Multisystem Processes & Disorders


View Clinicals

{"ops":[{"insert":"A 30 year old veterinarian presents with nocturnal pain in the right lower back for 2 weeks, in association with fatigability, night sweats, and fever with chills at night.\n\nHe migrated from Brazil to the United States 3 weeks ago. He had been working in the same occupation in his home country.\n\nHis medical history is unremarkable. There is no history of contact with tuberculosis. He has a single stable sexual partner. There is no family history of spondyloarthropathies.\n\nHis ESR is found to be 20 mm\/1h. Radiographs of the pelvis are found to be normal. A tuberculin test was performed in view of the symptoms, but is nonreactive.\n\nPrior to migration, he was tested for HIV and found to be negative.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-147_en.png"}},{"insert":"\n"}]}

Want to continue playing?

Open your Clinical Odyssey account today.

Enjoy unlimited access to 600+ simulations.
Safely improve your skills, anytime and anywhere.
Get answers to your follow-up questions from practicing physicians.