More articles from IM Board Review

  • A 19-year-old man with oral ulcers, pulmonary infiltrates, and rash
    Maria Clarinda A. Buencamino, MD, Sachin S. Goel, MD, Ralph J. Tuthill, MD and Alan Taege, MD
    Cleveland Clinic Journal of Medicine November 2007, 74 (11) 773-785;

    What is the likely cause of this patient’s symptoms? A self-quiz based on an actual case.

  • A 58-year-old woman with mental status changes
    A 58-year-old woman with mental status changes
    Mihir R. Bakhru, MD, Ajay Kumar, MD and Ashish Aneja, MD
    Cleveland Clinic Journal of Medicine June 2007, 74 (6) 457-462;

    Thirty years ago she underwent gastric bypass surgery for obesity. Now she presents with mental status changes, a bicarbonate level of 16 mmol/L, and an anion gap of 15. What is the most likely cause of her acidosis?

  • Neurologic effects of hyponatremia and its treatment
    Peter Widdess-Walsh, MB, Vivek Sabharwal, MD, Sevag Demirjian, MD and Michael DeGeorgia, MD
    Cleveland Clinic Journal of Medicine May 2007, 74 (5) 377-383;

    Twenty-one days after surviving a hemorrhagic stroke, the patient develops new neurologic symptoms. A computed tomographic scan shows new cerebral edema. Her serum sodium concentration is 121 mmol/L.

  • An 18-year-oldwith effort-related arm swelling
    Sachin Goel, MD, Daniel G. Clair, MD and Teresa L. Carman, MD
    Cleveland Clinic Journal of Medicine April 2007, 74 (4) 283-288;

    A high school senior with a baseball scholarship presents with the acute onset of swelling in his nondominant arm. What is the most likely diagnosis and the most appropriate initial diagnostic test?

  • An elderly woman with severe anemia
    Emil Hayek, MD
    Cleveland Clinic Journal of Medicine March 2007, 74 (3) 172-184;

    Her hemoglobin level is 7.7 g/dL, and a peripheral blood smear shows hypochromic microcytic erythrocytes. What is the most likely cause?

  • Leg weakness in a 66-year-old woman: A common presentation of an uncommon disease
    Andrey S. Stojic, MD, PhD, Tarek Mekhail, MD and Bryan E. Tsao, MD
    Cleveland Clinic Journal of Medicine January 2007, 74 (1) 23-34;

    She has proximal leg weakness, weight loss, dry mouth, orthostatic hypotension, and diminished sensation in the arms and legs. What is the likely cause?

  • Hypotension in the intensive care unit
    Ahmed Al-Hazzouri, MD and Peter Mazzone, MD, MPH
    Cleveland Clinic Journal of Medicine December 2006, 73 (12) 1091-1097;

    Our patient’s vital signs: temperature 98.4°F, pulse 96 and regular, respirations 23, blood pressure 76/44 mm Hg, central venous pressure 21 mm Hg. What is the likely cause of his hypotension?

  • A middle-aged woman with chronic liver disease and shortness of breath
    James K. Stoller, MD, Octavian C. Ioachimescu, MD and James K. Stoller, MD, MS
    Cleveland Clinic Journal of Medicine April 2006, 73 (4) 375-381;

    Her dyspnea has worsened in the last 3 months and is worse when she assumes the upright position. What is the cause?

  • A young man with a cough, an abnormal chest radiograph, and multiple skin lesions
    James K. Stoller, MD, Rohit Panchal, MD, Atul C. Mehta, MD, Carol Farver, MD, Robin Avery, MD, José R. Castillo, MD and Loutfi S. Aboussouan, MD
    Cleveland Clinic Journal of Medicine March 2006, 73 (3) 273-280;

    His chest infiltrates have not resolved after 1 month of illness and two antibiotic courses. What is the diagnosis?

  • A hypertensive emergency in an obese young woman
    Raja Shekhar R. Sappati Biyyani, MD, Loren M. Kirchner, MD, MS, Anil C. Singh, MD, MPH and Prabhacharan Gill, MD
    Cleveland Clinic Journal of Medicine February 2006, 73 (2) 110-120;

    She has headache, new-onset seizures, edema, and proteinuria; her blood pressure is 235/114 mm Hg and she weighs 256 lb. What is the diagnosis?

Pages