NBME Step 2 CK Form 8 Uveitis (NBME Answers)

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submitted by ∗step_prep2(66)

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Child with atraumatic, progressive, bilateral knee pain with elevated ESR and otherwise normal exam/labs, most concerning for initial presentation of systemic juvenile idiopathic arthritis
Along with many other causes of autoimmune disease, SJIA is associated with anterior uveitis
Key idea: Classic NBME presentation is a patient with daily spiking fevers associated with a transient pink macular rash, along with signs of inflammation of labs (leukocytosis, anemia, thrombocytosis, increased ESR/CRP)

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ht3 mannn this bitch had no fever NOR rash smh +3

danielle359x Actually this is oligoarticular juvenile idiopathic arthritis: involvement in <4 joints, usually weight-bearing joints esp. the knees; elevated ESR, usually ANA+, RF-; the oligoarticular subtype has the highest risk of all JIA for anterior uveitis. No fever or rash=NOT systemic JIA subtype (not associated with uveitis) RF- = NOT seropositive polyarticular JIA (associated with rheumatoid AKA subcutaneous nodules) Not seronegative polyarticular JIA b/c involvement is with >5 joints, although this subtype is associated with anterior uveitis as well (but to a lesser degree than the oligoarticular subtype) +12

lilmonkey Guys, you're so smart and beautiful. But I'm so dumb and ugly so I only remember the one classic NBME/USMLE association with juvenile arthritis - uveitis. And you know what - it works 9 times of 10. +7

charcot_bouchard lol +1

link981 @lilmonkey definitely lol +