.
Still Disease: Similar to RA but also with a negative Rheumatoid Factor (IgM) + generalized painful lymphadenopathy and fever.

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  #5  
Old 04-06-2015
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thank u , well explained
thanks for putting up good questions !!!
Quote:
Originally Posted by spasemaster View Post
Correct, it's choice C-Felty Syndrome

Felty Syndrome is basically: RA + Neutropenia + Splenomegaly
Nelson Syndrome: A patient with a pre-exisiting pituitary adenoma that undergoes bilateral adrenal resection and then later develops diffuse body discoloration due to sudden drop in cortisol which causes an increase in synthesis of ACTH. (This is becoming rare nowadays in practice)
Caplan Syndrome: RA pulmonary nodules + pneumoconiosis
Jeuvenile RA: RA in a teenager which is differentiated from RA by being negative for Rheumatoid Factor.
Still Disease: Similar to RA but also with a negative Rheumatoid Factor (IgM) + generalized painful lymphadenopathy and fever.

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