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It is essential that a retinal examination using the indirect ophthalmoscope be performed on every child with strabismus to exclude an underlying tumor. Physical examination revealed a pale, unwell-appearing male with steady important indicators, belly ascites and pitting edema in each lower extremities, but no lymphadenopathy. Clinical Features Fever, chills and irritability Swollen, warm, very tender joint(s) Pseudoparalysis of the joint Multiple joints may be affected Investigations Haemogram пїЅ Anaemia and leucocytosis present Pus for culture and sensitivity Radiograph of the affected joint shows elevated joint space, synovial thickening, and later rarefaction of the adjacent bone surfaces medications nurses buy discount mentat online.

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