More articles from The Clinical Picture
- Lady Windermere syndrome: Mycobacterium of sophistication
The typical patient is a thin, well-mannered elderly woman who voluntarily suppresses her cough out of politeness.
- Herpes zoster triplex
A 77-year-old man presented with painful eruptions on the left chest, right lower groin, and left thigh.
- Occult satellite metastasis of an auricular melanoma
Satellite lesions are a sign of aggressive disease and require a thorough evaluation for metastases.
- Parvovirus mimicking acute HIV infection
A 25-year-old Jamaican man presented with a rash on his face, back, and hands.
- Respiratory artifact: A second vital sign on the electrocardiogram
Respiratory artifact is a marker of increased work of breathing and of significant cardiopulmonary compromise.
- An unusual cause of vitamin B12 and iron deficiency
Testing for ova and parasites was negative, but video capsule endoscopy revealed a tapeworm in the distal duodenum.
- Electrocardiographic changes in amitriptyline overdose
A 49-year-old woman was unresponsive after taking an unknown quantity of amitriptyline.
- Umbilical hernia in a patient with cirrhosis
Ascites is the major predisposing factor, since it causes muscle wasting and increases intra-abdominal pressure.
- Corneal opacities in a man with chronic kidney disease
Effects of lecithin-cholesterol acyltransferase deficiency include coronary artery disease, renal disease, and corneal opacity.
- Persistent back pain in a young woman
Spinal tuberculosis, or Pott disease, is still a common cause of back pain in parts of the world where the infection is rampant.