By Anne Miller, Joel David, Anushka Soni, Lyn Williamson
Established round the center curriculum for expert trainees, Oxford Case Histories in Rheumatology comprises over forty well-structured, peer-reviewed circumstances from the Oxford Hospitals, giving distinct insurance of the area of expertise, together with diagnostic and administration dilemmas.
Each case contains a quick scientific historical past and the appropriate exam findings; info of investigations undertaken by way of questions about differential prognosis and administration; and precise solutions and dialogue. The textual content is complimented through over 50 radiographic illustrations and an 8-page color plate part. The question-and-answer layout is designed to augment the reader's diagnostic skill and scientific understanding.
As a part of the Oxford Case Histories sequence, this e-book is geared toward post-membership trainees and specialists and may be an invaluable source for these getting ready for go out examinations or revalidation. it's going to even be of curiosity to those that desire to enhance their talents in prognosis and administration of a wide variety of rheumatological problems.
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Patients with early or mild gout can prevent future attacks by altering their lifestyle. ◆ Fluid intake depends on cardiovascular and renal function. In general, patients are advised to drink plenty of water to prevent renal stones. Over-producers of uric acid and those taking uricosuric agents are particularly prone to renal stones. ◆ Sweetened soft drinks and drinks high in fructose are associated with increased risk of gout in men. ◆ Dietary advice is the same as the general advice given for the associated metabolic syndrome.
The rest of her examination was normal. Investigations showed the following: ◆ FBC, U&Es, LFTs, calcium, CPK, TSH all normal ◆ CRP 36 mg/L, ESR 24 mm/h ◆ ASOT 20 U/ml. The CXR is shown in Fig. 1. Fig. 1 Chest X-ray. CASE 4 Questions 1. What is the rash likely to be and what is the differential diagnosis, based on the history and examination findings alone? 2. What is the most likely diagnosis, taking the CXR findings into account? 3. What is a likely explanation for this patient’s muscle aches and what are the systemic manifestations of this condition?
The prevalence and incidence of peripheral arthritis in patients with inflammatory bowel disease, a prospective population-based study (the IBSEN study). Rheumatology; 40: 1256–61. Steer S, Jones H, Hibbert J, et al. (2003). Low back pain, sacroiliitis, and the relationship with HLA-B27 in Crohn’s disease. J Rheumatol; 30: 518–22. Taurog JD (2006). Enteropathic arthritis. In: Fauci AS, Langford CA (eds). Harrison’s Rheumatology (16th edn). New York: McGraw-Hill; 152–3. 37 38 CASE HISTORIES IN RHEUMATOLOGY Case 7 A 49-year-old Caucasian male presented with a 10-week history of bilateral swelling and stiffness of his MCP joints.