Use of the Laboratory in Diagnosing Rheumatic Disorders Terry Shaneyfelt Gustavo R. Heudebert Patient 1: An 80-year-old retired carpenter presents for evaluation of diffuse joint pain. He reports gradual onset…
Viral Arthritis Katherine Holman Martin Rodriguez A 21-year-old Caucasian woman with no significant past medical history presents with a 3-day history of joint pain and swelling. She states that the…
Lyme Disease William F. Iobst Kristin M. Ingraham A 39-year-old white male presents to your office with a 3-month history of a painful, swollen left knee. He currently denies other…
Bacterial Arthritis Arthur Kavanaugh Maika Onishi A 30-year-old male presenting with acute-onset left knee pain, warmth, and swelling (Fig. 23.1). Introduction Bacterial arthritis is a true rheumatologic emergency that can…
Arthropathies Associated with Systemic Diseases Leann Maska Amy C. Cannella A 60-year-old Caucasian gentleman with long-standing poorly controlled type 2 diabetes mellitus presents to your office with symptoms of swelling…
Osteopenic Bone Diseases and Osteonecrosis Kenneth G. Saag Gregory A. Clines Sarah L. Morgan A 75-year-old male seen for compression fractures. He relates a strong family history of metabolic bone…
Gout and Crystal-Induced Arthropathies Angelo Gaffo A 65-year-old patient with poorly controlled diabetes, hypertension, heart failure, and a prior diagnosis of gout is hospitalized because of an exacerbation of heart…
Osteoarthritis Mary S. Walton Carlos J. Lozada Seth M. Berney A 60-year-old male former professional football player with a history of multiple knee injuries complains of bilateral knee pain for…
Pregnancy and Rheumatic Diseases Michael Lockshin A 39-year-old woman with long-standing rheumatoid arthritis, which she believes is now quiescent, consults you because she is planning a pregnancy. She has not…
Fibromyalgia Graciela S. Alarcón A 40-year-old obese, sedentary, Caucasian woman presents to a rheumatologist with a 6-month history of generalized myalgias, arthralgias, swelling of small hand joints, and morning stiffness…
