Search results for "Rheumatology"

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MKSAP Quiz: 4-week history of joint pain, rash

A 33-year-old woman is evaluated for a 4-week history of recurrent worsening joint pain and a new rash on the chest and upper back. She reports sun exposure from spending time at the beach. Following a physical exam, what is the most likely diagnosis for the rash?
1 May 2021

MKSAP Quiz: 3-month history of rash

A 46-year-old woman is evaluated for a 3-month history of a rash during the summertime. She is otherwise well and takes no medications. Following a physical exam, exam of the rash, and lab studies, what is the most likely diagnosis?.
1 Mar 2016

MKSAP Quiz: Evaluation for stiffness and pain

A 43-year-old man is evaluated for knee, hip, shoulder, and arm stiffness, worsening over the past year. He also has pain in the arms, legs, neck, and torso, both on and between the joints. He states that his discomfort is continuous. After a physical exam and lab studies, what is the most likely diagnosis?
16 Jun 2020

MKSAP Quiz: follow-up visit for gout

A 55-year-old man is evaluated during a follow-up visit for gout. Two years ago, he had been treated with allopurinol and developed a hypersensitivity reaction. Over the past several months, he has had recurrent attacks of acute, episodic swelling of the first metatarsophalangeal joints with increasing involvement of other joints, including the ankles and knees. Laboratory studies showed significant hyperuricemia. History is also significant for Crohn disease, hypertension, chronic kidney disease (estimated glomerular filtration rate of 55 mL/min/1.73 m2), and nonalcoholic fatty liver disease. Current medications are diltiazem and azathioprine, which he has been taking for the past 9 months. Which of these is a contraindication to the use of febuxostat in this patient?
24 Jan 2017

Giant-cell arteritis needs prompt action for good outcomes

The differential diagnosis of this condition can be challenging because many conditions can mimic it.
1 May 2021

MKSAP Quiz: evaluation for progressive left knee pain

A 34-year-old man is evaluated for progressive left knee pain. The pain causes difficulty with his work as a mail carrier, particularly when walking. His occupation does not require repetitive bending. He played football in college and experienced left knee trauma during sports participation; he underwent left meniscectomy and stopped playing sports. His mother has osteoarthritis of the hands that developed at age 65 years. Following a physical exam and radiographs, what is the most likely cause of this patient's left knee osteoarthritis?
4 Oct 2016

ACR guideline recommends customized approach for prevention of glucocorticoid-induced osteoporosis

Recommendations include treating only with calcium and vitamin D in adults at low fracture risk, and adding an additional osteoporosis medication (oral bisphosphonate preferred) in adults at moderate to high fracture risk.
20 Jun 2017


Robert “Bob” B. Gibbons, MD, MACP, died on March 13, 2019, at age 81.
1 Apr 2019

MKSAP Quiz: 10-month history of generalized weakness

A 61-year-old man is evaluated for a 10-month history of generalized weakness. He reports no pain or myalgia. History is significant for hypercholesterolemia treated with a stable dose of simvastatin for the past 3 years. Following a physical exam, lab studies, and a chest radiograph, what is the most likely diagnosis?
12 Jul 2016

More options available for psoriatic arthritis

Internists are the first doctors patients see for joint pain, which means they can make a big difference in preventing the progression of joint diseases such as psoriatic arthritis.
1 Apr 2019

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