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This patient has possible undifferentiated spondyloarthropathy, but the test is being put off until the patient has financial assistance. I'm unsure what the test name is, though. It sounds like, "hold off testing (tuperculosis) now." There could be a syllable or two before what I hear as the test name, but I only hear exhaling.
Also, the patient has bone spurs on her Achilles tendon, and the description sounds a little like "inhisipathic" but I can't find anything close.