Dr. Rajesh Hirani (Pediatrics) needs a second opinion on this medical case.
6 yr old female brought to clinic for acute onset of left knee swelling and pain first noticed this morning. Only other symptom is vague abdominal pain and dry cracked lips. No significant family or PMH, not taking any medicstions, no trauma, no fevers or chills, no rashes. Exam benign besides large effusion. CBC unremarkable. Thoughts?