Module 15, General Medical Level

This is a 7 year old girl who has had polyarticular Juvenile Rheumatoid Arthritis for over a year. Most recent management has been with prednisone, methotrexate and tolectin. The symptoms improved with little evidence of ongoing synovitis. A mass in the left bicipital area was first noticed at the age of 7 years and 9 months.

Question 15A

In children with rheumatoid arthritis (RA) these masses are usually rheumatoid nodules.

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Question 15B

Synovial cysts often occur in children with RA.

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Question 15C

Because this mass is not painful, no work up is indicated.

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Question 15D

This is most likely a ruptured biceps tendon.

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Question 15E

This mass could not be transilluminated and therefore is not a cyst.

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