Roy, a 45-year-old university professor:
Questioning reveals:

• Likeable
  
• History of mild, episodic discomfort in the wrist for the last few months
  
• Has been taking acetaminophen [TYLENOL*] 500 mg or ibuprofen [MOTRIN* IB] 200 mg to help keep up with most of his activities.
  
  

  Which of the following should be included in the differential diagnosis?
  Check all that apply.

  	Septic arthritis
  	Crystal arthritis (gout, pseudogout)
  	Non-septic (monoarticular arthritis)
  	Seronegative arthritis (reactive syndrome, psoriatic arthritis [symmetric, asymmetric, distal interphalangeal predominant, spondylitis, arthritis mutilans] bowel disease)
  	Palindromic rheumatism
  	Trauma
  	Osteoarthritis
  	(Submit)

  next: exam
  

  
  
  

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