What’s the Dx? Hint: no muscle weakness…

What’s the Dx? Hint: no muscle weakness…

Errol Ozdalga, MD; @eozdalga Clinical Assistant Professor, Stanford School of Medicine   37 yr old male with a history of these lesions on his the back of his hands for the past two years. Notes no other medical issues. No weakness, fatigue, fevers or rashes anywhere else on his body. He works as a chiropractor and

Shoulder pain and shortness of breath. Shoulder exam is normal. Diagnosis?

Shoulder pain and shortness of breath. Shoulder exam is normal. Diagnosis?

A 78 year old man with no significant past medical history presents to his primary care physician with 4 days of right shoulder pain. The pain is located over the acromioclavicular joint. The pain is worse at night with lying down and associated with shortness of breath.  He states that the pain is better during the

Dr. Rick Hodes on the Approach to Spinal Disease

Dr. Rick Hodes, a friend and colleague of Abraham Verghese, is an internist who had dedicated much of his life’s work towards treating spine disease in Ghana. In this Stanford Medicine 25 blog post, we welcome Dr. Hodes discusses one of his cases in Ghana and shares with us his approach and method to diagnosing

What’s the diagnosis? Patient presents with chronic sinusitis and this finding…

What’s the diagnosis? Answer Below…       Answer: Granulomatosis with Polyangitis: aka, GPA. Diagnosis is based on the saddle nose deformity in a patient with severe sinusitis. What conditions are associated with saddle nose? 1. Granulomatous Disorders: a) Granulomatosis Polyangitis b) Infection (Mycobacterial, Leprosy) c) Sarcoidosis 2. Neoplastic Conditions, i.e. EBV Associated Nasal Lymphomas

Stanford 25 Session: Shoulder Exam with Mark Genovese

Thank you to Dr. Genovese for leading last week’s Stanford 25 session on the shoulder exam. Dr. Genovese emphasized technique and the importance of the exam of the shoulder over imaging. He says the following: “Visualize, palpate, active range of motion, passive range of motion, assess rotator cuff against resistance, assess for impingement. Value of

A patient presents with foot pain and these chronic findings?

A patient comes to you with these findings and new onset of left foot pain. What’s your likely diagnosis? This is a patient with chronic tophaceous gout likely presenting with an acute gout attack of the foot. The enlarged and often inflamed fingers (dactylitis) can be mistaken for psoriatic arthritis and ankylosing spondylitis. Additionally, the