Man with painful penile swelling

Painful chest wall swelling.

A 70 year old man, a non-smoker, presented with a painful swelling over the right sternoclavicular joint and low grade continuous fever for a period of two months. The patient had been empirically started on antituberculous therapy on the suspicion of tuberculous osteomyelitis, but his fever and swelling persisted. On clinical examination, a hard and tender swelling was present over the right s...

A 55-year-old Man with Painless Joint Swelling.

A 55-year-old man presented with swelling of left knee for the past one month. He also complained of episodes of joint locking. There was no history of pain, fever or trauma. Physical examination revealed localized increase in temperature of the skin, a large joint effusion, and decreased range of motion. His total leukocyte count was normal; ESR was raised to 48 mm in the first hour. Anteropos...

Case report: A man on antiretroviral therapy with painful thighs.

A 54 year old man presented with increasing pain in both thighs for three months during a follow up visit at the antiretroviral therapy (ART) clinic of Queen Elizabeth Central Hospital. He was first seen at the same clinic three years and eight months before the current presentation, when he started ART with stavudine-lamivudine-nevirapine. He was in WHO clinical stage III, but it was not docum...

A Young Man with Bilateral Testicular Pain and Swelling.

A 17-year-old male diagnosed with congenital adrenal hyperplasia (CAH) at the age of six months presented to the endocrine clinic with pain and swelling in both testes. When he was seven years old he developed signs of precocious puberty and was treated with triptorelin 3.75 mg (intramuscular) once a month between 2007 and 2011. He was asked to continue long-term treatment with hydrocortisone (...

A man with a chronic painful perianal ulcer.