MLA Domain 5 · Presentation

Joint pain/ swelling/ stiffness (acute and chronic)

5 conditions in Finalist present this way. Work down the list and ask what would separate each one from the next — that discriminator is the exam question.

classic presentation · 1

Dry eye disease (KCS)

Red flags of a serious cause (severe pain, photophobia, marked visual loss) → same-day ophthalmology

recognised feature · 3

Ehlers-Danlos syndrome

Vascular (type IV) EDS — spontaneous arterial or hollow-organ rupture

Osteoarthritis

Rest/night pain, systemic symptoms, or a hot swollen joint → reconsider inflammatory/septic/malignant cause

Psoriatic arthritis

Arthritis mutilans (rapidly destructive) → urgent rheumatology and aggressive therapy

differential of the above · 1

Allergic conjunctivitis

Vernal/atopic keratoconjunctivitis with shield ulcer, photophobia and reduced vision → ophthalmology (sight-threatening)