Anterior uveitis affects the front of the eye (usually the iris) and is the most common type. Only one eye is usually affected. Symptoms include: an aching, painful, red eye blurred or cloudy vision, a small pupil, an iris that may have a slightly different color sensitivity to light (photophobia), floaters (dots that move across the field [...]

Because the natural history of gallstones is generally benign, cholecystectomy is not required for patients with asymptomatic gallstones. –However, cholecystectomy for asymptomatic gallstones may be indicated under certain circumstances: Patients with large gallstones greater than 2 cm in diameter Patients with nonfunctional or calcified (porcelain) gallbladder observed on imaging studies and who are at high [...]

Epididymitisis the most common local complication of C. trachomatis infection in young males. Signs and symptoms of epididymitis include: Fever Unilateral scrotal pain Swelling Tenderness Evidence of urethritis on Gram stain Epididymal tenderness or mass on exam Up to 70% of sexually transmitted cases are due to Chlamydia trachomatis. Some sexually transmitted cases are due [...]

  Reiter’s Syndrome Bechet’s Syndrome Oral Ulcers Yes Yes Genital Ulcers Yes Yes Uveitis Iritis Yes Arthritis Yes Axial Yes Rash +/- Yes Male vs Female Males > Females Male = Female Genetics HLA B27 HLA B51 STD associated Chlamydia No Rx Doxycycline/NSAIDS Colchicine: 0.6 mg b.i.d. for mucocutaneous and joint symptoms Who?? Multiple sex [...]