Franco, a new patient to the office,went to see Dr. White complaining of pain in upper arm. He had experiencing some muscle weakness and had difficulty getting out of the bathtub Franco also had a rash and fever. Dr. White did a detailed exam and history because of Franco's past medical was of low history of rheumatoid arthritis. The medical decision making was of the upper arm complexity, Dr. White diagnosed Franco with infection myositis in the upper arm

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In order to diagnose Franco with infectious myositis in the upper arm, Dr. White carried out a detailed examination and history of the patient. Here's an explanation of the process:

1. Initial Complaint: Franco complained of pain in his upper arm. This is the primary symptom that led him to seek medical attention.

2. Additional Symptoms: Dr. White noted that Franco was experiencing muscle weakness and had difficulty getting out of the bathtub. These symptoms are important to consider alongside the pain in the upper arm, as they may indicate a specific condition.

3. Physical Examination: Dr. White performed a thorough examination of Franco's upper arm. This would involve checking for any signs of inflammation, tenderness, or swelling. The doctor may have felt the affected muscles or asked Franco to perform certain movements to assess his range of motion.

4. Patient History: Since Franco had a low history of rheumatoid arthritis, this is an important piece of information for Dr. White to consider. Rheumatoid arthritis is an autoimmune condition that can cause inflammation and pain in the joints and muscles.

5. Medical Decision Making: Based on Franco's symptoms, physical examination, and medical history, Dr. White made a diagnosis of infectious myositis. Myositis refers to inflammation or infection of the muscles. In this case, it is specifically caused by an infection.

It's important to note that this explanation is based on the information provided and may not be a comprehensive analysis of the specific medical condition. It's always recommended to consult a healthcare professional for accurate diagnosis and treatment.