We wish to gratefully acknowledge an education grant from TAP pharmaceuticals.

A series of cases of patients with a swollen joint will be presented. These cases will include a case of crystal disease (gout vs pseudogout), a case of infectious arthritis, and a case of internal derangement. A description of the patient with appropriate diagnostic studies will be presented, and a series of questions will be developed to educate the participant on the differential diagnosis, laboratory tests, and treatments that should be done for each case. Materials will include video on joint aspiration, synovial fluid findings, radiographs, and other imaging modalitities.

NUMBER OF CREDIT HOURS: The Harvard Medical School designates this educational activity for a maximum of 2 AMA PRA Category 1 credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

COST: $40.00
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OVERALL LEARNING OBJECTIVES:

1. Improved understanding of the health care provider about the entities associated with a swollen joint

CLINICAL LEARNING OBJECTIVES:

1. Develop differential diagnosis about the swollen joint.
2. Understand the workup of the swollen joint.
3. Understand the treatment approaches to the swollen joint.

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KAREN COSTENBADER, MD Course Co-Director

Karen H. Costenbader is a rheumatologist at the Brigham and Women’s Hospital and Assistant Professor of Medicine at Harvard Medical School. She specializes in the treatment of connective tissue disease and is the Associate Director of the Center for Lupus within the Center for Arthritis and Joint Diseases. Her research investigates risk factors associated with the development of rheumatoid arthritis and systemic lupus erythematosus. She has authored over 35 research manuscripts, chapters, and reviews. She is a musculoskeletal disease section editor for the Foundation for Informed Medical Decision Making and for The International Journal of Clinical Practice. She sits on several grant review committees and acts as a reviewer for multiple journals. Dr. Costenbader received her MD from Harvard Medical School, a Master’s degree from Cambridge University in England, and her MPH from Harvard School of Public Health. She did her internal medicine internship and medical residency at the Massachusetts General Hospital in Boston, and her training in rheumatology at both the Massachusetts General Hospital and the Brigham and Women’s Hospital. DISCLOSURE: Company: Bristol-Myers Squibb Type of Relationship: Stockholder Content Area: Medications

MICHAEL WEINBLATT, MD Course Co-Director

Michael E. Weinblatt, MD, is Co-director of Clinical Rheumatology at the Brigham and Women's Hospital and Professor of Medicine at Harvard Medical School, both in Boston, Massachusetts. He is the Associate Director of the Center for Arthritis and Joint Diseases, of the Division of Rheumatology, Immunology & Allergy at Brigham and Women’s Hospital. His major research interest is in therapeutics for rheumatoid arthritis. His work on the development of methotrexate therapy for rheumatoid arthritis garnered him the Carol Nachman Prize for Rheumatology and the Arthritis Foundation Virginia P. Engalitcheff Award for Impact on Quality of Life. Author of The Arthritis Action Program: An Integrated Plan of Traditional and Complementary Therapies, Dr. Weinblatt has authored or co-authored more than 145 published papers, reviews, and book chapters on rheumatology. He is the co-editor of Treatment of Rheumatic Diseases and an editor of the textbook Rheumatology 3rd and 4th editions and currently sits on multiple editorial boards for journals including Journal of Rheumatology. He also served as an Associate Editor of Arthritis & Rheumatism. Dr. Weinblatt was a member of the Rheumatology Subspecialty Board of the American Board of Internal Medicine and served as the President of the American College of Rheumatology (ACR) in 2001. Dr. Weinblatt earned his medical degree at the University of Maryland School of Medicine in Baltimore, where he also completed his internship and residency. He also completed a fellowship in rheumatology at the Robert B. Brigham Hospital in Boston, Massachusetts. DISCLOSURE: Please click here for the full disclosure.

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GRACE HUANG, MD Reviewer

Grace Huang, MD, is the Director of the Office of Educational Technology at the Carl J. Shapiro Institute for Education and Research, a joint venture between HMS and Beth Israel Deaconess Medical Center (BIDMC) in Boston. She also works as a hospitalist at BIDMC. She has spent a number of years designing web-based modules on clinical skills, including computer-based case simulations (“virtual patients”), physical diagnosis tutorials, interactive pathophysiology diagrams, and procedure-based instruction. She serves as a consultant to the Association of American Medical Colleges in their initiative to promote scholarship and sharing of educational materials through MedEdPORTAL. Her clinical research interest is in the impact of a formal hospital-based procedure service on complication rates among internal medicine residents. DISCLOSURE: Dr. Huang's spouse works at Pfizer, Inc., and she holds stock options and shares in the same company.

NEAL ROBERTS, MD Reviewer

Bio and Photo Coming Soon. DISCLOSURE:

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NUMBER OF CREDITS: 2 

Harvard Medical School is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Harvard Medical School designates this educational activity for a maximum of 2 AMA PRA Category 1 credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Upon completion of the course you will get a certificate via e-mail within 2 weeks.

Click the image to view a sample of the certificate

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