The patient has been previously healthy but did experience low-grade fever, malaise, and myalgias about two weeks ago. This lasted 2-3 days and resolved without specific therapy. Many children in her class have been absent over the last few weeks.
Her review of systems is otherwise negative except for fatigue. She takes no medications.
Joints: Tenderness and mild swelling in the wrists and PIP joints, knees and MTP bilaterally.
General exam is unremarkable
Laboratory tests are all normal and the patient responds well to treatment. Over the next 6-8 weeks her symptoms completely resolve.