CCS: 7 yr old girl with fever, rash and polyarthritis - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 3 Forum

USMLE Step 3 Forum USMLE Step 3 Discussion Forum: Let's talk about anything related to USMLE Step 3 exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 09-29-2011
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 63
Threads: 51
Thanked 72 Times in 26 Posts
Reputation: 82
Default CCS: 7 yr old girl with fever, rash and polyarthritis

7 yr old girl with fever, rash and polyarthritis
PE: Complete

Order:
cbc ( stat )
bmp or may be just BUN and Creatinine (stat)
ESR
ANA
RF
UA
LFTs
Xrays of the joints involved
PT/PTT ( if planning to do arthrocenthesis )
athrocenthesis can be done as well....

CULTURE-URINE/BLOOD/THROAT
Tylenol
CXR
12 Lead EKG
Echo
d-dimers and fibrinogen ( i do not know the indication ..maybe coz it's a vasculitis)

will pretend the child does not have a high fever...so send him home. see in next 4-5 days with the lab results..

Results:
Cxr of joint without erosive changes...( so no methorexate)
ANA positive
such pts get eye involvement, thus eye exam q 3mths
RF positive
BUN nad CR wnl
ASPIRIN
MTX-SECOND LINE

Interval hx: improved

Order

Rheumatology consult
Eye consult
Physical therapy consult
EXERCISE
Med compliance
Multi-Vits
Calcium supplements/ diet rich in calcium
Educate family
MRI and Dexa--?
then do counsellin...whatever is applicable
Reply With Quote Quick reply to this message



Reply

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
fever plus rash usmleman2020 USMLE Step 1 Forum 5 08-03-2011 05:22 AM
A 1 month old baby girl with fever aksyonez USMLE Step 2 CK Forum 8 07-13-2011 03:12 PM
3 year old boy with fever and petechial rash aksyonez USMLE Step 2 CK Forum 7 07-06-2011 05:57 PM
A young man with fever, sore throat and rash 1TA2B USMLE Step 2 CK Forum 7 03-14-2011 10:34 AM
Malaise, Diffuse Red Rash, Fever, ...etc Yallah USMLE Step 1 Forum 5 06-26-2010 09:42 AM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)