Gout, once considered a disease of kings, is now a common and equal opportunity disease that affects as many as 3 million people in the US. Gouty arthritis has now become a serious problem in organ transplant recipients; in diuretic users; and in patients with CKD, hypertension, metabolic syndrome, heart failure, plus more.
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A 76-year-old man presented with left-sided chest pain, after a fall. He had tenderness along the left 8th rib and left basal rales. CXR showed non-displaced fractures of the 7th and 8th ribs with a small effusion and a right postero-basal rounded opacity.
A 71-year-old man was admitted to the MICU for weaning from mechanical ventilation. The history revealed a global decline over the previous 3 to 4 weeks predominated by cognitive impairment, mood swings, somnolence, and limb weakness. No respiratory symptoms were noted.
A 56-year-old was seen in the ED after 4 days of hemoptysis and intermittent left chest pain. He also complained of exertional dyspnea and arthralgias. He had been treated for “pneumonia” twice during the past month. Histories were unremarkable.
In a perfect world, doctors would not prescribe – and patients would not take – drugs that do more harm than good.
What's your diagnosis? For hints and clues, click above.
What physical and radiologic clues suggest that surgical replacement of the knee may be indicated? Here, Dr. Bill Walter, an orthopaedic surgeon who specializes in hip and knee replacement, walks you through the details.
What's your diagnosis? For hints and clues, click here.
Young and optimistic, this chief resident at Swedish Family Medicine Residency, Denver, Colo., describes her vision of how healthcare now demands more partnerships and community point of view.
Virgilio Licona wants to provide evidence-based, accountable care to patients, but, so far, he doesn't actually get paid to do it. He's finding ways to make it happen anyway.
There’s more to the value of health care than clinical effectiveness for patients and cost-effectiveness for individuals and governments.
In a recent JAMA commentary, the authors suggest that state intervention might be considered in severe instances of childhood obesity.
A 5-year old boy presented with these nonpruritic nonsupurrative painful erythematous nodules on his lower extremities. The rash had appeared about 1 week after the onset of a dry hacking cough.
