A 74 year old woman with left shoulder pain

A 74-year-old woman with diabetes.

Ms M, a 74-year-old woman with type 2 diabetes of 6 years' duration, has a glycated hemoglobin (HbA1C) value of 7.4% despite taking 3 oral antidiabetic medications, as well as coexistent hypertension and abdominal obesity. She has no known microvascular or macrovascular complications of diabetes and is otherwise healthy. She is reluctant to commence insulin treatment as she dislikes the idea of...

Clinical Reasoning: A 47-year-old woman with left shoulder pain after a fall.

SECTION 1 A 47-year-old right-handed woman fell to the ground while dancing. She hit her head and neck. However, she did not lose consciousness and continued to dance. Three days later, she developed severe sharp and burning left shoulder pain radiating into her left arm. The pain was associated with weakness and numbness. She also noticed right facial numbness. On review of systems, she had no...

49-year-old woman with chest pain.

A 52-year-old woman with asymptomatic annular erythematous plaques

A 52-year-old woman sought medical attention because of several annular erythematous lesions with central clearing on her body since seven months ago. No pruritus or burning sensations were noted. Her medical and family history was unremarkable. Her Fitzpatrick skin photo-type was II. On dermatological physical examination, there were several annular erythematous plaques with raised borders and...

A 54-year-old woman with degenerative back pain.

Back pain is a common symptom: up to 70% of UK adults experience this symptom by the age of 60 and most have moderate to severe pain. Back pain accounted for 12% of consultations to traditional acupuncturists in 2001 and is one of the most common reasons for consultation with an acupuncturist. This case report concerns a 54-year-old woman with metastatic breast cancer and degenerative lower bac...