From residency onward throughout a physician's career, becoming a diagnostician requires the ability to distinguish important clues or details from those that are not as pertinent to the situation at hand, a slowly developed skill that ultimately is recognized as an “expertise.”
1 Oct 2019
This week's quiz asks readers to evaluate a 25-year-old woman with a 6-month history of diffuse muscle and joint pain, fatigue, and difficulty sleeping.
10 Jan 2012
Tofacitinib improved disease control in patients with active rheumatoid arthritis despite treatment with nonbiologic disease-modifying, anti-rheumatic drugs (DMARDs) compared to placebo, a study found.
20 Aug 2013
A 30-year-old woman is seen in follow-up. She was diagnosed with systemic lupus erythematosus 12 years ago. She was treated for lupus nephritis, which is now quiescent. What health risk assessment should be performed now?
5 Apr 2022
Approximately 1 in 6 hospitalized patients with systemic lupus erythematosus (SLE) were readmitted to the hospital within 30 days, according to a new study.
12 Aug 2014
Patients with rheumatoid arthritis are nearly 30% less likely to be diagnosed with hypertension than those without the disease, a study found.
6 May 2014
A 52-year-old man is evaluated for a 5-year history of gradually progressive left knee pain. He has 20 minutes of morning stiffness, which returns after prolonged inactivity. He has minimal to no pain at rest. He reports no clicking or locking of the knee. Over the past several months, the pain has limited his ambulation to no more than a few blocks. Following a physical exam and radiograph, what is the most appropriate next diagnostic step?
23 Apr 2013
A partnership allows staff at Brigham and Women's Hospital in Boston to collaborate with physicians who serve Navajo Nation, a medically underserved population in New Mexico.
1 Mar 2012
A 66-year-old man comes for a preoperative evaluation before total joint arthroplasty of the left knee. He has a 25-year history of rheumatoid arthritis. He has had progressive pain in his left knee with activity, which limits his ability to hike. The patient has similar pain in the right knee, but it is less severe. He reports no recent morning stiffness. He is able to climb two or three flights of stairs without chest pain or shortness of breath. He has no other medical problems and reports no additional symptoms. Medications are methotrexate and folic acid. Following a physical exam and lab tests, what is the next best step in management?
28 Oct 2014
Long-term use of prescription nonsteroidal anti-inflammatory drugs (NSAIDs) for knee osteoarthritis (OA) was associated with minimally important clinical change in stiffness, physical function, and joint space width, but not pain, a study found.
17 Mar 2015