paraneoplasticA 48-year-old male presented to the emergency room for 2 weeks of joint pain and swelling of his four extremities. His symptoms started suddenly and were quite debilitating. His hands, fingers, knees, and ankles were so swollen and painful that he was unable to get out of bed...
I sort of began to wish that I was the one that had been hit by the train – it certainly would have made my life a lot easier than it currently was and I probably wouldn’t have felt any pain due to the significant amount of alcohol I’d consumed. At this point...