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Cleveland Clinic Journal of Medicine

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More articles from Symptoms to Diagnosis

  • An unexpected turn: A 71-year-old man with myocardial infarction
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    Smitha Ganeshan, MD, MBA, Benjamin Kelemen, MD, Gurpreet Dhaliwal, MD and Lucas Zier, MD, MS
    Cleveland Clinic Journal of Medicine July 2022, 89 (7) 401-407; DOI: https://doi.org/10.3949/ccjm.89a.21030

    The patient’s temperature was elevated, pulse rate 98 beats per minute, respiratory rate 16 breaths per minute, and blood pressure 100/60 mm Hg. Cardiac and pulmonary examinations were normal.

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    Acute anxiety and tachycardia in a hospitalized 59-year-old woman
    Andres I. Applewhite, MD, Fernando F. Stancampiano, MD, Dana M. Harris, MD, Victor Bernet, MD, Joseph G. Cernigliaro, MD and Jose R. Valery, MD
    Cleveland Clinic Journal of Medicine July 2022, 89 (7) 383-391; DOI: https://doi.org/10.3949/ccjm.89a.21002

    The patient presented with neck pain, painful swallowing, headache, and fever. She had contracted lymphoproliferative disease after liver transplant. She had stage 3 chronic kidney disease.

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    The devil is in the details: Approach to refractory hypokalemia
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    Carmen Elena Cervantes, MD, Karthik Meiyappan Udayappan, MD and Duvuru Geetha, MBBS, MD
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    The authors illustrate a stepwise approach to the evaluation of acid-base disturbances.

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    Recurrent anemia in a patient with chronic lymphocytic leukemia
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    New episodes of anemia do not automatically imply disease progression, and each should be evaluated completely.

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    A painful mass in the jaw
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    William Gravley, MS, Caleb Murphy, MD, MBA, Chia-Dan Kang, MD and Badrunnisa Hanif, MD
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    Symptoms also included confusion, blank staring, blurred vision, incoordination of the extremities, decreased verbal communication, and holding her left hand in a fist.

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    An 86-year-old man with unexplained right-sided headache and vision loss
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    Steroid treatment for suspected giant cell arteritis brought no improvement in vision or headache severity.

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    Her history included psoriasis, chronic lower-extremity edema, and hypertension.

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