A 16 year old female comes to the Emergency Room with a history of several days of fever, headache, malaise, and generalized myalgias


Question Number 1095
Question:
A 16 year old female comes to the Emergency Room with a history of several days of fever, headache, malaise, and generalized myalgias. On that same day she acutely developed painful swelling of her right wrist. On examination of her extremities hemorrhagic skin lesions around the knee are noticed. She also has several tender papules on her right arm near the elbow. A likely diagnosis is
a) Moya Moya disease
b) child abuse
c) migraine
d) aneurysmally dilated great vein of Galen
e) disseminated gonorrhea


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