More articles from IM Board Review

  • Ascites in a 42-year-old woman
    Debabrata Bandyopadhyay, MBBS, MD, Gursimran S. Kochhar, MD, Ibrahim Hanouneh, MD, Craig Nielsen, MD and David Barnes, MD
    Cleveland Clinic Journal of Medicine December 2013, 80 (12) 771-776; DOI: https://doi.org/10.3949/ccjm.80a.12118

    She has had worsening shortness of breath, leg edema, and ascites for 4 months. What is the cause?

  • A 51-year-old woman with dyspnea
    Jackson Jeikai Liang, DO, Andrew D. Goldberg, MD and Bekele Afessa, MD
    Cleveland Clinic Journal of Medicine August 2013, 80 (8) 487-499; DOI: https://doi.org/10.3949/ccjm.80a.12124

    Her symptoms began 4 days ago. She appears uncomfortable and anxious, her pulse is over 160, and her respirations are 40. What is going on?

  • Recurrent abdominal pain and vomiting
    Markus Agito, MD and Maged Rizk, MD
    Cleveland Clinic Journal of Medicine July 2013, 80 (7) 436-440; DOI: https://doi.org/10.3949/ccjm.80a.12148

    A young man taking narcotic analgesics long-term has developed abdominal pain and vomiting. What is the cause?

  • A 74-year-old man with abdominal pain
    Maqsood A. Khan, MD, Kevin B. Patel, MD, Robert J. March, MD, Mohammed Nooruddin and Michael D. Brown, MD
    Cleveland Clinic Journal of Medicine June 2013, 80 (6) 363-368; DOI: https://doi.org/10.3949/ccjm.80a.12080

    The patient has colon cancer, a repaired abdominal aortic aneurysm, and now, worsening abdominal pain.

  • A young woman with enlarged lymph nodes
    Holleh Husseinzadeh, MD, Claudiu V. Cotta, MD, PhD, Steven Gordon, MD and Alan Lichtin, MD
    Cleveland Clinic Journal of Medicine May 2013, 80 (5) 276-280; DOI: https://doi.org/10.3949/ccjm.80a.12086

    A previously healthy 25-year-old woman presents with a “lump in the neck.” How should she be assessed?

  • Chronic lymphocytic leukemia and apparent hyperkalemia
    Aneesh George, MD, Om Pandey, MD and Alejandro Moreno, MD, MPH, JD, FACP, FCLM
    Cleveland Clinic Journal of Medicine October 2012, 79 (10) 690-693; DOI: https://doi.org/10.3949/ccjm.79a.11148

    The day after chemotherapy, the patient’s plasma potassium level was 7.7 mmol/L and the next day it rose to 10.9, but he had no signs or symptoms of hyperkalemia. What was the cause?

  • Fever, dyspnea, and hepatitis in an Iraq veteran
    Ramiro L. Gutiérrez, MD, MPH and Joshua D. Hartzell, MD
    Cleveland Clinic Journal of Medicine September 2012, 79 (9) 623-630; DOI: https://doi.org/10.3949/ccjm.79a.11136

    About 8 weeks after returning home, he presents with a cough, myalgia, headaches, fever, chills, drenching night sweats, and dyspnea on exertion. What is the most likely diagnosis?

  • Sudden hypoxia during knee surgery
    Ursula A. Galway, MD and David Gugliotti, MD
    Cleveland Clinic Journal of Medicine June 2012, 79 (6) 401-409; DOI: https://doi.org/10.3949/ccjm.79a.09129

    Fat embolism syndrome is an unpredictable condition with varied presentation.

  • A 37-year-old man with a chronic cough
    Sandeep M. Patel, MD, Sheena S. Patel, BA and Robert Myers, MD
    Cleveland Clinic Journal of Medicine February 2012, 79 (2) 141-150; DOI: https://doi.org/10.3949/ccjm.79a.11010

    When asked, he revealed that he had been diagnosed with human immunodeficiency virus infection but had not been taking his medication.

  • A 25-year-old man with very high alkaline phosphatase
    Jamak Modaresi Esfeh, MD, Ibrahim A. Hanouneh, MD and Nizar N. Zein, MD
    Cleveland Clinic Journal of Medicine December 2011, 78 (12) 793-800; DOI: https://doi.org/10.3949/ccjm.78a.10166

    He has generalized malaise, a palpably enlarged liver, and an alkaline phosphatase level of 1,307 U/L. What is the cause?

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