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Review Question - QID 5932

Juvenile Idiopathic Arthritis Imaging Radiographs QID: 5932 (OBQ15.247)
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QID 5932 (Type "5932" in App Search)
A 14-year-old female has anal hemorrhoids. The General Surgical team has asked for a consultation in regards to her history of hand, wrist, and ankle joint pain and swelling over the past 3 years. Her physical examination reveals a swollen left wrist, right knee and left ankle. Lab work shows low hemoglobin, low albumin, elevated erythrocyte sedimentation rate (ESR), elevated antinuclear antibody (ANA) count, and a negative rheumatoid factor. Radiography of the affected joints are normal. What additional work up is required prior to her rectal surgery?
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