What to we do when we suspect septic arthritis but the arthrocentesis shows no gram stain? Do we culture for bacteria? Or having no gram stain is basically telling you that bacteria is not the cause?

Lumbosacral strain. Do we recommend bed rest or early mobilization?

The tx of paravertebral muscle spasm is bed rest or continue activity? Bed rest I think right?

may be this is late , but can anyone explain to me the difference between osteoporosis and osteomalacia

How to Differentiate between : Subacromial Bursitis~ Rotator Cuff Tendinitis~ Rotator Cuff Tear~ Adhesive Capsulitis~ :o Please Someone Clarify ?

A 45 YR old man from Mexico presents with recurrent great toe pain for which he has been taking medication for it. He is obese and consumes red meat with red wine on a regular basis. he now presents with flank pain; burning micturation; vomiting; constipation; abdominal pain. The most likely...

LOW BACK PAIN 1) low back pain with paravertebral spasm after history of lifting heavy object----> lumbosacral strain 2) low back pain with extension and relief with flexion-------> spinal canal narrowing(lumbar canal stenosis) 3) low back pain in elderly which is exacerbates on minor exertion...

There seems to a discrepancy between the Kaplan 2010 videos, the notes and MTB 2. While the lecture clearly stated that colchicine is 2nd choice in managing an acute attack of gouty arthritis after NSAIDs, and that oral or systemic steroids are to be given only when there is renal failure or...

guys, if a pt. is newly diagnosed with rheumatoid arthrits.....best initial treatment is.....?........NSAIDs or methotrexate(DMARD) or steroids.....? this part confusing me alot...please give your explanations thank youHappy-2

A 42-year-old man presents to urgent care with back pain for 2 days that began while he was moving furniture during home remodeling. The pain is sharp, travels down his left leg, and feels “like an electric shock.” It is relieved with rest and aggravated with walking. His temperature is 36.9°C...

Clinical vignette of an acute osteomyelitis of vertebra. what is next step in management? a) x ray b) MRI c) bone scan d) physiotherapy

A 42-year-old man presents to urgent care with back pain for 2 days that began while he was moving furniture during home remodeling. The pain is sharp, travels down his left leg, and feels “like an electric shock.” It is relieved with rest and aggravated with walking. His temperature is 36.9°C...

surgery or steroids ...

how can we differentiate b\w 2 ? both have pain on abducting shoulder. both relieve on lidocaine injection. anyone ?

A 50 year old patient presents with muscle weakness of the girdle with an increase CPK and aldolase. Her anti jo - 1 antibody is positive. Which of the following is most likely to happen to her ? a. Stoke b. Myocardial infarction c. Septic arthritis d. DVT e. Interstitial lung disease.

A 36 year old woman with a long history of SLE presents with speech impairment, right sided weakness and right facial droop for the past 2 hours .On physical exam, her eyes deviate to the left and a murmur is present. Labs show a normal complement level. Which of the following is the most...

A 42-year-old female presents to the physician with 3 months of worsening dyspnea on exertion, malaise, and weakness. She reports that the symptoms have worsened gradually and are associated with low-grade fever, anorexia, and an 8-lb weight loss. She has trouble climbing stairs because of leg...

A 43-year-old male presents to your office complaining of weakness in the right hand for 2 days. He reports that he had been in excellent health until 2 months ago, when he was diagnosed with hypertension. Since that diagnosis, he has lost 20 lb unintentionally and complains of frequent...

A 26-year-old man presents with severe bilateral pain in his hands, ankles, knees, and elbows. He is recovering from a sore throat and has had recent fevers to 38.9°C. Social history is notable for recent unprotected receptive oral intercourse with a man ~1 week ago. Physical examination reveals...

A 45-year-old woman presents to the emergency room for evaluation of fatigue, fever, and acute onset of joint pain and swelling of the right knee, left ankle, and right second toe. She reports that she was ill with a diarrheal illness about 2 weeks ago. She did not seek evaluation as the...