A 38-year-old man comes to the clinic for low back pain. He…
A 38-year-old man comes to the clinic for low back pain. He has a new diagnosis of Graves’ disease. When asked if there are any other symptoms of any kind, he replies, “increased appetite and excessive sweating.” When you perform a neurologic screening examination, what might be present that would be associated with the Graves’ disease?
Read DetailsA 70-year-old man came to outpatient physical therapy with a…
A 70-year-old man came to outpatient physical therapy with a complaint of pain and weakness of his fingers and morning stiffness lasting about an hour. He presented with bilateral swelling of the metacarpophalangeal (MCP) joints of the index and ring fingers. He saw his family doctor 4 weeks ago and was given diclofenac, which has not changed his symptoms. Now he wants to try physical therapy. Since he last saw his physician, he has developed additional joint pain in the left knee and right shoulder. How can you tell if this is cancer, polyarthritis, or a paraneoplastic disorder?
Read DetailsA patient complains of chest pain and radiating pain into th…
A patient complains of chest pain and radiating pain into the left shoulder. The patient reports that this pain is made worse by deep breathing, neck movements, and especially with trunk side bending. From this information alone, what is the most likely source of this patient’s complaints of pain?
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