Activity

Activity ID

3991

Expires

March 29, 2022

Format Type

Journal-based CME

CME Credit

1

Fee

$30
CME Provider

JAMA

Description

A 53-year-old man with a history of pseudogout and receiving immunosuppressives after renal transplant had 2 weeks of stiff neck, headache, and fevers and 3 days of right knee pain and swelling with nuchal rigidity, a positive Kernig sign, no focal neurologic deficits, and a right knee effusion on examination. Blood and CSF cultures were negative, WBC count was high normal, and cervical MRI showed degenerative changes with periodontoid calcifications and reactive marrow. What is the diagnosis and what would you do next?

doi:10.1001/jama.2019.1772

Disclaimers
1. This activity is accredited by the American Medical Association.
2. This activity is free to AMA members.

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More Information
Commercial Support?
No

NOTE: If a Member Board has not deemed this activity for MOC approval as an accredited CME activity, this activity may count toward an ABMS Member Board’s general CME requirement. Please refer directly to your Member Board’s MOC Part II Lifelong Learning and Self-Assessment Program Requirements.

Educational Objectives

Based on this clinical scenario and the accompanying image, understand how to arrive at a correct diagnosis.

Keywords

Clinical Challenge, Radiology, Neurology, Emergency Medicine, Neuroradiology

Competencies

Medical Knowledge

CME Credit Type

AMA PRA Category 1 Credit

Additional Information

doi:10.1001/jama.2019.1772

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