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00:00You have 60 seconds to make a diagnosis.
00:02Okay.
00:0331-year-old boy comes in with joint pain.
00:06Your time starts now.
00:08Okay, the joints are hurting.
00:09Which joints are hurting?
00:11All the joints of the body are hurting.
00:13Okay, all the joints of the body are hurting.
00:15When did it start?
00:16It started a week ago.
00:18It started a week ago.
00:19Has it ever happened before?
00:21No.
00:22Does it happen more often?
00:23Like, does it happen more often when you wake up in the morning?
00:25It doesn't happen like that.
00:26It stays the same.
00:27Okay, it stays the same.
00:28Okay.
00:29Is there any problem with the skin?
00:30No.
00:31Is there any problem with the skin?
00:32No.
00:33Is there any problem while urinating?
00:35Yes, the patient is also complaining of pain while urination.
00:39Okay, there is pain while urinating.
00:41Before this, when the joint pain started, did you have a sore throat?
00:46No.
00:47You didn't have a sore throat.
00:48Did you have an upset stomach?
00:49Yes, I had an upset stomach.
00:51Yes.
00:52Okay.
00:53When did it heal?
00:54It happened 2-3 weeks ago, but it healed completely then.
00:58Okay.
00:59Is there any problem in the eyes?
01:01The eyes are a little red and a little discharged.
01:03The eyes are a little red and a little discharged.
01:04The eyes are a little red and a little discharged.
01:05Okay.
01:06This is likely reactive arthritis.
01:08There can be other things, but given the history, it is reactive arthritis.
01:12The reason for this is that whenever there is an infection, especially a stomach infection,
01:16or a waterworks infection, or a urine infection, or a sexually transmitted infection,
01:21after 1-2 weeks, you have these 3 things.
01:25I had given a very good example of this.
01:28Cannot pee.
01:29It hurts while urinating.
01:30Cannot see.
01:31It hurts in the eyes and turns red.
01:34And cannot climb a tree.
01:36When you climb a tree, you use your joints.
01:39It hurts in the joints.
01:40I had read a very good example in a book.
01:42I still remember it.
01:43This happens after an infection.
01:45The diagnosis of this is done clinically.
01:48Blood tests are definitely done.
01:50Because when there is pain in the joints, it can be an autoimmune condition.
01:54All of them have to be ruled out that there is no other problem.
01:57And if this is the case, then its treatment is simple.
02:00You have to take painkillers etc.
02:02Yes, if the symptoms are severe, there is more problem, then steroids are also given in this.
02:07But as such, there is no diagnostic criteria for this.
02:11There is no diagnostic test.
02:13There is no lab test from which it is known.
02:15Okay.
02:16And what is the other name of this disease?
02:18Reiter's Syndrome.
02:19Absolutely right.
02:20Okay.
02:21Bye.
02:22Bye.