Acute

Chronic

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SARD,Seronegative Arthritis

| OPQRST | - Worse in the morning (prolonged > 1 hrs) – after you are immobile for a period of time -   Night pain (pain that wakes you up from sleep, particularly the second half of night) | | --- | --- | | Aggregating | Worse with immobility, in the morning | | Alleviating | Better with activity (esp. ankylosing spondylitis), better at the end of day | | Associated | Systemic symptoms: fever, weight loss, overwhelming exhaustion

O/E: Swelling, Erythema, Effusion |