Dr. Shoaib Diagnoses a Disease in Just 30 Seconds

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Transcript

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.

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