Rheumatology Cases & Quizzes

• A 42-Year-Old Woman With a Chronic Productive Cough A 42-year-old woman with a chronic productive cough is repeatedly treated for pneumonia. At her latest follow-up, she reports intermittent dyspnea and fatigue. What's the diagnosis?
  Medscape, December 14, 2018
• A 34-Year-Old Woman With Vomiting and Bulbar Weakness A 34-year-old woman presents with weakness of the lower extremities, urinary retention, constipation, vomiting, dysphagia with liquids, drooling, and nasal regurgitation. Can you make the diagnosis?
  Medscape, December 11, 2018
• A 38-Year-Old Man With Bloody Gums and a Rash A 38-year-old man presents with a 3-day history of bleeding from his gums after brushing his teeth. He also noticed a rash on both legs over the past couple of weeks. Can you make the diagnosis?
  Medscape, September 10, 2018
• A 57-Year-Old Man With Unexplained Difficulty Walking A 57-year-old man presents with difficulty walking due to clumsiness of both of his feet. He also has had intermittent numbness and tingling in his feet, left leg, and hands. What's the diagnosis?
  Medscape, August 23, 2018
• A 26-Year-Old Woman With Pleural Effusion, Hydronephrosis, and Ascites A 26-year-old woman presents with a 1-week history of nausea, vomiting, diarrhea, lower abdominal pain, and dysuria. She was previously treated for TB. What is the diagnosis?
  Medscape, August 16, 2018
• Recurrent Infections in a 5-Year-Old Boy A 5-year-old child is presented for an ear infection. He was previously treated for recurrent bacterial pneumonia and twice required inpatient hospitalization. What underlying condition is at work?
  Medscape, July 30, 2018
• Case Challenge: A Spreading Summertime Rash A man presents in July with scattered erythematous rashes. What is the cause, and what is the appropriate clinical approach?
  Medscape Infectious Diseases, July 13, 2018
• A 39-Year-Old Woman With Facial Twitches A 39-year-old woman presents with a rash, fever, and facial twitches with tongue extrusions. Are you able to make this challenging diagnosis?
  Medscape, July 03, 2018
• A 33-Year-Old Woman With a Lump in Her Wrist A 33-year-old woman presents to her primary care provider owing to a lump in the volar aspect of her right wrist. Can you make the correct diagnosis?
  Medscape, May 10, 2018
• Mysterious Femur Fracture in a Middle-Aged Man A 49-year-old man with a history of osteopenia and HIV presents for follow-up after a visit to the ED 8 months ago with a midshaft femoral fracture. What likely contributed to his atypical fracture?
  Medscape, April 06, 2018
• 'What Are These Bumps I See All Over?' How would you approach a patient who comes to the primary care clinician with worries about bumps on her buttocks and knees?
  Medscape Family Medicine, March 22, 2018
• A 27-Year-Old Woman With Facial Rash: USMLE Question A 27-year-old woman presents with fatigue, joint pain, and facial rash. What study or investigation is the best next step?
  Osmosis, February 09, 2018
• Chronic Recurrent Symptoms Suggesting an Insidious Etiology A 17-year-old girl presents with a history of oral fungal infections, diarrhea, recurrent abdominal pain, vomiting, dizziness, darkening of the skin and oral cavity, and fever. What is the diagnosis?
  Medscape, November 08, 2017
• Test Your Knowledge: Treating Patients After TKA Answer these 5 questions on treating patients after TKA for an indication of how you would do on an orthopedics board certification or maintenance of certification exam if you had to take one today.
  Maine Orthopaedic Review, November 03, 2017
• A 55-Year-Old Woman With Bumps on Her Face A 55-year-old African American woman presents with a 6-month history of 'bumps' on her cheeks. She notes that the spots appeared without any specific precipitating factors. What's the diagnosis?
  Medscape, October 11, 2017
• A 68-Year-Old Man With Severe Joint Pain and Nodules A 68-year-old man presents with severe pain and swelling in his left foot. He also describes vague, mild epigastric pain. Can you make the diagnosis?
  Medscape, September 29, 2017
• A 60-Year-Old Woman With Chest and Abdominal Pain A 60-year-old woman presents with nausea, vomiting, diarrhea, abdominal pain, and chest pain. What is the most likely diagnosis?
  Medscape, September 19, 2017
• A 23-Year-Old Woman With Emesis and Generalized Weakness A 23-year-old woman presents with a 3-day history of progressively worsening, generalized muscle weakness and nonbilious emesis. What is the most likely diagnosis?
  Medscape, September 14, 2017
• Calcific Tendonitis: An Unusual Presentation of Neck Pain The case of a 44-year-old woman with new-onset neck pain and sound sensitivity.
  HSS Grand Rounds Complex Cases, September 06, 2017
• Echo Case: Why Is There Dyspnea? Start With the Doppler   Dr Wharton narrates a case of a patient with a history of rheumatic heart disease.
  theheart.org on Medscape, August 25, 2017