RHEUMALL

uA 70-year-old patient comes into clinic as she cannot stand her headache. She reports double vision, and has jaw claudication symptoms. Labs include mild anemia, sed rate at 120.

• giant cell arteritis

• polyarteritis nodosa

• fibromyalgia

• polymyositis

uA 27-year-old female presents to clinic and reports has been having joint pain and stiffness for more than 6 weeks, feels fatigue and headaches as well. She reports in the past has had pericarditis. On physical exam you notice some alopecia and nasal ulcers. Her labs +ANA, +anti-dsDNA, mild anemia, leukopenia.

• Scleroderma

• Fibromyalgia

• Systemic Lupus

• Sjogren's

uA 32-year-old female complains of muscle tenderness to thighs, back (upper and lower), bilateral upper and lower arms. She also reports excessive fatigue and some headaches and sleep disturbances. States symptoms have been present for at least 3 months. Labs are unremarkable.

• Systemic Lupus

• Fibromyalgia

• Sjogren's

• Rheumatoid Arthritis

uA 50-year-old patient presents to clinic with complaining of bilateral hand and feet pain and morning stiffness x 7 weeks. Constitutional symptoms + for fatigue, weight loss. There are some nodules on his arms and swelling to joints. Labs: elevated crp and sed rate, anemia. +ccp, xrays- erosions to joints of hands. Lab did not run the rest of the tests ordered

• Polymyalgia rheumatica

• Rheumatoid arthritis

• Polyarteritis Nodosa

• Gout

uA patient shows up to clinic as his symptoms of GERD have been getting worse. He is a new patient to your clinic. Upon examination you noticed some skin thickening on his fingers, and he reports at times his finger change color (blue, white, red) when touching something cold. Which antibody test would also help you for his possible diagnosis

• anti-histone

• anti-nuclear

• anti-smith

• anti-double stranded dna

uA 42-year-old patient has symptoms of fatigue, arthritis, dry eyes and mouth. She has had frequent brain fog and tingling/numbness to her hands. Symptoms have been for more than 3 months. On physical exam you notice enlargement of parotid gland and dryness to skin. On labs +ANA, +RF, +Anti-Ro/SSA, +Anti-La/SSB

• Fibromyalgia

• Lupus

• Sjogren's

• Scleroderma

uA 60-year-old patient presents to clinic for follow up. Upon questioning him, he reports lately has been having difficulty standing up from a sitting position and brushing his hair as well due to weakness. You order an mri of his thighs and emg that come back abnormal.

• Dermatomyositis

• Polymyalgia Rheumatica

• Polyarteritis nodosa

• Polymyositis

uA 58-year-old patient reports to clinic with worsening symptoms of weakness to her shoulders, states has difficulty washing her hair and overreaching for things in cabinets due to weakness. On physical exam you see her knuckles are red, as well as her dip and pip joints. While you inspect her back you see redness to the upper area.

• Systemic Lupus

• Discoid Lupus

• Dermatomyositis

• Polymyalgia Rheumatica

u52 year old seen in clinic reports joint pain and mild stiffness for more than 8 weeks. He has lost some weight because he states does not feel well after eating. You notice some painful nodules in lower extremity. His lab results are as follows: mildly elevated ESR, anemia, elevated WBC, +HBsAg.

• Polymyositis

• Polymyalgia Rheumatica

• Psoriatic arthritis

• Polyarteritis nodosa

uA 36-year-old patient comes in to clinic with pain to right knee. States he had been drinking excessively the past few days and today woke up with severe pain to right knee. He denies any trauma or possible infections. His knee is swollen and hot to touch, he pulls back when you examinate his knee given his pain. Labs are unremarkable. You aspirate and wait for analysis. Labs: uric acid level >8mg/dL

• Reactive arthritis

• Gout

• Pseudogout

• Ankylosing Spondylitis