Environmental Injuries 2.1 Acute Mountain Sickness Respirology 2004;9:485; Br J Sports Med 1999;33:376 Cause: Hypoxia associated with rapid ascent to altitude. Epidem: Altitude illness develops at elevations above 2,000-2,400 m,…
Techniques of Arthrocentesis Dennis W. Boulware A 52-year-old man with rheumatoid arthritis presents with a 36-hour history of acute knee pain with fever after a week of moderate fever and…
Monitoring of Patients on Antirheumatic Therapy W. Winn Chatham The chronicity of the majority of rheumatic diseases often involves the long-term use of antirheumatic therapies. Multiple inflammatory mediators and mechanisms…
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…
