Abdominal Pain, Vomiting, and Nausea in a 17-Year-Old Patient
August 31, 2011
A 17-year-old boy presented with a 3-day history of left upper quadrant abdominal pain; intermittent pain radiated to the right side. The patient complained of nonbilious vomiting and nausea and reported subjective fever. He also had a decreased appetite and up to 10 daily bouts of nonmucoid diarrhea.
Boy With a Bump on His Elbow
July 13, 2011
A 10-year-old boy injured his left elbow during football practice. He subsequently had pain with normal range of motion of the elbow. He had minimal tenderness over his olecranon but no joint swelling, bruising, or palpable mass.
Knee Injury in a 17-Year-Old Football Player
July 11, 2011
A slip on the grass sidelined a young football player 6 weeks after he sustained a complete tear of his medial collateral ligament. Learn how he added insult to the injury.
Foot Pain in a 41-Year-Old Woman
July 6, 2011
The woman who stands on this foot has bilateral hallux valgus deformities, but there are other problems with her feet which are causing pain.
Persistent Headache in a Patient With RA
June 30, 2011
A 45-year-old Hispanic male physician, a nonsmoker, presented with crippling, nonerosive, seropositive, symmetrical polyarticular arthritis that involved his wrists, hands, elbows, knees, and feet.
Infrapatellar Pain in a Young Woman
June 4, 2011
A 23-year-old woman who reported experiencing direct trauma to her right knee on a hard surface 3 months earlier was admitted to the arthroscopy unit with complaints of decreased range of motion (flexion, 90°; extension, 75°) and intractable pain.
Elbow Mass in a 52-Year-Old Man With RA
March 4, 2011
A 52-year-old man with long-standing seropositive, erosive rheumatoid arthritis (RA) presented to our clinic with a mass on his left elbow (left). He had noticed it 2 years earlier—the mass had been painless, but it had gradually increased in size.
A Floor-Tile Layer With a Bump on His Knee
January 11, 2011
For 2 months, a 29-year-old man had pain and circular, soft swelling (7 x 7 cm in diameter) over the anterior left knee, superficial to the patellar ligament.
Foot Pain After Parkour in a 31-Year-Old Man
January 7, 2011
A 31-year-old Asian man presented for evaluation of left foot pain that began on the day before his clinic visit while he was practicing parkour (the physical discipline of training to overcome obstacles within one’s path by using only the human body and objects in the environment).
An Unexpected Finding in a Patient With Osteoarthritis
December 3, 2010
A 60-year-old woman with a history of osteoarthritis (OA) that involved both knees and the lumbosacral spine presented with worsening middle and upper back pain. She had no sensory complaints, but a history of obesity, depression, type 2 diabetes, hypertension, and dyslipidemia.
A Diagnosis for the Doctor's Digits?
December 1, 2010
A 50 year-old physician experienced the abrupt onset of tenderness and swelling in the distal interphalangeal (DIP) joint of his right index finger, and later inhis left index finger and fifth digits of both hands. The symptoms made it difficult for him to type on the computer.
A 51-Year-Old Woman With Heel Pain
October 14, 2010
A 51-year-old woman presented to the clinic complaining of left heel pain. On physical exam there was tenderness and soft tissue swelling of the posterior aspect of the left heel.
A Man With 10 Years of Exquisite Finger Pain
May 28, 2010
A 25-year-old man was seen in the orthopedic clinic with a complaint of severe, exquisite pain at the ulnar aspect of the distal phalanx of his dominant right index finger. The pain had been present for 10 years, but he had not sought treatment.
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Physicians Need to Balance Roles at Work Just Like at HomeJennifer Frank, MD, February 21, 2012 Just like laundry duty and getting the kids dressed for their holiday concert, I take my primary-care responsibility very personally and very seriously. Video: EHR User SatisfactionAubrey Westgate, February 17, 2012 Family physician Kenneth Adler, a presenter at the HIMSS12 Conference in Las Vegas, provides a look at national EHR user satisfaction rates. Five Tips to Better Manage Your Revenue CycleOwen Dahl, February 14, 2012 It is vital that practices have systematic ways to address patient collections; the following strategies can help your practice collect all that it is due.
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