36 year old man presents with a history of multiple joint pains and fever over the previous 8 months. On exam BP180/118 left foot drop with digital in

[Tiffany Wong]

#january2020amc1

36 year old man presents with a history of multiple joint pains and fever over the previous 8 months. On exam BP180/118 left foot drop with digital infarcts. What is your next in management?

A) Sural nerve biopsy
B) Echocardiogram
C) FBC
D) CSF
E) ANA antibodies

 

[VijayaTheGreat]

I would go for ANA antibodies...