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Old 06-14-2012
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Question Management of Reiter's Syndrome?

A 28-year-old woman presents to her primary care clinic with complaints of fatigue and loss of appetite for the last three
weeks. She has difficulty walking because of pain in her right knee and lower back. About two months ago, after coming back from a trip to Mexico, she was treated for diarrhea and symptoms of dysuria. Her past medical history is unremarkable. Her father has had severe chronic back pain since he was 30 years old. On physical examination, pertinent findings include moderate conjunctival hyperemia. Her range of motion is moderately decreased in the right knee joint and lumbar spine. There is some tenderness on palpation of the spine at the level of T12 to L5 bilaterally, as well as on palpation of the right knee. There is no visible joint swelling or deformity. During the examination, she mentions a somewhat increased vaginal discharge over the past two months. The discharge looks mucoid, but you don't see anything unusual on speculum examination. The smear from the cervix shows more than 10 neutrophils/hpf. While waiting for culture and other test results, what would be the most appropriate treatment for this patient?
(A) Indomethacin
(B) Methylprednisolone
(C) Sulfasalazine
(D) Physical therapy
(E) Doxycycline and ceftriaxone

what is the cause of this syndrome...diarrhea or cervicitis and why ?
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Old 06-14-2012
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so answer is A
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Internal-Medicine-, Rheumatology-, Step-2-Questions

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