Sjögren Syndrome and Inflammatory Myopathies — Written Clinical Reasoning

SAQ 1 — Integrated plan (12 marks)

Prompt: Provide a prioritised problem list and management sequence for this presentation. ^[4]

Model Answer

1. Frame and red flags (3 marks) ^[5]

State the working diagnosis/syndrome, acuity, and what would force emergency treatment now. ^[6]

2. Discriminating assessment (3 marks) ^[7]

List the key history, examination and investigations that separate dangerous differentials from benign mimics. ^[8]

3. Treatment sequence (4 marks) ^[4]

Immediate stabilisation, disease-specific therapy, monitoring, and complications prevention. ^[5]

4. Follow-up and communication (2 marks) ^[6]

Disposition, safety-net advice, and who owns follow-up. ^[7]