More articles from IM Board Review

  • A 39-year-old man with sudden onset of chest pain
    Prashanth R. Sunkureddi, MD, Emilio B. Gonzalez, MD, Rickey Washington, MD, Andres Salazar, MD and Paul Douglass, MD
    Cleveland Clinic Journal of Medicine November 2005, 72 (11) 1050-1056;

    He has a history of a transient ischemic attack and poorly controlled hypertension. What is the likely diagnosis?

  • Fever in a returned traveler
    Emil P. Lesho, DO, Susan George, MD and Glenn Wortmann, MD
    Cleveland Clinic Journal of Medicine October 2005, 72 (10) 921-927;

    Six weeks after returning from Manaus, Brazil, he has recurring symptoms of fever, nausea, vomiting, diarrhea, headache, and malaise. What is the likely diagnosis?

  • A 56-year-old man with hypercalcemia
    Oluranti Aladesanmi, MD, MPH, Xian Wen Jin, MD, PhD and Craig Nielsen, MD
    Cleveland Clinic Journal of Medicine August 2005, 72 (8) 707-712;

    He has no symptoms, but his liver is palpable and his calcium, glucose, and creatinine concentrations are elevated. What is the cause?

  • Fever, chills, and chest radiographic infiltrates in a middle-aged woman
    Arti J. Choure, MD, Rabin K. Shrestha, MD, Steven P. Larosa, MD and Atul C. Mehta, MBBS
    Cleveland Clinic Journal of Medicine May 2005, 72 (5) 367-374;

    A woman with a history of asthma, hypothyroidism, nephrolithiasis, and bowel problems has worsening shortness of breath. She also has an interesting hobby.

  • An elderly woman with leg swelling and pain
    H. Leon Daneschvar, MD and Hamed Daw, MD
    Cleveland Clinic Journal of Medicine April 2005, 72 (4) 353-358;

    Six days after she started treatment for deep venous thrombosis, her platelet count drops to 60 × 109/L. What is the cause?

  • Nonhealing skin lesions in a sailor and a journalist returning from Iraq
    Ltc Emil P. Lesho, MC, USA, Ronald Neafie, MS, Ltc Glenn Wortmann, MC, USA and Col Naomi Aronson, MC, USA
    Cleveland Clinic Journal of Medicine February 2005, 72 (2) 93-106;

    The differential diagnosis of chronic ulcerative or nodular skin lesions in returned personnel is broad.

  • A 46-year-old woman with rigidity and frequent falls
    James K. Stoller, MD, Babak Tousi, MD, Stephan U. Schuele, MD and Thyagarajan Subramanian, MD
    Cleveland Clinic Journal of Medicine January 2005, 72 (1) 57-63;

    Her symptoms began 3 years ago and have progressed rapidly. Is it Parkinson disease, or is it another movement disorder?

  • A construction worker with recent confusion, disorientation, and somnolence
    Nolan McMullin, MD and John Queen, MD
    Cleveland Clinic Journal of Medicine October 2004, 71 (10) 809-814;

    What is the cause of this patient’s symptoms: the bump on the head he received at work, or his “occasional” drinking?

  • A 48-year-old woman with nausea, vomiting, early satiety, and weight loss
    James K. Stoller, MD, Mohammed A. Qadeer, MD and Carol A. Burke, MD
    Cleveland Clinic Journal of Medicine September 2004, 71 (9) 693-712;

    She has lost 20 pounds in the last 1 1/2 years. What is the cause, and what is the treatment?

  • A 76-year-old woman with erratic anticoagulation
    Emil P. Lesho, DO, Louise Saullo, CRTT and Szilvia Udvari-Nagy, MD
    Cleveland Clinic Journal of Medicine August 2004, 71 (8) 651-656;

    A patient previously controlled on warfarin now has bleeding and an INR of 7. What has changed?

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