More articles from Im Board Review

  • Abdominal pain in a 20-year-old woman
    Lakshmi S. Pasumarthy, MD, Duane E. Ahlbrandt, MD and James W. Srour, MD
    Cleveland Clinic Journal of Medicine January 2010, 77 (1) 45-50; DOI: https://doi.org/10.3949/ccjm.77a.09067

    Her body mass index is 18.7, and she has lost 20 lb despite a good appetite. What is the cause?

  • A 35-year-old Asian man with jaundice and markedly high aminotransferase levels
    Ibrahim A. Hanouneh, MD, Rami Khoriaty, MD and Nizar N. Zein, MD
    Cleveland Clinic Journal of Medicine August 2009, 76 (8) 449-456; DOI: https://doi.org/10.3949/ccjm.76a.08006

    The patient acquired hepatitis B virus at birth and was never treated for it. What is his present infection status?

  • A 48-year-old man with uncontrolled diabetes
    Mengjun Hu, BS and J. Harry Isaacson, MD
    Cleveland Clinic Journal of Medicine July 2009, 76 (7) 413-416; DOI: https://doi.org/10.3949/ccjm.76a.09025

    His type 2 diabetes has been well controlled for 6 years. Now, his blood sugar levels have been rising for the past week, and he has large amounts of glucose and ketones in the urine. What has happened?

  • A 72-year-old man with a purpuric rash
    Sachin S. Goel, MD and Carol A. Langford, MD, MHS
    Cleveland Clinic Journal of Medicine June 2009, 76 (6) 353-360; DOI: https://doi.org/10.3949/ccjm.76a.09141

    He has multiple medical problems and a new rash that appeared 2 weeks ago. Now he presents to the emergency department confused and diaphoretic. What is the cause of his symptoms?

  • A 43-year-old woman with chest pressure
    Deborah Mickelson, DO, Ehab N. Mady, DO and Kathryn Teng, MD
    Cleveland Clinic Journal of Medicine March 2009, 76 (3) 191-198; DOI: https://doi.org/10.3949/ccjm.76a.07006

    She has acute chest discomfort, a 25-pack-year smoking history, and a family history of myocardial infarction and deep vein thrombosis. What is the cause of her symptoms?

  • A young pregnant woman with shortness of breath
    Dwayne A. Perkins, MD, Craig Nielsen, MD and Michael Faulx, MD
    Cleveland Clinic Journal of Medicine November 2008, 75 (11) 788-792;

    She is 12 weeks pregnant, has had no prenatal care, and has lost 20 pounds due to nausea and vomiting. What could be the cause?

  • A case of refractory diarrhea
    Jennifer Monti, BA, J. Harry Isaacson, MD and Bret Lashner, MD
    Cleveland Clinic Journal of Medicine September 2008, 75 (9) 677-680;

    She has a history of irritable bowel syndrome, but could it be something more? A self-test on a clinical case.

  • A 61-year-old with bipolar disorder and cognitive impairment: Dementia or polypharmacy?
    Mamta Bhatnagar, MD and Robert Palmer, MD, MPH
    Cleveland Clinic Journal of Medicine April 2008, 75 (4) 284-288;

    He reports poor concentration, using wrong words, forgetting names, and sleepiness. What is the cause?

  • A young woman with fatigue
    Kathryn A. Teng, MD
    Cleveland Clinic Journal of Medicine March 2008, 75 (3) 215-219;

    She has had nonspecific symptoms and diarrhea for the past few years. Routine laboratory testing reveals iron-deficiency anemia. What is the cause?

  • An elderly woman with asthma, eosinophilia, and septic shock
    Deepa Kabirdas, MD, Bianca Afonso, MD, Hernan Avella, MD, Aarti Kanwar, MD, Mariana Berho, MD and Eduardo Oliveira, MD
    Cleveland Clinic Journal of Medicine December 2007, 74 (12) 877-886;

    Her asthma is poorly controlled despite prednisone therapy, and her eosinophil count is high. What is the likely cause?

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