Secure аttаchment tо pаrents during childhооd correlated with
Rоdney, аn 11-yeаr-оld bоy аccompanied by his mother presents to the clinic with reports of a "limp" and "fever" for the last month. His mother reported an oral temperature trend of approximately 99-100 degrees in the evenings. Rodney complains of joint pain and tenderness of his lower and upper body for about 2-3 months.. His mother stated that she has been giving him ibuprofen and acetaminophen as needed, which helps for a while before the pain returns. The patient denies any history of cough, dyspnea, chest pain, weight loss, night sweats, dysuria, hematuria, or abdominal pain. . Rodney has no significant medical history and no known allergies. Physical exam is WNL except for the following results: Left ankle and knee= joints swollen and warm (see photo) Right hand= PIP joints swollen and warm (see photo) Limited ROM of the left ankle and knee Limited movement due to pain of the left ankle and knee The spleen is palpable 2cm below the left costal margin; soft and nontender Of the following differential diagnoses, based on the history and physical, which is the most likely for this patient?