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Best of Five MCQs for the Acute Medicine SCE$
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Nigel Lane, Louise Powter, and Sam Patel

Print publication date: 2016

Print ISBN-13: 9780199680269

Published to Oxford Scholarship Online: November 2020

DOI: 10.1093/oso/9780199680269.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 17 October 2021

Musculoskeletal Medicine

Musculoskeletal Medicine

(p.249) Chapter 9 Musculoskeletal Medicine
Best of Five MCQs for the Acute Medicine SCE
Nigel Lane, Louise Powter, Sam Patel
Oxford University Press

A 28-year-old woman was admitted to the acute medical unit. She was 34 weeks pregnant, and presented with a four-week history of sore throat, evanescent rash, night sweats, flitting joint pain and stiffness, and fevers of up to 40.0°C, which tended to occur in the early evening. The rash was noted to worsen when her temperature was elevated.

On examination, she had bilateral submandibular and inguinal lymphadenopathy, a quiet pericardial rub, mild splenomegaly, a vague macular rash over the trunk with Koebner’s phenomenon, and painful knee and wrist movements, but no synovitis or joint effusions. In the week after admission, her symptoms continued with no change.

Keywords:   acute pseudogout, carpal tunnel syndrome, erythema nodosum, lumber canal stenosis, mechanical knee pain, olecranon bursitis, palindromic rheumatism, relapsing polychondritis

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