Syphilis as an Unusual Cause of Aches and Pains

Making sense of aches and pains.

BACKGROUND The uncertainty about the status of upper limb disorders (ULDs), particularly the non-specific conditions, is believed to have consequences for clinical management and patient care. OBJECTIVE This paper presents evidence about how sufferers with ULDs respond to their pain, how their pain is managed, when and who they go to for formal help and how sufferers evaluate the care they re...

Aches and pains with a shocking rash

CASE PRESENTATION A 10-year-old girl presented to the emergency department with a three-day history of fever and generalized rash. Eleven days earlier, she had been camping in Ontario. Activities while camping included sleeping in a tent, hiking in the forest and swimming in a lake. She sustained multiple mosquito bites that were pruritic and subsequently formed scabs. Ten days before presentat...

Recognising Early Arthritis amid the Aches and Pains

Arthritis is a clinical diagnosis characterised by joint pain, swelling and stiffness. Aspiration of synovial fluid, laboratory testing and imaging with X-ray, ultrasound examination and/or magnetic resonance imaging (MRI) are valuable adjuncts, but clinical pattern recognition based on training and experience and the interpretation of test results are essential in determining the underlying co...

Aches and pains in primary care: stay positive but critical.

An unusual case of abdominal pains.

Tahir MH, et al. BMJ Case Rep 2017. doi:10.1136/bcr-2017-219493 Description A 55-year-old African American man presented to the emergency room with 3 days of new-onset right-sided flank and abdominal pains. His abdominal pains were dull in nature, constant, moderate in severity (approximately 6 out of 10) and radiated to his back and right flank regions. There were no aggravating factors but th...