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.
A 39-year-old woman, in her eighth week of pregnancy, experienced aching pain that worsened with activity. Weakness and fatigue set in three days later in her thigh and proximal arm muscle. Then a mildly pruritic rash developed across the forehead, nose, and forearms.
A 56-year-old woman presents with a history of intermittent shoulder pain for the past six months. Early signs point to bursitis, but the plot thickens: She also has sarcoidosis and lymphoma. How would you proceed?