More articles from The Clinical Picture

  • Methemoglobinemia in an HIV patient
    Riva Raiker, MD, William C. Lippert, MD, MPH and Romil Chadha, MD, MPH, FACP, SFHM
    Cleveland Clinic Journal of Medicine March 2018, 85 (3) 186-187; DOI: https://doi.org/10.3949/ccjm.85a.17004

    He had restarted his home dapsone prophylaxis, but his dyspnea worsened and his urine became dark.

  • Ascites from intraperitoneal urine leakage after pelvic radiation
    Tatsuya Fujikawa, MD, PhD and Yasuharu Tokuda, MD, PhD
    Cleveland Clinic Journal of Medicine March 2018, 85 (3) 188-189; DOI: https://doi.org/10.3949/ccjm.85a.17028

    Six years earlier, the patient had undergone hysterectomy and chemoradiotherapy for cervical cancer.

  • Primary livedo reticularis of the abdomen
    Michael Chew, MD and Paul Aronowitz, MD
    Cleveland Clinic Journal of Medicine March 2018, 85 (3) 181-183; DOI: https://doi.org/10.3949/ccjm.85a.17047

    Livedo reticularis can be the manifestation of a wide range of conditions—or not.

  • Gas under the right diaphragm
    Hiroki Matsuura, MD and Hidenori Hata, MD, PhD
    Cleveland Clinic Journal of Medicine February 2018, 85 (2) 98-100; DOI: https://doi.org/10.3949/ccjm.85a.16139

    The patient was found to have volvulus and obstruction of the bowel.

  • Erythema ab igne
    Thomas Smith, MD and Vinod E. Nambudiri, MD, MBA
    Cleveland Clinic Journal of Medicine February 2018, 85 (2) 96-97; DOI: https://doi.org/10.3949/ccjm.85a.17015

    The patient had been using a heating pad daily, often for several hours at a time, to relieve his back pain.

  • Paraneoplastic acral vascular syndrome
    Satish Maharaj, MBBS, Simone Chang, MBBS, Karan Seegobin, MBBS and Carmen Isache, MD
    Cleveland Clinic Journal of Medicine February 2018, 85 (2) 101-102; DOI: https://doi.org/10.3949/ccjm.85a.17007

    The patient presented with a painful blue great toe, abdominal pain, and unintentional weight loss.

  • Hypothermia and severe first-degree heart block
    Kevin Bryan Uy Lo, MD and Alison Nelson, MD
    Cleveland Clinic Journal of Medicine January 2018, 85 (1) 10-11; DOI: https://doi.org/10.3949/ccjm.85a.17003

    A 96-year-old woman with hypertension, diabetes, and dementia was found unresponsive and was transferred to the hospital.

  • Dysmorphic red blood cell formation
    José Lucas Daza, MD, Marcelo De Rosa, MD and Graciela De Rosa, MD
    Cleveland Clinic Journal of Medicine January 2018, 85 (1) 12-13; DOI: https://doi.org/10.3949/ccjm.85a.17029

    A 23-year-old woman presented with hematuria and dysmorphic red blood cells in the urinary sediment.

  • Scapular rash and endocrine neoplasia
    Muhammed Razmi T, MD, DNB, Debajyoti Chatterjee, MD and Davinder Parsad, MD
    Cleveland Clinic Journal of Medicine November 2017, 84 (11) 831-832; DOI: https://doi.org/10.3949/ccjm.84a.16121

    A woman in her 30s presents with an itchy skin-colored rash over her scapula of 8 years’ duration.

  • Iliopsoas abscess
    Yu Li, MD, Hiraku Funakoshi, MD, MPH, PhD, Takashi Shiga, MD, MPH and Shigeki Fujitani, MD, PhD
    Cleveland Clinic Journal of Medicine November 2017, 84 (11) 833-834; DOI: https://doi.org/10.3949/ccjm.84a.17002

    A 52-year-old woman with diabetes presents with pain in her lower abdomen and back.

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