Article

20-year-old male college basketball prospect • wrist pain after falling on wrist • normal ROM • pain with active/passive wrist extension • Dx?
- Author:
- Cole Bortz, BA
- Morteza Khodaee, MD, MPH
► Right wrist pain 4 days after falling on wrist while playing basketball
► Normal range of motion of wrist and hand
► Pain with active...
Article

Weakness with left elbow flexion • left anterior shoulder pain • Dx?
- Author:
- James Keeling, MD
- Morteza Khodaee, MD, MPH
► Weakness with left elbow flexion
► Left anterior shoulder pain
Article

A lump on the hip
- Author:
- Morteza Khodaee, MD, MPH
- Seth Mathern, MD
- Wendy S. Madigosky, MD, MSPH
- Jonathan T. Bravman, MD
The patient had fallen on his hip while playing basketball about 2 weeks earlier.
Article

A look at the burden of opioid management in primary care
- Author:
- Morteza Khodaee, MD, MPH
- Brandy Deffenbacher, MD
This pilot study identified practice variables that can increase the time and resources needed to manage opioids. The authors suggest possible...
Article

Mildly pruritic palmar rash
- Author:
- Amanda Gawin, MD
- Corey Lyon, DO
- Morteza Khodaee, MD, MPH
After taking azithromycin and prednisone for lower respiratory symptoms, this patient developed a rash. The way it spread provided a diagnostic...
Article

Knee pain • no popping • no previous trauma • Dx?
- Author:
- Morteza Khodaee, MD, MPH
- Luke R. Miller, MD
- Michelle Wolcott, MD
Article
What’s the best test for underlying osteomyelitis in patients with diabetic foot ulcers?
- Author:
- Morteza Khodaee, MD, MPH
- Daniel Lombardo, MD
- Linda C. Montgomery, MD
- Corey Lyon, DO
EVIDENCE-BASED ANSWER: Magnetic resonance imaging (MRI) has a higher sensitivity and specificity (90% and 79%) than plain radiography (54% and 68...
Article

Bilateral hand cramping and weakness • broad fingers • coarse facial features • Dx?
- Author:
- Morteza Khodaee, MD, MPH
- Stephanie Gold, MD
- Linda C. Montgomery, MD
Article

4 pregnant women with an unusual finding at delivery
- Author:
- Alexandra R. Johnson, MD
- Annamarie Meeuwsen, MD
- Morteza Khodaee, MD, MPH
- Mark Deutchman, MD
Article
Painless cutaneous nodules
- Author:
- Morteza Khodaee, MD, MPH
The lesions on the patient’s body were getting caught on his clothes. He said that his mother and several of his siblings had similar “lumps.”
Article
What is the best way to treat Morton’s neuroma?
- Author:
- Kent Schreiber, MD
- Morteza Khodaee, MD, MPH
- Sourav Poddar, MD
- Elizabeth M. Tweed, MLIS
EVIDENCE-BASED ANSWER: NO SINGLE TREATMENT HAS BEEN IDENTIFIED in the literature. That said, a protocol of stepped care that showed good results...
Article
How useful are genital exams during boys’ sports physicals?
- Author:
- Morteza Khodaee, MD, MPH
- Jeffrey A. Housner, MD
- Elizabeth M. Tweed, MLIS, AHIP
EVIDENCE-BASED ANSWER: EXAMINATION MAY BE USEFUL to identify hernia but not testicular cancer. Insufficient evidence exists to recommend for or...