Cases

De-identified cases from verified clinicians — structured, searchable and open for peer input.

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MT
Patient profile
Age 40–49 · Lateral elbow pain for 14 months, dominant arm. Failed 12 weeks of PT and two corticosteroid injections; symptoms returned within 6 weeks of each.
Clinical approach
Single ultrasound-guided leukocyte-poor PRP injection with needle fenestration, then a progressive eccentric loading program.
Discussion prompt
Second injection at week 12, or keep loading and reassess?

Pain score

From the author's outcome · 0–10 scale

73

Baseline → Week 8

Before7/10
After3/10
Pain 7/10 → 3/10 at week 8. Grip strength improving; back to full work duties.
De-identified · author attested 2 images
SM
Patient profile
Age 40–49 · Female · Eight months of hot flashes and night sweats, fragmented sleep, and new-onset anxiety. No prior psychiatric history. Thyroid function and CBC normal.
Clinical approach
Transdermal estradiol with oral micronized progesterone at bedtime; CBT-I referral; sleep plan.
Outcome
Vasomotor symptoms down roughly 70% at week 10. Sleep improving; anxiety partly improved.
Discussion prompt
Add an SSRI/SNRI now, or reassess at 16 weeks?
De-identified · moderator reviewed 1 document
KP
Patient profile
Age 50–59 · Male · Symptomatic low testosterone confirmed on two morning draws; started weekly injections. Hematocrit 53% at the three-month check.
Clinical approach
Split to twice-weekly dosing at the same weekly total; hydration counselling; sleep apnea screening; repeat labs at six weeks.
Outcome
Hematocrit 50% at six weeks. Sleep study pending.
Discussion prompt
At what hematocrit do you pause therapy rather than adjust dosing?
De-identified · author attested