Chronic back pain is so common that radiographic evidence of inflammatory back pain is often used to diagnose early axial spondylitis. But Dutch researchers say that use of imaging alone could miss 20% of all spondyloarthritis cases.
Returning from the Phillipines, the patient came to the clinic with atraumatic right knee swelling and loss of range of motion. He arrived in a wheelchair. He had osteoarthritis, but denied any constitutional symptoms. Joint aspiration produced grossly milky white pus. What's going on?
The 49-year-old patient was admitted after two weeks of cough and hemoptysis culminating in chills, night sweats, and left-sided chest pain radiating to the shoulder. He is hypertensive and diabetic, has a history of retinitis and pan-uveitis, and a pacemaker has been implanted.