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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?

A 5-year-old boy previously diagnosed with viral myositis returns with lesions on his hands and eyelids. What do you make of these symptoms?

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.

An 82-year-old man presented with longstanding bilateral hip pain but no history of trauma.

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.

An obese woman in her 30s with a fibromyalgia, depression, polycystic ovarian syndrome, and diabetes has gradually worsening midline back pain. Would you be able to make this "great save"?

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?


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