Cardiovascular System

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"The patient with joint pain is an important presentation in primary care, with a vast range of benign and sinister etiologies being possible. A careful history and examination are essential, as is a structured evaluative approach.\n\nIn this regard, key points include the pattern of joint involvement (i.e. large or small joints, axial or peripheral, symmetric or asymmetric); the presence or absence of articular inflammation; the duration of symptoms; the presence of associated systemic manifestations; and, if there was a recent preceding illness (e.g. a sore throat, cough, or pharyngotonsillitis).\n\nConsidering this young girl, it is only the large peripheral joints which were involved, in an asymmetric manner. Even more importantly, the arthr"}]}

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