Mung nyritakake
0:00
S… Speaker 2 (TEST)
Thank you for your referral. Joshua is a 15-year-old boy with the following week issue. Next paragraph, issue list. Next paragraph, number one, inflammatory polyarthritis. Next paragraph, 1.1, presents with two-week history of right ankle and knee pain and swelling in October, end of October, early November, 2025. Next paragraph, 1.2, MRI, right.
0:29
S… Speaker 2 (TEST)
Foot slash ankle, bracket PCH, 3rd November 2025, semicolon. Moderate joint effusion and enhancing synovitis is demonstrated at the right knee, ankle and subtalar joint. Full stop, there is also a complex appearing bacosis with suspicion of recent decompression.
0:51
S… Speaker 2 (TEST)
Inventory changes tracking inferiorly along the fascial layer. Next paragraph 1.3 HLA-B27 positive, RF negative, ANA negative. Next paragraph 2. UVitis screen negative. Next paragraph 3. Varicella IgG negative bracket non-immune. Next paragraph.
1:17
S… Speaker 2 (TEST)
I had the pleasure today to review Joshua with his mother Pipa in our rheumatology clinic. He was recently admitted under the orthopedic team.
1:32
S… Speaker 1 (TEST)
Back at the start of November, on the background of two weeks history of right ankle and knee pain associated with swelling, they were initially concerned for aseptic arthritis but did not start on any IV antibiotics and MRIs suggestive of inflammatory polyarthropathy, which they have kindly referred to rheumatology for further consult.
1:59
S… Speaker 1 (TEST)
at the time rheumatology team has the impression of likely inflammatory artery and was and they were discharged on oral practitioner winning plan since then he has improving symptoms he reported that the pain and the swelling has completely resolved after a few days of studying treatment
2:24
S… Speaker 1 (TEST)
Just briefly on his story, he first noticed with right ankle and knee pain, eventually developed into swelling. He did notice it first thing in the morning, constant pain. Has very mild improvement with simple energies here. There's no consistent morning stiffness and at the time that he was limping quite a bit with some functional limitations as well.
2:51
S… Speaker 1 (TEST)
However, there is no constitutional symptoms like fever.

This transcript was generated by AI (automatic speech recognition). May contain errors — verify against the original audio for critical use. AI policy

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