Techniques of Arthrocentesis
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
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
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
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
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
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
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
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
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
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…
