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Pain

Pain

For 2 months, a 29-year-old man had pain and circular, soft swelling over the anterior left knee, superficial to the patellar ligament. Pain was minimal and associated with extension and flexion. He had been employed laying floor tile for 10 years.

Your diagnosis?

Pain

Plenty for rheumatologists in NEJM this week: A deadly vasculitis, Phase 2 results for a new psoriatic arthritis drug, and a solution for constipation with opioids.

Ramsay Hunt Syndrome

Tinnitus and hearing loss in HIV infection; allodynia in which pain conditions; aphthous ulcers. . . 5 questions here to challenge your diagnostic and clinical IQ.

sleep pain

The vicious cycle between pain, sleep loss, and depression comes clear in this set of infographics about presentations at a recent NIH symposium.

chest film, flank and abdominal pain

What does this chest film tell you about the cause of flank and abdominal pain? We invite you to answer this and 4 other questions about cocaine, opioids, a skin lesion, and hypertension.

Controversy around FDA approval of an extended-release formulation of the opioid hydrocodone includes well-founded concerns about abuse but also exposes enduring ignorance about opioid analgesics in general.

Benzodiazepines and opioids; visual hallucinations; solid food dysphagia . . . can you answer this week’s quiz questions?

mediastinal benign schwannoma

Optimal therapy of neuropathic pain? Optimal anticoagulation with a mechanical aortic valve? What’s the significance of a positive Hoffman sign? See if you can answer these and 2 other of our quiz questions.

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