More articles from The Clinical Picture

  • Peripheral opacity on plain chest radiography
    Mohammed A. R. Chamsi-Pasha, MBBS, Abdul Hamid Alraiyes, MD, Ihsan Mamoun, MD and M. Chadi Alraies, MD
    Cleveland Clinic Journal of Medicine October 2013, 80 (10) 621-624; DOI: https://doi.org/10.3949/ccjm.80a.13006

    Sometimes, careful observation can detect unusual signs of a common and serious condition.

  • Chronic itch on the upper back, with pain
    Sergio Vañó-Galván, MD, PhD, Emiliano Grillo, MD, Mayte Truchuelo, MD and Pedro Jaén, MD, PhD
    Cleveland Clinic Journal of Medicine September 2013, 80 (9) 550-552; DOI: https://doi.org/10.3949/ccjm.80a.12135

    An otherwise healthy man has had itchy, grayish-brown patches on his back for 2 years, characteristic of notalgia paresthetica.

  • Fever, dyspnea, and a new heart murmur
    Gregory Jackson, MD, Christian Camargo, MD, Lee Fong Ling, MBBS, MMed, Vidyasagar Kalahasti, MD and Curtis M. Rimmerman, MD, MBA
    Cleveland Clinic Journal of Medicine September 2013, 80 (9) 559-561; DOI: https://doi.org/10.3949/ccjm.80a.12049

    In cases of recurrent persistent fever and a new heart murmur, infective endocarditis must always be considered.

  • Lung air-fluid level in a smoker
    Fayez Kheir, MD, Abdul Hamid Alraiyes, MD, Daniel Salerno, MD, MS and M. Chadi Alraies, MD
    Cleveland Clinic Journal of Medicine August 2013, 80 (8) 500-501; DOI: https://doi.org/10.3949/ccjm.80a.12107

    A 49-year-old man with a 25-pack-year history had a striking finding on radiography.

  • Multiple intracardiac thrombi
    Jana G. Hashash, MD, Nabil S. Zeineh, MD and Frederick W. Crock, MD
    Cleveland Clinic Journal of Medicine July 2013, 80 (7) 415-416; DOI: https://doi.org/10.3949/ccjm.80a.11149

    A 60-year-old woman presents with massive venous thrombosis. What is the cause?

  • Stiff, numb hands
    Khaldoon Shaheen, MD and Srinivas Merugu, MD, MMM
    Cleveland Clinic Journal of Medicine June 2013, 80 (6) 360-362; DOI: https://doi.org/10.3949/ccjm.80a.11186

    A 45-year-old woman presents to the emergency room with cramps and paresthesias in her hands and feet. What is going on?

  • Hyperpigmented patches on the neck, shoulder, and back
    Jason M. Rizzo, BS, Lesley C. Loss, MD and Ilene L. Rothman, MD
    Cleveland Clinic Journal of Medicine May 2013, 80 (5) 290-296; DOI: https://doi.org/10.3949/ccjm.80a.12033

    A 17-year-old boy has had asymptomatic, unilateral hyperpigmented patches since birth. What is the diagnosis?

  • Not all joint pain is arthritis
    Gursimran S. Kochhar, MD, Maged Rizk, MD and Deepa T. Patil, MD
    Cleveland Clinic Journal of Medicine May 2013, 80 (5) 272-273; DOI: https://doi.org/10.3949/ccjm.80a.12085

    A 47-year-old man who was diagnosed with rheumatoid arthritis 5 years ago now has pleural effusions and abdominal pain.

  • A rapidly growing crusted nodule on the lip
    Paul J. Wirth and Thomas N. Helm, MD
    Cleveland Clinic Journal of Medicine April 2013, 80 (4) 222-224; DOI: https://doi.org/10.3949/ccjm.80a.12050

    The patient, who had a squamous cell carcinoma, underwent Mohs surgery and has done well.

  • Implications of a prominent R wave in V1
    Eric J. Chan, MD, Vijaiganesh Nagarajan, MD, MRCP, FACP and Donald A. Underwood, MD
    Cleveland Clinic Journal of Medicine April 2013, 80 (4) 204-205; DOI: https://doi.org/10.3949/ccjm.80a.11138

    A 19-year-old woman presents with exertional dyspnea. What can her electrocardiogram tell us?

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