Franco, a new patient to the office,went to see Dr. White complaining of pain in upper arm. He had experiencing some muscle weakness and had difficulty getting out of the bathtub Franco also had a rash and fever. Dr. White did a detailed exam and history because of Franco's past medical was of low history of rheumatoid arthritis. The medical decision making was of the upper arm complexity, Dr. White diagnosed Franco with infection myositis in the upper arm

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