More articles from Im Board Review

  • A 67-year-old woman with bilateral hand numbness
    Sohab S. Radwan, MD, Khair M. Hamo and Ayman A. Zayed, MD, MSc, FACE, FACP
    Cleveland Clinic Journal of Medicine March 2018, 85 (3) 200-208; DOI: https://doi.org/10.3949/ccjm.85a.17026

    Her history includes type 2 diabetes mellitus, dyslipidemia, hypertension, diastolic heart failure, and thyroid surgery.

  • A 75-year-old with abdominal pain, hypoxia, and weak pulses in the left leg
    Maya Serhal, MD, Natalie Evans, MD, RPVI and Heather L. Gornik, MD, RVT, RPVI
    Cleveland Clinic Journal of Medicine February 2018, 85 (2) 145-154; DOI: https://doi.org/10.3949/ccjm.85a.16069

    Workup revealed the patient had both arterial and venous thrombosis. What was the cause?

  • A 50-year-old woman with new-onset seizure
    John R. Queen, MD and Samantha Bogner, CNP, RN
    Cleveland Clinic Journal of Medicine January 2018, 85 (1) 41-46; DOI: https://doi.org/10.3949/ccjm.85a.16050

    After prodromal symptoms, she lost consciousness for about 1 minute, with jerking.

  • Abdominal pain and bloody diarrhea in a 32-year-old woman
    Neha Agrawal, MD, Amandeep Singh, MD, Thomas Plesec, MD, David Liska, MD, Bradley Confer, DO, Jessica Philpott, MD, PhD and Florian Rieder, MD
    Cleveland Clinic Journal of Medicine November 2017, 84 (11) 847-854; DOI: https://doi.org/10.3949/ccjm.84a.16085

    The patient also has numerous painful ulcerations on her skin and in her mouth.

  • Fever after recent travel
    Habib Rehman, MBBS, FRCPC, FRCPI, FRCP (GLAS), FACP
    Cleveland Clinic Journal of Medicine November 2017, 84 (11) 840-846; DOI: https://doi.org/10.3949/ccjm.84a.16046

    The patient had been taking a TNF-alpha inhibitor and had recently returned from Mexico.

  • Acute monocular vision loss: Don’t lose sight of the differential
    Acute monocular vision loss: Don’t lose sight of the differential
    Justin R. Abbatemarco, MD, Rushad Patell, MD, Janet Buccola, MD and Mary Alissa Willis, MD
    Cleveland Clinic Journal of Medicine October 2017, 84 (10) 779-787; DOI: https://doi.org/10.3949/ccjm.84a.16096

    An 83-year-old man woke up one morning unable to see out of his left eye; 6 hours earlier it had been normal.

  • Big heart, small ring
    Igor Kravets, MD, FACE
    Cleveland Clinic Journal of Medicine December 2017, 84 (12) 925-933; DOI: https://doi.org/10.3949/ccjm.84a.16101

    A 58-year-old man has stopped wearing his wedding ring, and his wife suspects him of having an extramarital affair.

  • A patient with altered mental status and an acid-base disturbance
    Shylaja Mani, MD and Gregory W. Rutecki, MD
    Cleveland Clinic Journal of Medicine January 2017, 84 (1) 27-34; DOI: https://doi.org/10.3949/ccjm.84a.16042

    Acid-base disorders can be diagnosed and characterized using a systematic, fi ve-step approach.

  • Man’s best friend, fatal in the end
    Evelyn Ling, MD, Stacey Howell, MD, Mai Vang, BS and Paul Aronowitz, MD
    Cleveland Clinic Journal of Medicine February 2017, 84 (2) 146-150; DOI: https://doi.org/10.3949/ccjm.84a.16061

    A dog bite in a patient without a spleen can have serious consequences.

  • Confusion and hypercalcemia in an 80-year-old man
    Keren Zhou, MD, Steven Assalita, MD and Susan E. Williams, MS, RD, MD, FACP FACE
    Cleveland Clinic Journal of Medicine April 2017, 84 (4) 281-286; DOI: https://doi.org/10.3949/ccjm.84a.16017

    His total serum calcium level is 14.4 mg/dL. What is the cause?

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