Snapshot A 25-year-old woman presents to the emergency room for painful joints. She has had pain in her bilateral hands and wrists for the past few days. She also had a low-grade fever and mild upper respiratory symptoms. She is 14-weeks pregnant and has had good prenatal care. She works as a kindergarten teacher. On physical exam, the joint in her hands are slightly swollen and tender. A fetal ultrasound shows hydrops fetalis. Introduction Classification login to view 9 more bullets Epidemiology login to view 9 more bullets Pathogenesis login to view 3 more bullets Presentation Symptoms login to view 4 more bullets Physical exam login to view 3 more bullets Studies Labs login to view 4 more bullets Making the diagnosis login to view 2 more bullets Differential Measles login to view 3 more bullets Rubella login to view 2 more bullets Treatment Management approach login to view 1 more bullet Conservative login to view 6 more bullets Medical login to view 3 more bullets Complications Myocarditis Behcet syndrome Aplastic crisis