More articles from The Clinical Picture

  • Acute necrotizing esophagitis
    Takeshi Kondo, MD
    Cleveland Clinic Journal of Medicine December 2018, 85 (12) 912-913; DOI: https://doi.org/10.3949/ccjm.85a.18054

    Poorly controlled diabetes, confusion, coffee-ground emesis.

  • Lung complications of prescription drug abuse
    Josiah D. McCain, MD, Monia E. Werlang, MD, Andras Khoor, MD, PhD and Isabel Mira-Avendano, MD
    Cleveland Clinic Journal of Medicine December 2018, 85 (12) 910-911; DOI: https://doi.org/10.3949/ccjm.85a.18050

    Opioid tablets crushed, then injected intravenously.

  • Renal vein thrombosis and pulmonary embolism
    Alice Chedid, MD, Mohamad Hanouneh, MD and C. John Sperati, MD, MHS
    Cleveland Clinic Journal of Medicine November 2018, 85 (11) 833-834; DOI: https://doi.org/10.3949/ccjm.85a.18064

    A man with membranous nephropathy presents with dyspnea, cough, and epigastric discomfort.

  • Back pain as a sign of inferior vena cava filter complications
    Michael Lause, BS, Alisha Kamboj, BS, Ryan Schwieterman, MD and Vijay Duggirala, MD
    Cleveland Clinic Journal of Medicine November 2018, 85 (11) 835-836; DOI: https://doi.org/10.3949/ccjm.85a.18046

    Complications can include filter movement, fracture, occlusion, and penetration.

  • When stroke runs in the family
    Nellowe Candelario, MD and Kevin Bryan Lo, MD
    Cleveland Clinic Journal of Medicine October 2018, 85 (10) 743-744; DOI: https://doi.org/10.3949/ccjm.85a.18055

    CADASIL—cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy—is due to a mutation in NOTCH3.

  • Pancreatitis: The great masquerader?
    Nicholas S. Duca, MD, Kristian Feterik, MD, MBA and Jonhan Ho, MD, MS
    Cleveland Clinic Journal of Medicine October 2018, 85 (10) 752-753; DOI: https://doi.org/10.3949/ccjm.85a.18062

    Pancreatitis, panniculitis, and polyarthritis syndrome mimics rheumatologic disease, often presenting without abdominal pain.

  • Brain abscesses in a 60-year-old man
    Stella Pak, MD, Shawn Marein, DO, Victor Valencia, Damian Valencia, MD, Jessica Uhler, BS and Adam Fershko, MD, FACP
    Cleveland Clinic Journal of Medicine September 2018, 85 (9) 672-674; DOI: https://doi.org/10.3949/ccjm.85a.17130

    The lesions were not from compromised immunity, but from septic hematogenous spread of an odontogenic infection.

  • Fournier gangrene
    Hiroki Matsuura, MD and Kazuki Iwasa, MD
    Cleveland Clinic Journal of Medicine September 2018, 85 (9) 664-665; DOI: https://doi.org/10.3949/ccjm.85a.18036

    The patient died of rapidly progressive necrotizing fasciitis of the perineum 2 hours after hospital admission.

  • Calcific uremic arteriolopathy
    Mrinali Shetty, MD, Yuvraj Chowdhury, MD and Balaji Yegneswaran, MD, FACP
    Cleveland Clinic Journal of Medicine August 2018, 85 (8) 584-585; DOI: https://doi.org/10.3949/ccjm.85a.18009

    A 51-year-old man with end-stage renal disease presented with extensive necrotic ulcers and eschar on both legs.

  • Palmoplantar exanthema and liver dysfunction
    Tatsuya Fujikawa, MD, PhD and Hiroki Matsuura, MD
    Cleveland Clinic Journal of Medicine August 2018, 85 (8) 591-593; DOI: https://doi.org/10.3949/ccjm.85a.17060

    The patient admitted to having had unprotected sex with a female sex worker.

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