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Pathology q) A 15-year-old girl named Iris Chang (named after an author who represented horrible acts in World War II) presents to the emergency department with a 3-day history of a painful and swollen right big toe. She also has had a fever, with temperatures up to 103F, at home for 3 days. On physical examination, her temperature is 102F. Her first metatarsal joint of the right foot is markedly swollen and very painful to touch. An aspirated fluid from the joint reveals a white blood count of 40,000/ mm3. Which of the following is the most likely diagnosis? 1-Gout 2-Rheumatoid arthritis 3-Pseudogout 4-Septic arthritis 5-Lyme Disease

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Subject: Tommy's Concepts

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Pathology


q) A 15-year-old girl named Iris Chang (named after an author who represented horrible acts in World War II) presents to the emergency department with a 3-day history of a painful and swollen right big toe. She also has had a fever, with temperatures up to 103F, at home for 3 days. On physical examination, her temperature is 102F. Her first metatarsal joint of the right foot is markedly swollen and very painful to touch. An aspirated fluid from the joint reveals a white blood count of 40,000/ mm3. Which of the following is the most likely diagnosis?
1-Gout
2-Rheumatoid arthritis
3-Pseudogout
4-Septic arthritis
5-Lyme Disease

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