More articles from The Clinical Picture

  • A patient with breast cancer and a rash on her hands and feet
    Jonathan Stewart, BS, Grace U. Salacup, MD and Kevin Bryan Uy Lo, MD
    Cleveland Clinic Journal of Medicine January 2021, 88 (1) 22-23; DOI: https://doi.org/10.3949/ccjm.88a.20020

    She had completed her third cycle of chemotherapy 3 days earlier.

  • Cryptosporidiosis in an immunosuppressed patient with persistent diarrhea
    Firas Bahdi, MD, Shilpa Jain, MD and Suneal Kumar Agarwal, MD, FACG
    Cleveland Clinic Journal of Medicine January 2021, 88 (1) 24-26; DOI: https://doi.org/10.3949/ccjm.88a.20016

    A 29-year-old lung transplant recipient presents with diarrhea lasting 1 month.

  • Air embolism after peripheral IV contrast injection
    Justin Goodwin, MS and Karthik Gnanapandithan, MD, MS, FHM
    Cleveland Clinic Journal of Medicine December 2020, 87 (12) 718-720; DOI: https://doi.org/10.3949/ccjm.87a.20001

    As little as 2 to 3 mL of air in the cerebral circulation can be fatal.

  • Hypothyroidism, eyelash loss
    Hiroki Matsuura, MD and Yu Suganami, MD, PhD
    Cleveland Clinic Journal of Medicine December 2020, 87 (12) 717; DOI: https://doi.org/10.3949/ccjm.87a.20009

    Testing showed high TSH, low T4, and antithyroid antibodies.

  • Spur-cell anemia
    Satish Maharaj, MD, Drew Murray, MD, Simone Chang, MD and Kamila Cisak, MD
    Cleveland Clinic Journal of Medicine November 2020, 87 (11) 649-650; DOI: https://doi.org/10.3949/ccjm.87a.20044

    A man with liver disease presents with dizziness and fatigue.

  • Miliary tuberculosis in a patient with end-stage liver disease
    Victoria Poplin, MD, Brent Harbaugh, DO, MA, Matthias Salathe, MD and Nathan C. Bahr, MD, MA
    Cleveland Clinic Journal of Medicine October 2020, 87 (10) 590-593; DOI: https://doi.org/10.3949/ccjm.87a.19143

    Chest radiography showed patchy left basilar consolidation with subtle, diffuse interstitial opacities.

  • Verrucous plaques on the face, dysphagia, and limb weakness
    Kerry Hennessy, MD and Mahmoud Shorman, MD, MHA
    Cleveland Clinic Journal of Medicine October 2020, 87 (10) 587-589; DOI: https://doi.org/10.3949/ccjm.87a.19151

    An itchy bump on the upper lip rapidly grew and spread.

  • 5-Fluorouracil–induced encephalopathy
    Yudai Yano, MD and Akira Kuriyama, MD, MPH
    Cleveland Clinic Journal of Medicine September 2020, 87 (9) 532-533; DOI: https://doi.org/10.3949/ccjm.87a.19126

    A woman on chemotherapy for rectal cancer presents with mental status changes.

  • Polypoid melanoma mistaken for verruca vulgaris
    Andrea Tan, MD, Daniel Gutierrez, MD, Nooshin K. Brinster, MD and Jennifer A. Stein, MD, PhD
    Cleveland Clinic Journal of Medicine September 2020, 87 (9) 534-536; DOI: https://doi.org/10.3949/ccjm.87a.19079

    Polypoid melanoma is highly aggressive and often misdiagnosed.

  • Acute dacryocystitis
    Satvinder Singh Bakshi, MS, DNB
    Cleveland Clinic Journal of Medicine August 2020, 87 (8) 477; DOI: https://doi.org/10.3949/ccjm.87a.19121

    Inflammation of the lacrimal sac is related to obstruction, which can be primary or secondary.

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