A 53-year-old man with a history of diabetes and hypertension for which he takes metformin and furosemide presents to the emergency department with 1 month of migratory bilateral ankle pain that is ...
The following patient story highlights the importance of thoughtful reevaluation and clinician willingness to pivot when a case does not unfold as expected. A 56-year-old woman with a history of ...
Ethan Craig, MD, Vice Chief of Clinical Affairs at Penn Rheumatology, discusses the baseline characteristics of the case. Editor’s note: The following is an automatically generated transcript of the ...
The ankle area has fewer fat layers under the skin and is characterized by the anatomical characteristics that tendons and bones are easily exposed, so the wound does not heal well and spreads easily.
The image depicts uric acid paste. Laboratory assessment revealed negatively birefringent intracellular crystals consistent with gout. The next best step in treatment would be to refer the patient to ...