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- Acute anxiety and tachycardia in a hospitalized 59-year-old woman
The patient presented with neck pain, painful swallowing, headache, and fever. She had contracted lymphoproliferative disease after liver transplant. She had stage 3 chronic kidney disease.
- Which ICU patients need stress ulcer prophylaxis?
An examination of the controversy surrounding stress ulcer prophylaxis in critically ill patients, with guidance for its appropriate use in this setting.
- Unraveling a challenging diagnosis: Role of a TNF inhibitor
Painful swelling of the dorsum of the right hand had been diagnosed as chronic cutaneous sarcoidosis with tenosynovitis, treated unsuccessfully with prednisone and methotrexate.
- Nontuberculous mycobacterial musculoskeletal infections: Recognizable, when suspected
Two articles in this issue offer valuable insight into when to suspect these infections in patients who present with swollen, indurated, peripheral soft-tissue structures.
- Mondor disease of the breast
A 43-year-old woman had 2 weeks of pain and skin tightness over the right breast. Ultrasonography revealed a noncompressible, dilated, subcutaneous vein without flow.
An unexpected turn: A 71-year-old man with myocardial infarctionThe patient’s temperature was elevated, pulse rate 98 beats per minute, respiratory rate 16 breaths per minute, and blood pressure 100/60 mm Hg. Cardiac and pulmonary examinations were normal.
- Dactylitis from Mycobacterium intracellulare infection
A 69-year-old man presents with 6 months of progressive swelling of the right middle finger, with no systemic symptoms.
- Metastatic bone disease: Early referral for multidisciplinary care
A lack of awareness and recognition of symptoms continues to delay referral to specialist teams. The authors provide guidance for early diagnosis and referral.
- Women’s health update: A literature review impacting primary care
The authors review cardiovascular disease, bone health, breast cancer risk, cervical cancer prevention, postpartum depression, pelvic pain, and emergency contraception.
- Pigmented lesion on nail bed: Pseudo-Hutchinson sign
The discoloration had been present since the patient was 14, and it had not changed in appearance.
Cleveland Clinic Journal of Medicine, published by Cleveland Clinic, provides busy clinicians with practical information to promote better patient care.