A 24-year-old woman attends rheumatology outpatients with an eight-week history of painful hands. On examination she is tearful and thin. You are the medic on duty...100 Cases in Orthopaedics and Rheumatology presents 100 scenarios commonly seen by medical students and junior doctors in orthopaedic and rheumatology clinics, or in the emergency department. A succinct summary of the patient's history, examination and initial investigations, with clinical and/or imaging photographs, is followed by questions on the diagnosis and management of each case. The answer includes a detailed discussion on each topic, with further illustration where appropriate, providing an essential revision aid as well as a practical guide for students and junior doctors. Making clinical decisions and choosing the best course of action is one of the most challenging and difficult parts of training to become a doctor. These cases will teach students and junior doctors to recognize important symptoms and signs and, where appropriate, their relationship to other medical conditions, and to develop their diagnostic and management skills.
ORTHOPAEDICS A painful knee in a neonate A traumatic painful joints in a boy A traumatic painful hip An expanding mass in the leg of an adolescent A boy with a swollen mass in his thigh A painful collarbone A painful proximal humerus in an elderly woman A boy with a painful elbow A painful distal radius following a fall A painful thumb following a fall A painful hip following a fall Knee pain following a traffic accident A painful swollen elbow in a young girl A painful thigh following a violent fall Groin pain following a fall A swollen painful leg after a sporting incident A painful and swollen knee following an accident A crushed leg A painful foot following a traffic incident A hindfoot injury following a fall from height Curvature of the spine Severe low back pain A clicky hip in a toddler Hip and thigh pain in a 7-year-old boy A painful hip in an adolescent Groin and buttock pain in an elderly man Lateral hip pain A painful red swollen knee Swelling in the back of the knee A mildly swollen knee in a young man A traumatic painful knee in an elderly woman An unstable knee in a young man An injured ankle Deformed feet in a newborn child High-arched feet in a young girl Flat feet in a young girl A painful and swollen ankle Deformed feet in an elderly woman A stiff great toe Misshapen toe in a middle-aged woman (1) Misshapen toe in a middle-aged woman (2) Foot pain following a riding fall A deformed, swollen and ulcerated foot A stiff shoulder Elbow pain (1) Elbow pain (2) A painful wrist A deformed finger A painless contracture deformity of a hand A painful wrist following a fall RHEUMATOLOGY A swollen joint and fever Painful hands in a young woman Back pain in a young man Clumsiness Back pain and thirst in an elderly man Acute back pain Painful bones and a waddling gait Hip pain and abnormal blood tests Knee pain in an athlete Painful hands and a rash Hypermobility and a pneumothorax Pins and needles in a young woman Joint pains, skin changes and muscle weakness An acutely painful knee Recurrent abdominal pain and fevers Painful hands and oral ulcers Painful hands and breathlessness Persistent ulceration in an elderly woman A sore throat, painful knees and facial movements A lumpy rash and a swollen knee Rash and swollen ankles A breathless rheumatoid patient Pleuritic chest pain Fever, rash and joint pains Pain and stiffness in shoulders and hips Painful ears and nose Weakness and a rash Diarrhoea, rash and a stiff back Headache and weight loss A painful swollen hand following a fracture Diarrhoea and painful joints Chronic extensive muscle pain Intractable synovitis Haemoptysis and renal failure Diarrhoea and a swollen knee Swollen ankles and a rash Rash, testicular pain and arthralgia Painful hands and dry eyes Genital ulcers and a rash Rash, arthralgia and facial weakness Rash and abdominal pain in an adolescent Weight loss and claudication in a young woman Swollen cheeks in an elderly man A swollen knee A child with a swollen knee Acne, arthralgia and chest pains A breathless patient with lupus Anaemia and weight loss in a patient with rheumatoid arthritis A breathless patient with dematomyositis 100 Asthma, rhinitis, foot drop and a rash