8yrs female child, joint pain, fever on and off :. 3 months

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DD 3 YEARS CHILD WITH JOINT PAIN AND FEVER EXCLUDE RHUMSTIC FEVER AND R CARDITIS

c/o eye pain no other signs and symptoms .....no refractive error.... no h/o injury......not associated with jeadache

could be systemic onset juvenile idiopathic arthritis ask detail history of fever if quotidian pattern of fever makes it more likely

3 months history of fever, anemia & thrombocytopenia . BM & workup for autoimmune is needed

low platelets 3month fever joint pain may be chikenguniya

go fr aso titer crp..2.d echocardiography to rule out rhd..

sorry headache

rickketssial fever

get aso titre rule out rheumatic fever.

thank u one and all

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