CC: Painful joints HPI: 16 yo wf presents with a 2 week history of joint pain. She states it started in her wrists and moved to her knees and eventually

CC:  Painful joints HPI:  16 yo wf presents with a 2 week history of joint pain.  She states it started in her wrists and moved to her knees and eventually her ankles.  She had noted a low grade fever during these episodes.  She also c/o waking up and feeling her heart race and not being able to breath.  The sob resolves if she sits up for a few minutes.  The only other problems she remembers was having a sore throat with high fever about 1 month ago. PMH:  There is no family history of rheumatoid arthritis, SLE, etc. CC:  Painful joints HPI:  16 yo wf presents with a 2 week history of joint pain.  She states it started in her wrists and moved to her knees and eventually her ankles.  She had noted a low grade fever during these episodes.  She also c/o waking up and feeling her heart race and not being able to breath.  The sob resolves if she sits up for a few minutes.  The only other problems she remembers was having a sore throat with high fever about 1 month ago.