Pseudogout?,”Attacks of pseudogout often occur in the setting of trauma, surgery, or medical illness. PAtients with pseudogout present with acute pain, swelling, redness, and limited motion of the involved joint (s), with the knee being the most commonly affected (> 50% of cases). Fever, leukocytosis with a left shift, and chondrocalcinosis (calcified articular cartilage) may also occur in pseudogout. Synovial fluid analysis is critical for distinguishing between gout and pseudogout. The identification of rhomboid

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Community-acquired pneumonia (CAP)?,”The first step in management of CAP is risk assessment to determine if a patient can be treated as an outpatient or requires hospitalization. This may be quantified using the CURB-65 algorithm (1 point each):- Confusion- Uremia (BUN > 20)- Tachypnea (Respirations > 30/min)- Hypotension (BP < 90/60)- Age > 65Patients with a score of 2 or more will likely benefit from inpatient treatment, and a score of > 4 usually indicates that intensive care unit (ICU) admission is required. The most common cause of CAP include Strep. pneumo, H. influenza, and atypical organisms (eg

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Anterior knee pain in the young patient?,”Patellofemoral syndrome is a very common cause of anterior knee pain. Symptoms are chronic and associated with activities such as climbing stairs and extension at the knee. Women are affected more often than men. Diagnosis is based on history and examination findings (eg, extension of the knee while compressing the patella)

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Interstitial cystitis?,”Interstitial cystitis (painful bladder syndrome) is an idiopathic, chronic condition characterized by bladder pain that is worsened by filling and relieved by voiding. Diagnosis is primarily clinical. Dyspareunia (painful with sex), urinary frequency and urgency can also be present. Treatment is palliative and includes trigger avoidance, amitriptyline

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Cushing’s syndrome?,”Cushing’s syndrome is caused by corticosteroid excess (eg, asthmatic who takes multiple steroid medication). The signs and symptoms of Cushing’s syndrome include fatigue, weight gain, easy bruising, central adiposity, proximal muscle weakness, hyperglycemia, osteopenia and osteoporosis, hypertension, acne, cataracts, and susceptibility to infections. Hypokalemia and hypernatremia are the electrolyte abnormalities most commonly observed due to increased aldosterone production. If severe

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