]> 2026-07-31T07:28:06+00:00 WBR0209 0 en Utricarial skin rash Subcutaneous skin nodules '''Incorrect''' : Subcutaneous nodules are typical of rheumatoid arthritis which are symmetrical and bilateral joint pain. Painful tendons along ankle and toes '''Correct''' : A triad of tenosynovitis, dermatitis, and polyarthralgias without purulent arthritis or purulent arthritis without associated skin lesions is one of the presenting syndromes of disseminated gonococcal infection Sausage digits '''Incorrect''' : Patients with the constellation of reactive arthritis, tenosynovitis, and urethritis (formerly Reiter syndrome), unlike those with typical DGI, also have one or more of the following: conjunctivitis; circinate balanitis; or keratoderma blenorrhagicum Back pain and restriction of movements Primary Care Office 23 year old female presents to the office with 5 day history of joint pain and fever. She says has tried over the counter ibuprofen and had only mild relief of her symptoms. Her past medical history is insignificant. She does not smoke or drink. She is sexually active and uses condoms. Physical examination shows hyperemia and swelling in the left knee. Range of movements is restricted because of pain. No rash is present. Arthrocentesis done shows a turbid fluid with WBC count of 60,000/mm3. You make a diagnosis of infectious arthritis. Which additional finding would help in determining the cause of the condition? C Musculoskeletal/Rheumatology Infectious Disease 2020-10-27T23:45:50Z 2459150.490162 WBR0209