10yr pt C/o swelling/pain/limited movement at PIP of left hand, specially at night, remain fr few hrs and disappear. Duration 6mths. No fever, CVS normal... Workup, diagnose...

11 years old female, pain in joints from 1 month moderate, inflammation of elbow,wrist, knee, ankle from 20 days, fever high grade from 4 days, deformity of metacarpal joints from 3 years, TB contact +ve (mother & sibling). O/E: inflammation of elbow, wrist, MCP, wrist, knee & ankle joints symmetrical, warm & tender, nodules on MCP, joints pigeon chest, chest b/l clear, GCS 15/15, anterior fontanelle wide open. Ix: WBC 12, HB 10, plt 394, Spinal XRay shows mild Kyphosis, Platyspondyly at lumbosacral joint, ASOT -ve, XRay both hand & feet shows soft tissue calcification, bone density mildly reduced, USG joints: no joint effusion. GeneXpert: not detected. Diagnosis & Management?

35 years old female suffering from recurrent painless nonitchy swelling for last 5 years. No h/o respiratory distress. No family history of such lesions. She is a known Hypertensive and for that she is on Telmisertan 40 mg/day. Patient has been treated with Levocetirizine 10mg twice a day for six months and Monteleukast 10 mg at night for six months, but no relief. Only responding to short courses of systematic Steroid 2 mg /kg with tapering dose. 1). Diagnosis 2). D/D 3). Investigations 4). Management. Please give your answers in chronological order.

12.5yr old female with painful knee extension since 2 days , with no signs of inflammation with 2 degree consanguinity

15 year old boy presents with multiple joint swelling and tenderness for 1 week....the patient currently unable to mobilise.. there is history of on/off joint paints but this event is e worst of all.. patient was born with a missing limb..stays in rural areas...no money for investigations..patient is hiv positive on ART...differentials?