More articles from Symptoms to Diagnosis

  • A cough that won’t go away: Evaluation and treatment in 2 patients
    Maxwell Y. Lee, BS, Rachel M. Taliercio, DO, Michelle Adessa, MS, CCC-SLP, Claudio Milstein, PhD and Paul C. Bryson, MD
    Cleveland Clinic Journal of Medicine February 2020, 87 (2) 83-89; DOI: https://doi.org/10.3949/ccjm.87a.19010

    Two patients present with similar symptoms, but different causes and treatment.

  • Fever in a traveler returning from Ethiopia
    Ken Koon Wong, MD
    Cleveland Clinic Journal of Medicine January 2020, 87 (1) 31-42; DOI: https://doi.org/10.3949/ccjm.87a.19017

    His symptoms began about 10 days after returning and had been going on for 11 days. What was the cause?

  • Severe hypercalcemia in a 54-year-old woman
    Michael A. Munoz, MD, Zeeshan Zafar, MD, MBA and Benson A. Babu, MD, MBA
    Cleveland Clinic Journal of Medicine November 2019, 86 (11) 719-723; DOI: https://doi.org/10.3949/ccjm.86a.18126

    Her calcium level was 18.4 mg/dL; 6 months earlier it had been 9.6. What was the cause?

  • A 66-year-old man with abnormal thyroid function tests
    Yazan N. Alhalaseh, MD, Zaid A. Abdulelah, MD, Ahmad O. Armouti, MD and Ayman A. Zayed, MD, MSc, FACE, FACP
    Cleveland Clinic Journal of Medicine October 2019, 86 (10) 666-675; DOI: https://doi.org/10.3949/ccjm.86a.19024

    A 66-year-old man presents with an acute exacerbation of COPD requiring hospitalization.

  • A young man with acute chest pain
    Amir Farid, MD, Neil Beri, MD, David Torres-Barba, MD, PhD and Charles Whitcomb, MD
    Cleveland Clinic Journal of Medicine September 2019, 86 (9) 586-594; DOI: https://doi.org/10.3949/ccjm.86a.19025

    A young man presents with severe, pressure-like, midsternal, nonradiating pain, rated 10 on a scale of 10.

  • An unusual cause of bruising
    Tahani Atieh, DO and Alan Lichtin, MD
    Cleveland Clinic Journal of Medicine August 2019, 86 (8) 535-542; DOI: https://doi.org/10.3949/ccjm.86a.18119

    The coagulation assay, particularly the prothrombin time and aPTT, is key in initially assessing a bleeding abnormality.

  • A 69-year-old woman with double vision and lower-extremity weakness
    Ibrahim Migdady, MD, Maryann Mays, MD and Kerry H. Levin, MD
    Cleveland Clinic Journal of Medicine June 2019, 86 (6) 374-379; DOI: https://doi.org/10.3949/ccjm.86a.18113

    The onset was sudden, and the symptoms were gradually getting worse.

  • An obese 48-year-old man with progressive fatigue and decreased libido
    An obese 48-year-old man with progressive fatigue and decreased libido
    Ala’a N. Farkouh and Ayman A. Zayed, MD, MSc, FACE, FACP
    Cleveland Clinic Journal of Medicine May 2019, 86 (5) 321-331; DOI: https://doi.org/10.3949/ccjm.86a.18097

    Men with hypogonadism usually present with nonspecifi c symptoms.

  • A woman, age 35, with new-onset ascites
    William C. Lippert, MD, MPH, Eun Y. Lee, MD and Aibek E. Mirrakhimov, MD
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 257-262; DOI: https://doi.org/10.3949/ccjm.86a.17082

    She also has jaundice, hepatomegaly, and multiple abnormal laboratory results. What is the next step?

  • A paraneoplastic potassium and acid-base disturbance
    Samuel P. Wiles, MD, Matthew Kiczek, DO and Gregory W. Rutecki, MD
    Cleveland Clinic Journal of Medicine March 2019, 86 (3) 187-197; DOI: https://doi.org/10.3949/ccjm.86a.18014

    A 55-year-old smoker with COPD presents with malaise, paresthesias, and severe hypertension. What is the cause?

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