KNEE PAIN Leads to SHOCKING Diagnosis: Medical Mystery Solved!

Ravi is a 47 year old man with knee pain - little did he know this was a sign of something much more sinister.

This video was adapted from a medical case report published in the Canadian Medical Association Journal. Click to read the original case!

This video is made for educational purposes only and should not be viewed as medical advice. Speak to your doctor if you have any concerns about your health.

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~ Siobhan (Violin MD) ~

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📸 Image Credits:

[larissa_]

No doctor in the United States would take this amount of time to figure out what was really wrong with that knee..we would get sent home and told to take pain meds. Thank you for doing your job so thoroughly.

[momofschnauzers]

Your skills as an educator are only surpassed by your skills as a Doctor. Great video...very informative and easy to understand.

[laurenelzbthiel]

My great grandmother immigrated to US from Germany by early 1900’s. She worked as a nurse in NYC caring for TB patients isolated in a quarantined center. She met her husband (a patient) at the center who recovered. She then opened up her own convalescence home in her house after she married. Her granddaughter, my mother, had TB in her ‘40’s. We were all tested periodically. This video could explain so many mystery illnesses that run in our family similar to your case study. Thanks for sharing this video, it’s been very informative.

[coweatsman]

My mother worked as a nurse in the 1940s. She came into contact with TB and had antibodies to it but she never got sick. She was always nominated as the nurse assigned to look after TB patients. She is 99 now.

[smoorej]

Fantastic video, as usual. The only thing more infectious than TB is Siobhan’s incredibly upbeat, positive, happy demeanor.

[rnupnorthbrrrsm]

The hospital I worked at here in the USA didn’t isolate patients until a disease was confirmed, instead of isolating until it was ruled out. So unfortunately I was exposed to active TB patients on several occasions. It’s kind of frustrating after caring for a patient for 3 days then you get orders to put them in an isolation negative pressure room 😳 Then the hospital, as gracious and concerned for staff as they are, told us if we get sick they would test us for no charge 🙄 I’m amazed more people don’t have TB but surprisingly there are more cases than one realizes !
Blessings

[heathersmith]

People are lucky when they get you as a Dr. ❤

[tinthequeen]

As a rural doctor from the Philippines, I did have a hunch it was TB. I see 1-2 cases almost every week and yes the treatment takes quite a long time and the patient has to be strictly compliant to the treatment to prevent resistance and other complications. Thank you for sharing your interesting cases doctor Shiobhan! I love your content and I learned a lot from it too 😁

[empoweredlifeco]

Please NEVER stop making these videos!! I just graduated from NP school and am currently studying for boards... and these videos have become a hobby for listening during my free time. They are structured in such a logical yet interesting fashion, and absolutely help me to think like a clinician-- from assessment, to considering differentials, to diagnosis and treatment!

[khoinguyenhuynh]

I am a rheumatologist in Vietnam and I have diagnosed many cases of TB joint infection. It is truly a tricky bacterium to treat, especially the resistant species which is way more challenging. Thank you for sharing.

[sciencesimplified]

These videos are helpful for medical students in their clinical years. I see a lot of COPD exacerbations, CHF exacerbations, strokes, MI etc…. But these more rare presentations are very interesting and informative and also hearing your thought process and step by step management is so helpful!

[pilomatrixoma]

As a pathologist and pianist who loves Chopin and looks at knee aspirates all the time, this video was right up my alley! Although it's not super common here in Canada, I've still seen TB where it wasn't expected at all...what a sneaky bug.

[silvias]

This is, very educational. So nicely explained.Your personality is everything

[cathylaycock]

Hi. In the late 80s, a lady I worked with in the hospital laundry was diagnosed with TB just before she retired. She continued working with us. She’d have some coughing fits but she also had asthma fairly bad. Believe me, the dust from the lint in there was unreal. We’d look up at the fluorescent lights hanging 20 ft above us, there was giant balls of lint hanging from the lights shades. Some of it was green from all the OR linens including the hospital greens Drs wore. She said she wasn’t told she was contagious and her GP didn’t give her a letter for work to stay away. She’s in her late 80s now and going strong. 😊❤️🇨🇦

[theBiggerJigger]

Oh my! I feel bad for Ravi. At age 33 I had awful knee pain and it turned out to be bone cancer.. talk about a SHOCKING Diagnosis! Anyway, I’m glad Ravi got to keep his knee, because mine was surgically removed then I went through 6 months of the one of the worst chemo cocktails a cancer patient can go through.

[vcrouch]

Great case! As a former medical transcriptionist, these cases have helped my understanding so much. Thank you for sharing, Siobhan!

[MsMiDC]

Just to brag a little bit, as soon as scarring of the lungs came up I immediately thought of TB. I'm basically a doctor now!

[jodystepnowski]

Everyone should be so excited about their work! I love your enthusiasm and appreciate your sharing your knowledge.

[kittukittu]

I am from india, a medical student, here it been so strict NTEP i.e national tb elimination programe going on which covers the remotest areas, patient has to take all medications in front of the health care worker alloted..let me make it clearer, health care worker visits regularly to patients homes and becomes eye witness that patient isnt skipping medication . This is soo soo strictly followed and hopefully we will achieve the set targets . Fingers crossed .🤞

[JJ-SH]

I can't get over just how excited you always seem explaining these stories, it's beautiful to see. Thank you.