Posts in Rheumatology
A Flare in the ED: Using Ultrasound to Diagnose Gout

A 53-year-old male with hypertension presents to the emergency room with painful swelling of the right first toe at the MTP joint. The patient was in good health until a few days ago, where he was attending a college reunion. The swelling and pain increased overnight. The patient is having difficulty walking this morning due to the pain. He tried taking two Advil for the pain, which helped bring the pain from an 8/10 to a 6/10…

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Emergency Rheumatology: Where not all multifocal opacities are COVID

In her first visit, a 43-year-old female with no significant past medical history presentS to the emergency department and is found to have lymphadenopathy. Three weeks prior to presentation, she began to notice swelling to her eyelids, worse when she woke up in the morning. One week prior to presentation, she noticed swelling to her right posterior neck and left anterior neck, as well as pain in her jaw when she chewed. The patient denied fevers, chills, congestion, sore throat, trouble breathing or swallowing, or cough. Her exam revealed very faint upper eyelid swelling and right suboccipital and left anterior cervical lymphadenopathy. Laboratory testing, including a CBC and BMP were normal, hCG was not consistent with pregnancy and HIV was nonreactive. The patient was discharged from the ED with PCP follow-up…

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