More articles from The Clinical Picture

  • Disseminated invasive aspergillosis in an immunocompetent patient
    Jessica McLaughlin, DO, Eric Libre, MD, FCCP, Amanda Morgan, MD and Svetolik Djurkovic, MD, FCCP
    Cleveland Clinic Journal of Medicine June 2019, 86 (6) 369-370; DOI: https://doi.org/10.3949/ccjm.86a.18093

    The patient, who has COPD, will require lifelong antifungal treatment.

  • Pyoderma gangrenosum mistaken for diabetic ulcer
    Michael A. Munoz, MD and Benson A. Babu, MD, MBA, FACP
    Cleveland Clinic Journal of Medicine May 2019, 86 (5) 319-320; DOI: https://doi.org/10.3949/ccjm.86a.19015

    A man with type 2 diabetes, hypertension, anemia, and ulcerative colitis presented with an ulcer on his leg.

  • Dabigatran-induced esophagitis
    Yusaku Kajihara, MD, FACP
    Cleveland Clinic Journal of Medicine May 2019, 86 (5) 303; DOI: https://doi.org/10.3949/ccjm.86a.18117

    The tablets contain tartaric acid, and if they get stuck in the esophagus, the acid leaching out can damage the mucosa.

  • Gastroparesis in a patient with diabetic ketoacidosis
    Ahmad Muneer Sharayah, MD, Noor Hajjaj, MD, Ramy Osman, MD and Douglas Livornese, MD
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 238-239; DOI: https://doi.org/10.3949/ccjm.86a.18116

    Computed tomography showed new, severe gastric distention. A scan 11 months previously had been normal.

  • Norwegian scabies
    Hiroki Matsuura, MD, Akemi Senoo, MD, PhD, Mari Saito, MD and Yuko Fujimoto, MD
    Cleveland Clinic Journal of Medicine March 2019, 86 (3) 163-164; DOI: https://doi.org/10.3949/ccjm.86a.18081

    Norwegian scabies is extremely contagious, and outbreaks can spread in institutions.

  • Flu or strep? Rapid tests can mislead
    Burke A. Cunha, MD, MACP and Nonso Osakwe, MD
    Cleveland Clinic Journal of Medicine March 2019, 86 (3) 161-162; DOI: https://doi.org/10.3949/ccjm.86a.18094

    Group A streptococci are common colonizers with viral pharyngitis.

  • Dancing sternal wires: A radiologic sign of sternal dehiscence
    Mohamed M. Gad, MD and Amit Gupta, MD
    Cleveland Clinic Journal of Medicine February 2019, 86 (2) 87-88; DOI: https://doi.org/10.3949/ccjm.86a.18091

    Loose fragments of bone and wire pose a danger of puncturing the heart, making sternal dehiscence a surgical emergency.

  • Aleukemic leukemia cutis
    Tuyet Nguyen Abraham, MD, MSC, Peter Morawiecki, MD, Amy Flischel, MD and Bharata Agrawal, MD
    Cleveland Clinic Journal of Medicine February 2019, 86 (2) 85-86; DOI: https://doi.org/10.3949/ccjm.86a.18057

    An 85-year-old man presented with rapidly progressive nodules on the scalp, neck, trunk, and extremities.

  • Acute-onset quadriplegia with hyperreflexia
    Nasreen Shaikh, MD, Muhammad Sardar, MD, Wahab Khan, MD and Wael Ghali, MD
    Cleveland Clinic Journal of Medicine January 2019, 86 (1) 7-8; DOI: https://doi.org/10.3949/ccjm.86a.18049

    MRI showed diffuse T2 hyperintensity beginning at the level of the medulla and extending to the level of C7.

  • Emphysematous cystitis
    Waiel Abusnina, MD, Mena Shehata, MD, Sammy Nassri, MD and Fuad Zeid, MD
    Cleveland Clinic Journal of Medicine January 2019, 86 (1) 10-11; DOI: https://doi.org/10.3949/ccjm.86a.18063

    The patient had fallen in her home and remained on the floor for 2 days until neighbors heard her cries and called 911.

Pages