Rheumatology Cases & Quizzes

• A 26-Year-Old With Fever and Malaise Now Can’t Tie His Shoes A 26-year-old man presents with lower back pain and low-grade fever. The pain is intermittent, achy, and usually worse in the morning than it is later in the day or evening. What's the diagnosis?
  Medscape, September 09, 2021
• Hip OA: What's the Best First Option? Dr Charles Vega has a patient with painful and lifestyle-limiting hip OA. Is he taking the right course of treatment?
  Medscape Family Medicine, August 10, 2021
• Patient Simulation: A 55-Year-Old Woman With Systemic Sclerosis and Dyspnea Is this patient with scleroderma deconditioned due to lack of exercise or does her dyspnea indicate something more serious?
  Medscape, July 29, 2021
• Patient Simulation: A 40-Year-Old Woman With Erythematous Pustules and Fever A widespread rash and chills cause this busy professional to seek care urgently. How will you diagnose and treat her?
  Medscape, July 29, 2021
• After a Wild Party, a 24-Year-Old Has Intense Abdominal Pain A 24-year-old presents with sudden right lower quadrant abdominal pain, nausea, and vomiting. He mentions what he describes as a 'wild' party 4 days ago. What's the diagnosis?
  Medscape, July 08, 2021
• Patient Simulation: 24-Year-Old Law Student Stymied by Skin Condition A young woman seeks care to resolve ongoing skin issues.
  Medscape, July 06, 2021
• A 37-Year-Old Man With Chest Pain and Elbow/Eyelid Papules A 37-year-old man presents with chest pain that started upon exertion but now occurs at rest. He also has yellowish papules near his eye and on his elbows. What's the diagnosis?
  Medscape, June 25, 2021
• Skill Checkup: A Man With Exertional Dyspnea and Dry Cough A 67-year-old man is referred for further evaluation of slowly progressive exertional dyspnea developing at shorter intervals and worsening over the past 12 months. How would you diagnose and treat this patient?
  Medscape, June 23, 2021
• Patient Simulation: A 51-Year-Old Man With Joint Pain and Psoriasis A mechanic is concerned about lost workdays due to his psoriasis and joint pain.
  Medscape, June 15, 2021
• A 35-Year-Old Soldier With Galactorrhea and Amenorrhea A 35-year-old woman presents with amenorrhea and galactorrhea over the past 3 months. The patient recently returned from a 6-month deployment with the US Army. Can you make the diagnosis?
  Medscape, May 24, 2021
• A 57-Year-Old Man With a Fever Who Can't Stop Bleeding A 57-year-old man presents with excessive bleeding that won't stop after a dental cleaning procedure. He had a fever 4-5 days earlier but describes no other symptoms. What's the diagnosis?
  Medscape, May 10, 2021
• ANA Testing in a Postpartum Patient at Risk for Dermatomyositis The progression of a 32-year-old woman's dermatomyositis -- a rash that resolved during pregnancy, only to recur postpartum, along with fatigue and weakness.
  HSS Grand Rounds Complex Cases, May 04, 2021
• B Cells in Relapsing Lupus Nephritis and Cutaneous Vasculitis A case of a woman with systemic lupus erythematosus whose nephritis and cutaneous vasculitis were refractory to treatment.
  HSS Grand Rounds Complex Cases, April 28, 2021
• Managing Diffuse Peripheral Ischemia in Antiphospholipid Syndrome A complex case of refractory peripheral ischemia in a 39-year-old man with APS and type 1 diabetes.
  HSS Grand Rounds Complex Cases, April 14, 2021
• Painful, Discolored Toes With Sores in a 43-Year-Old Woman A 43-year-old woman presents with a 1-month history of painful, discolored toes. She denies any trauma to her feet, recent illnesses, or surgical interventions. What's the diagnosis?
  Medscape, April 02, 2021
• Sjögren Syndrome-associated ILD Treated With Immunosuppression The case of a 39-year-old woman with Sjögren syndrome and clinically relevant pulmonary involvement.
  HSS Grand Rounds Complex Cases, March 30, 2021
• Patient Simulation: A 20-Year-Old Man With Familial Mediterranean Fever A 20-year-old from the UK has high fever and abdominal pain. How would you approach and manage this patient?
  Medscape, March 17, 2021
• A 25-Year-Old Mother With Joint Pain Who Feels Faint A 25-year-old presents with lightheadedness, dyspnea, vague joint aches, and fatigue. Her husband recalls that she had an itchy rash after playing outside with their kids. What's the diagnosis?
  Medscape, March 15, 2021
• Patient Simulation: A 53-Year-Old Woman With Thyroid Carcinoma A 53-year-old is concerned that her cancer may have returned. How would you evaluate and treat this patient during a telemedicine visit?
  Medscape, March 08, 2021
• Blackout at Rest and Slurring in a Man Afraid of COVID-19 A 62-year-old has had palpitations at rest, accompanied by dizziness and a blackout. He attributed the episodes to stress from the COVID-19 pandemic and had not sought medical attention. What's wrong?
  Medscape, March 03, 2021