A 32-year-old woman is cycling to work when she falls off her bike and injures her left shoulder. She is experiencing pain and is taken to the Emergency Department. An X-Ray reveals a grade 2 injury to the Acromioclavicular joint. What is the appropriate course of action for this patient?
A 72-year-old woman presents with a 2-week history of proximal muscle pain and stiffness along with elevated inflammatory markers on blood tests. After diagnosis with polymyalgia rheumatica, which medication is inadequate response would lead to consideration of an alternative diagnosis?
An 80-year-old man visits his doctor with a complaint of pain while swallowing and frequent nausea that has been going on for 4 weeks. Due to his age and symptoms, the doctor refers him for an oesophagogastroduodenoscopy (OGD), which reveals oesophageal ulceration. What medication is the most probable cause of this condition?
A 58-year-old woman presents to your GP practice with recurrent headaches. These have been ongoing for the past 3 weeks and she describes them as severe (8/10) and throbbing in nature. She reports that the headaches worsen whenever she talks for extended periods of time. Additionally, she has been experiencing fatigue and slight blurred vision since the onset of the headaches, which is unusual for her. Based on the probable diagnosis, what investigation and treatment options would you prioritize?
A 65-year-old female visits her doctor complaining of annular papulosquamous lesions on sun-exposed areas that appeared two weeks ago. She was diagnosed with primary tuberculosis four months ago and is currently undergoing treatment with rifampicin and isoniazid. What antibodies are expected to be present in this patient?
A 55-year-old woman has observed that her hands’ skin has become extremely tight, and her fingers occasionally turn blue. She has also experienced difficulty swallowing both solids and liquids. Which autoantibody is primarily linked to these symptoms?
A 30-year-old female patient comes to the clinic with complaints of fatigue, fever, and sharp pain on the right side of her chest that worsens during inspiration. She also reports experiencing occasional joint pain in her hands for the past four months. During the physical examination, mild erythema is observed over her cheeks. What is the most sensitive investigation for this condition?
A 25-year-old female presents with polyarticular arthralgia and a malar rash. Blood tests results are as follows:
Hb 135 g/l
Platelets 110 * 109/l
WBC 2.8 * 109/l
What is the most appropriate test from the options below?
John is a 28-year-old man who presents with complaints of fatigue, muscle pain, and dry eyes. He has also noticed a red-purple rash on his upper cheeks that worsens after sun exposure. Upon further inquiry, he reports frequent mouth ulcers. Based on these symptoms, you suspect systemic lupus erythematosus.
Initial laboratory tests show anemia and proteinuria on urinalysis.
Which test would be most suitable to rule out this diagnosis?
A 28-year-old woman presents with recurrent deep vein thrombosis and pulmonary embolisms. She has a past medical history of recurrent miscarriages. Blood results reveal a prolonged APTT.
What is the most appropriate test from the options below?