MYALGIAS
MISC
LEG PAIN
UPPER EXTREMITY PAIN
IM
100
55 year old patient with h/o weight loss and low grade fevers presents with: chronic bilateral pain in shoulders, hips, and back, normal strength testing, ESR >40, normal CPK
What is PMR
100

Patient with history of recurrent bilateral uveitis presents with:recurrent painful oral mucosal ulcers, never on the lips, recurrent painful genital mucosal ulcers

What is Bechet disease

100
Patient with OA of the knees presents with : worsened knee pain that wakes from sleep, point tenderness on inferomedial aspect of the knee (4-6 cm below patella)
What is pes anserine bursitis
100
Diabetic patient 50 years old presents with: chronic shoulder pain that limits overhead reach, gradual shoulder stiffness and decreased ROM, reduced active and passive motion of the glenohumeral joint, normal X-ray
What is adhesive capsulitis
100
Patient presents complaining of: intermittent mild pain and burning on the tongue, variable raised, yellow pattern on the tongue that changes position
What is geographic tongue
200
Elderly patient with h/o fevers, weight loss, chronic back and shoulder pain presents with:headache, scalp tenderness, jaw claudication, ESR>50, normal CPK
What is GCA
200
Patient presents with:severe heal pain with the first couple of steps in the morning, pain with each step, tenderness on the bottom of the foot when the foot is dorsiflexed
What is plantar fascitis
200
Patient with known RA and a chronic knee effusion presents with : acute pain and swelling behind the knee, soft swollen area in the popliteal fossa, Ipsilateral knee effusion, US-no DVT
What is bakers cyst
200
Patient presents with : Lateral shoulder pain that disrupts sleep and inhibits ROM, most intense pain about 4 cm down the outer arm, reduced active but normal passive ROM
What is subacromial bursitis
200
Sexually active adult presents with :pain in the genital region, rash on forearm, multiple small blisters on genitalia, several small target shaped lesions on forearm without scale or itch
What is erythema multiforme
300
Female patient presents with :fatigue, myalgias, mental fogginess, interrupted sleep, normal CBC, chemistry, and ESR
What is fibromyalgia
300
Alcoholic patient presents with:unilateral groin ache, worse with weight bearing and at night, pain with internal rotation and abduction of the hip, and normal x-ray of the hip
What avascular necrosis
300
Patient presents with : complaint of hip pain on the outer thigh, especially when lying down, point tenderness over lateral hip, normal gait, normal ROM
What is trochanteric bursitis
300
Middle aged male presents with: Pain over the deltoid, worse with sleep and overhead reach, pain when adducted >90 degrees, inability to smoothly adduct the shoulder, weakness with external rotation of the flexed forearm against resistance
What is rotator cuff tear
300
Patients with HCV presents with: blistering lesions on the hands and feet that began as erythematous macules and adherent scale, increased AST, ALT, increased urine uroporphyrin
What is porphyria cutanea tarda
400
60 year old male with years of: progressive weakness of hands, proximal muscle weakness, reduced DTRs, normal or mildly elevated AST,ALT,CPK, negative ANA, normal ESR. Muscle biopsy showing rimmed vacuoles and ragged red fibers
What is inclusion body myositis
400

Diabetic patient 45 year old presents with: recurrent swollen and painful wrist, with no history of trauma, mildly elevated AST and ALT, x-ray shows chondrocalcinosis and hooked osteophytes at MCP

What is hemochromatosis

400
Patient who lays carpet for a living presents with: painful swollen knee, erythema and tenderness localized over patella, no crepitus or knee effusion
What is prepatellar bursitis
400
Pregnant patient presents with: Pain over the radial wrist and hand, worse when pinching and grabbing, intense pain when thumb is flexed inside the fist and the hand is deviated towards the ulna
What is de Quervains tenosynovitis
400

Who do you screen for AAA at 65

Men who have ever smoked

500
Patient with Raynaud's presents with:fatigue, myalgia, arthralgia, joint stiffness, heartburn, chronic cough after eating, normocytic anemia, +ANA
What is systemic sclerosis
500
Middle aged Caucasian male presents with: weight loss, cachexia, chronic diarrhea, severe migratory arthralgias, vertical gaze palsy and ataxia
What is Whipples disease
500
Patient with known HCV presents with: malaise and arthralgias, pins and needles in both feet, scattered lymphadenopathy, non blanching palpable violaceous rash around the , decreased C3 and C4, U/A proteinuria and red cells
What is cryoglobulinemia
500
Alcoholic male older than 50 develops: progressive contractures of the hand, palpable nodules across the palmar fascia
What is Dupuytren contracture
500

USPSTF recommends IPV (intimate partner violence) screening for all women of child bearing age (14-46). Name one screening tool

HITS-Hurt, Insult, Threaten, Scream

STat- Slapped, Threaten, and Thrown

HARK- Humiliation, Afraid, Rape, Kick


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