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a) List four differential diagnoses in this case.
b) Give two additional differential diagnoses for dactylitis (swollen or “sausage” digits)?
Is the knee Xray normal? What further tests would you do?
a) The FBC/U&E come back within the normal ranges and the CRP is 26. What would you do now?
b) Had pain, fever or other clinical suspicion of significant sepsis as a cause been present in this case, who else might you involve?