More articles from The Clinical Picture

  • Bilateral earlobe creases and coronary artery disease
    Abhishek Sharma, MD, Chukwudi Obiagwu, MD and Ekaterina Sikorskaya, MD
    Cleveland Clinic Journal of Medicine November 2016, 83 (11) 786-787; DOI: https://doi.org/10.3949/ccjm.83a.15160

    Bilateral earlobe creases may be useful to look for in cases of suspected coronary artery disease.

  • Air leakage in multiple compartments after endoscopy
    Amanda Grippen Goddard, DO, Bryan McConomy, MD, Girish Bathla, MBBS, FRCR, Muhammad Furqan, MBBS and William B. Silverman, MD, FACG, FASGE, AGAF
    Cleveland Clinic Journal of Medicine October 2016, 83 (10) 705-707; DOI: https://doi.org/10.3949/ccjm.83a.15168

    An attempt to cannulate the common bile duct led to abdominal pain and distention and crepitus of the right chest wall.

  • Concurrent uvulitis and epiglottitis
    William Shomali, MD and Katherine Holman, MD
    Cleveland Clinic Journal of Medicine October 2016, 83 (10) 712-714; DOI: https://doi.org/10.3949/ccjm.83a.15078

    A 66-year-old woman presented with fever, cough, odynophagia, and anterior neck pain.

  • Eruptive xanthoma: Warning sign of systemic disease
    Gillian Roga, MD and Madhukhara Jithendriya, DNB
    Cleveland Clinic Journal of Medicine October 2016, 83 (10) 715-716; DOI: https://doi.org/10.3949/ccjm.83a.15126

    Initial laboratory testing showed a triglyceride level of 5,742 mg/dL.

  • An abnormal peripheral blood smear and altered mental status
    Supakanya Wongrakpanich, MD, Moiz Salahuddin, MD and Priyanka Mittar, DO
    Cleveland Clinic Journal of Medicine September 2016, 83 (9) 643-644; DOI: https://doi.org/10.3949/ccjm.83a.15152

    Therapeutic plasma exchange has greatly increased the survival rate in thrombotic thrombocytopenic purpura.

  • ‘Air-raising’: An air-fluid level in the right subphrenic region
    Anupam Gupta, MD and Oleg Epelbaum, MD
    Cleveland Clinic Journal of Medicine September 2016, 83 (9) 638-640; DOI: https://doi.org/10.3949/ccjm.83a.15162

    Plain chest radiography showed dramatic elevation of the right hemidiaphragm with a large subphrenic air-fl uid level.

  • A man with HIV and papules and nodules on the knees
    Ana M. Victoria-Martínez, MD, Laura Cubells-Sánchez, MD, Lorena Martínez-Leborans, MD, José L Sánchez-Carazo, PhD and Víctor Alegre De Miquel, PhD
    Cleveland Clinic Journal of Medicine September 2016, 83 (9) 641-642; DOI: https://doi.org/10.3949/ccjm.83a.15128

    Erythema elevatum diutinum may be confused with Sweet syndrome, Kaposi sarcoma, or bacillary angiomatosis.

  • Advanced-stage calciphylaxis: Think before you punch
    Arsha Sreedhar, MD, Hina A. Sheikh, MD, Charles J. Scagliotti, MD, FACS and Ranjit Nair, MD
    Cleveland Clinic Journal of Medicine August 2016, 83 (8) 562-564; DOI: https://doi.org/10.3949/ccjm.83a.15103

    Biopsy can cause or worsen ulceration at the incision site, increasing the risk of infection and sepsis.

  • Geographic tongue
    Ceena Neena Jacob, MD, Teny Mathew John, MD, DNB and R. Jayaprakash, MD
    Cleveland Clinic Journal of Medicine August 2016, 83 (8) 565-566; DOI: https://doi.org/10.3949/ccjm.83a.14011

    Although striking, the lesion is benign and self-limiting and rarely warrants further investigation.

  • A serpiginous, itchy rash on the foot
    Elisabeth Gómez Moyano, MD, PhD, Leandro Martinez Pilar, MD, Sara Bjerg Simonsen, MD and Angel Vera-Casaño, MD
    Cleveland Clinic Journal of Medicine July 2016, 83 (7) 494-495; DOI: https://doi.org/10.3949/ccjm.83a.15110

    Cutaneous larva migrans is caused by helminth larvae, usually parasites of the small intestines of cats and dogs.

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