Rheumatology Cases & Quizzes

• Patient Simulation: A 51-Year-Old Man With Joint Pain and Psoriasis A mechanic is concerned about lost workdays due to his psoriasis and joint pain.
  Medscape, June 15, 2021
• A 35-Year-Old Soldier With Galactorrhea and Amenorrhea A 35-year-old woman presents with amenorrhea and galactorrhea over the past 3 months. The patient recently returned from a 6-month deployment with the US Army. Can you make the diagnosis?
  Medscape, May 24, 2021
• A 57-Year-Old Man With a Fever Who Can't Stop Bleeding A 57-year-old man presents with excessive bleeding that won't stop after a dental cleaning procedure. He had a fever 4-5 days earlier but describes no other symptoms. What's the diagnosis?
  Medscape, May 10, 2021
• ANA Testing in a Postpartum Patient at Risk for Dermatomyositis The progression of a 32-year-old woman's dermatomyositis -- a rash that resolved during pregnancy, only to recur postpartum, along with fatigue and weakness.
  HSS Grand Rounds Complex Cases, May 04, 2021
• B Cells in Relapsing Lupus Nephritis and Cutaneous Vasculitis A case of a woman with systemic lupus erythematosus whose nephritis and cutaneous vasculitis were refractory to treatment.
  HSS Grand Rounds Complex Cases, April 28, 2021
• Managing Diffuse Peripheral Ischemia in Antiphospholipid Syndrome A complex case of refractory peripheral ischemia in a 39-year-old man with APS and type 1 diabetes.
  HSS Grand Rounds Complex Cases, April 14, 2021
• Painful, Discolored Toes With Sores in a 43-Year-Old Woman A 43-year-old woman presents with a 1-month history of painful, discolored toes. She denies any trauma to her feet, recent illnesses, or surgical interventions. What's the diagnosis?
  Medscape, April 02, 2021
• Sjögren Syndrome-associated ILD Treated With Immunosuppression The case of a 39-year-old woman with Sjögren syndrome and clinically relevant pulmonary involvement.
  HSS Grand Rounds Complex Cases, March 30, 2021
• Patient Simulation: A 20-Year-Old Man With Familial Mediterranean Fever A 20-year-old from the UK has high fever and abdominal pain. How would you approach and manage this patient?
  Medscape, March 17, 2021
• A 25-Year-Old Mother With Joint Pain Who Feels Faint A 25-year-old presents with lightheadedness, dyspnea, vague joint aches, and fatigue. Her husband recalls that she had an itchy rash after playing outside with their kids. What's the diagnosis?
  Medscape, March 15, 2021
• Patient Simulation: A 53-Year-Old Woman With Thyroid Carcinoma A 53-year-old is concerned that her cancer may have returned. How would you evaluate and treat this patient during a telemedicine visit?
  Medscape, March 08, 2021
• Blackout at Rest and Slurring in a Man Afraid of COVID-19 A 62-year-old has had palpitations at rest, accompanied by dizziness and a blackout. He attributed the episodes to stress from the COVID-19 pandemic and had not sought medical attention. What's wrong?
  Medscape, March 03, 2021
• Chronic Gastritis, a Lesion, and Weight Loss in a Teenager A 13-year-old boy presents with a history of epigastric pain, vomiting, malaise, polyuria, and a 12-lb weight loss during the past 3 months. What's the diagnosis?
  Medscape, February 19, 2021
• Patient Simulation: A 70-Year-Old Woman With Sarcopenia and Kyphosis A 70-year-old, frail woman has muscle weakness and increased fracture risk. How would you manage this patient?
  Medscape, February 02, 2021
• A Man With Stooped Posture and Mysterious Back and Neck Pain A 53-year-old man with diabetes and hypertension presents with a 6-month history of worsening backache and stiffness. His posture is stooped, with a loss of lumbar curvature. What is the diagnosis?
  Medscape, November 19, 2020
• A 27-Year-Old Woman With Knee Pain and Facial Rash A 27-year-old woman presents with fatigue, joint pain, and facial rash. What study or investigation is the best next step?
  Osmosis, November 13, 2020
• Patient Simulation: A 39-Year-Old Woman With Joint Pain, Hair Loss, and Rash A 39-year-old woman has returning joint pain, new rash, and hair loss. How would you treat this patient?
  Medscape, October 22, 2020
• Patient Simulation: A 44-Year-Old Woman With Joint Pain A 44-year-old woman has worsening joint pain. How would you treat this patient?
  Medscape, October 12, 2020
• Patient Simulation: A 58-Year-Old Man With Worsening Psoriasis A 58-year-old man is concerned that his psoriasis has spread to his groin. How would you manage this patient?
  Medscape, October 07, 2020
• Patient Simulation: A 33-Year-Old Woman With Nonradiographic Axial Spondyloarthritis A 33-year-old woman with Nr-AxSpA is distressed about her back pain. How would you treat this patient?
  Medscape, September 15, 2020