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Myalgias and myositis: Pathology review

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Pathology

Musculoskeletal system

Pediatric musculoskeletal conditions
Musculoskeletal injuries and trauma
Bone disorders
Joint disorders
Muscular disorders
Neuromuscular junction disorders
Other autoimmune disorders
Musculoskeletal system pathology review

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Myalgias and myositis: Pathology review

Questions

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Questions

USMLE® Step 1 style questions USMLE

7 questions

USMLE® Step 2 style questions USMLE

1 questions
Preview

A 41-year-old woman is evaluated by the outpatient physician for 5-months of generalized fatigue and diffuse soft-tissue pain. The pain is present in the upper extremities, lower extremities, and back. She feels tired every morning despite getting adequate sleep in the evening. Past medical history is notable for hypertension that is currently managed with propranolol. Temperature is 37.2°C (98.9°F), blood pressure is 136/88 mmHg, pulse is 61/min, and respiratory rate is 15/min. Physical examination reveals 5/5 strength and full range-of-motion in the upper and lower extremities. Soft-tissue tenderness is elicited at multiple locations across the patient’s body. Laboratory results are as follows:  

 

Laboratory value  Result
 Hemoglobin  14.8 g/dL 
 Leukocyte  7,800/mm3 
 Erythrocyte sedimentation rate (ESR)   7 mm/h 
 Serum creatinine kinase  27 U/L 
 Antinuclear antibodies  Negative 

Which of the following additional findings would most likely be found in this patient?

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