More articles from The Clinical Picture

  • Drug reaction or metastatic lung cancer?
    Hiromichi Hara, MD, PhD, Hirofumi Utsumi, MD, PhD, Hiroshi Wakui, MD, PhD, Haruhiko Yanagisawa, MD, PhD, Mitsuo Hashimoto, MD, PhD and Kazuyoshi Kuwano, MD, PhD
    Cleveland Clinic Journal of Medicine December 2017, 84 (12) 914-915; DOI: https://doi.org/10.3949/ccjm.84a.17005

    Imaging shows nodules randomly distributed throughout both lungs, a paradoxical reaction to drug therapy.

  • An unexpected cause of shoulder pain
    Takeshi Kondo, MD, Yoshiyuki Ohira, PhD, Takanori Uehara, PhD, Kazutaka Noda, PhD and Masatomi Ikusaka, PhD
    Cleveland Clinic Journal of Medicine April 2017, 84 (4) 276-277; DOI: https://doi.org/10.3949/ccim.84a.16051

    The patient’s scapula protruded abnormally during forward flexion and abduction of the arm.

  • Breast calcifications mimicking pulmonary nodules
    Moiz Salahuddin, MD, Thomas Reilly, MD and Jorge Mora, MD
    Cleveland Clinic Journal of Medicine August 2017, 84 (8) 584-585; DOI: https://doi.org/10.3949/ccjm.84a.16048

    Radiography suggested the lesions were in the lungs, but CT and mammography said otherwise.

  • The Leser-Trélat sign
    Christopher Sardon, MD, MPH and Timothy Dempsey, MD, MPH
    Cleveland Clinic Journal of Medicine December 2017, 84 (12) 918; DOI: https://doi.org/10.3949/ccjm.84a.17021

    The patient presented with night sweats, dry cough, weight loss, and sudden onset of “itchy moles” on her back.

  • Hypertrophic osteoarthropathy: Uncommon presentation of lung cancer
    M. Amrutha, MBBS and T. P. Rajagopal, MD
    Cleveland Clinic Journal of Medicine April 2017, 84 (4) 270-272; DOI: https://doi.org/10.3949/ccjm.84a.15167

    The patient presented with bilateral ankle joint pain, swelling of the ankles and wrists, and digital clubbing.

  • Pseudo-Wellens syndrome after heavy marijuana use
    Michael Lawrenz Ferreras Co, MD, Anshuman Das, MD and Tochukwu Okwuosa, DO
    Cleveland Clinic Journal of Medicine August 2017, 84 (8) 590-591; DOI: https://doi.org/10.3949/ccjm.84a.16133

    Acute marijuana intoxication is associated with reversible changes in the P and T waves and ST segments.

  • A burning sensation in the mouth
    Satvinder Singh Bakshi, MS, DNB
    Cleveland Clinic Journal of Medicine May 2017, 84 (5) 344-345; DOI: https://doi.org/10.3949/ccjm.84a.16005

    The patient was a smoker with poor oral hygiene.

  • A lump on the hip
    Morteza Khodaee, MD, MPH, Seth Mathern, MD, Wendy S. Madigosky, MD, MSPH and Jonathan T. Bravman, MD
    Cleveland Clinic Journal of Medicine August 2017, 84 (8) 594-596; DOI: https://doi.org/10.3949/ccjm.84a.16065

    The patient had fallen on his hip while playing basketball about 2 weeks earlier.

  • Abdominal pain under immunosuppressive conditions
    Takayo Ota, MD, PhD, Masanobu Nakano, MSc, Noriko Tanaka, MD, Tomohiro Suzumura, MD, PhD, Nozomi Miyatake, BPharm, Yoshikazu Hasegawa, MD, PhD, Tomohiro Ozaki, MD, Hiroshi Tsukuda, MD and Masahiro Fukuoka, MD, PhD
    Cleveland Clinic Journal of Medicine December 2016, 83 (12) 874-875; DOI: https://doi.org/10.3949/ccjm.83a.15143

    A cancer patient receiving corticosteroids for a brain metastasis developed emphysematous cystitis and psoas muscle abscess.

  • Minocycline-induced hyperpigmentation
    Mahmoud Abdelghany, MD and Alan J. Kivitz, MD
    Cleveland Clinic Journal of Medicine December 2016, 83 (12) 876-877; DOI: https://doi.org/10.3949/ccjm.83a.16058

    The patient presented with extensive bluish skin discoloration that had started 1 year earlier as a small area and then spread.

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