Rheumatology
- An unexpected cause of shoulder pain
The patient’s scapula protruded abnormally during forward flexion and abduction of the arm.
- Appropriate diagnosis of tickborne infections
Fear of undertreatment of early infection can morph into unwarranted treatment of nonexistent chronic infection.
- Swelling of both arms and chest after push-ups
Symptoms of rhabdomyolysis: myalgia, muscle weakness, dark urine, and, in some, muscle swelling.
- Weight loss, fatigue, and renal failure
A 37-year-old man has gradually lost 100 lb over the past 2 years, with progressive fatigue and malaise.
- Hiding in clear sight: Complications of immunosuppressive therapies
Immunosuppressive drugs can mask the signs of deep infection and thus delay its diagnosis.
- Minocycline-induced hyperpigmentation
The patient presented with extensive bluish skin discoloration that had started 1 year earlier as a small area and then spread.
- Gout and African Americans: Reducing disparities
African Americans are more likely to suffer from gout and are less likely to receive optimal treatment for it.
- Geographic tongue
Although striking, the lesion is benign and self-limiting and rarely warrants further investigation.
- The fifth vital sign: A complex story of politics and patient care
Times have changed, and the diffi culties and complexities of trying to help patients with ongoing pain have increased.