Self Assessment Questions in Rheumatology by Yousaf Ali

By Yousaf Ali

This e-book illustrates, in a succinct query and resolution structure, numerous varied situations of rheumatic illness. In its dialogue of universal and unusual instances, the ebook offers the professional reports of a number one rheumatologist. those questions and instances are simply translated into daily perform and can good be offered in the course of ward rounds, in medical institution, or in the course of forums. The e-book is a wonderful source for postgraduate fellows, internists and scholars who're wanting to examine extra approximately rheumatology, try their fund of information, or organize for board examinations.

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Biochemical parameters are normal apart from a slight elevation of the LDH. What is the most likely diagnosis? How would you treat this? What other conditions need to be considered? 1007/ 978-1-59745-497-1, Humana Press, a part of Springer Science + Business Media, LLC 2009 41 Answer: Human granulocytic anaplasmosis (formerly ehrlichiosis) (HGA) HGA is becoming a more commonly recognized cause of fever following a tick bite in the USA. The vector for this infection is the Ixodes tick, which also carries the spirochaete responsible for lyme disease (Borrelia Burgdorferi).

2006 Nov 1;43(9):1089–1134. 42 Question 22 A 44-year-old well-nourished Caucasian female is referred for evaluation of a swollen knee. She has presented to the ER on two occasions and had the knee drained. Serial culture results are negative and no crystals have been observed. The effusions have been “bloody” although she denies trauma or anticoagulant use. She walks with a limp and is otherwise well without systemic complaints. On examination she has a swollen right knee with boggy synovial thickening and mild warmth.

The absence of arthritis, Raynaud’s phenomenon, or rash makes a connective tissue less likely. 56 Question 29 A 28-year-old female patient is referred for osteoporosis. She has a 6-month history of weakness, myalgia, and 50-lb weight gain. Three months prior, she fell and fractured her pelvis. PMH is unremarkable apart from poorly controlled hypertension. Her menses are normal. She takes no medications apart from atenolol. 2 meq, normal renal and hematologic parameters. CPK, vitamin D, and malabsorption studies including celiac antibodies are normal.

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