Case Challenges
Quiz
156Rheumatology
A 54-year-old man presents with several years of persistent low-back pain and morning stiffness. What is the most appropriate diagnosis?
117Rheumatology
A 56-year-old woman presented with a 4-month history of swelling and pain in both toes (Figure A). She had been treated at an outside clinic, but her symptoms did not improve. Laboratory test results obtained in the emergency department are shown below. MRI of the left toes (Figure B) and a whole-body bone scan (Figure C) revealed the findings shown.
Given her history of intermittent chronic pelvic pain, a pelvic radiograph was subsequently obtained, demonstrating the findings shown in Figure D.
Which treatment is most appropriate?
60Rheumatology
An 82-year-old man who had been receiving treatment for heart failure and was preparing for discharge suddenly developed fever and pain in both knees. His temperature was 39 °C, blood pressure 110/80 mmHg, and pulse rate 97/min; the electrocardiogram was unchanged from previous tracings. Both knees were swollen and tender. The results of blood and synovial-fluid tests (Figure A) and radiographs of both knees (Figure B) are as follows. What is the treatment?