More articles from The Clinical Picture

  • Giant inverted T waves
    Surabhi Madhwal, MD, Vijaiganesh Nagarajan, MD, MRCP, FACP and Donald A. Underwood, MD
    Cleveland Clinic Journal of Medicine March 2013, 80 (3) 138-139; DOI: https://doi.org/10.3949/ccjm.80a.11139

    A 48-year-old man has large, inverted T waves in the lateral and midprecordial leads. What is the cause?

  • Sore throat, odynophagia, hoarseness, and a muffled, high-pitched voice
    Cong J. Li, MD and Paul Aronowitz, MD, FACP
    Cleveland Clinic Journal of Medicine March 2013, 80 (3) 144-145; DOI: https://doi.org/10.3949/ccjm.80a.12056

    When this patient presents to the emergency department, what does his radiograph show?

  • Dermatitis in an intestinal transplant candidate
    Sarah Taimur, MD and Lucileia Johnson, MD
    Cleveland Clinic Journal of Medicine February 2013, 80 (2) 90; DOI: https://doi.org/10.3949/ccjm.80a.12101

    Cultures of biopsy specimens were negative. What is the cause of this patient’s lesions?

  • Odynophagia, peripheral facial nerve paralysis, mucocutaneous lesions
    Emiliano Grillo, MD, Angela Miguel-Morrondo, MD, Sergio Vañó-Galván, MD, PhD and Pedro Jaén, MD, PhD
    Cleveland Clinic Journal of Medicine February 2013, 80 (2) 76-77; DOI: https://doi.org/10.3949/ccjm.80a.12098

    A 54-year-old woman presented with a 7-day history of odynophagia, pharyngeal swelling, and painful skin lesions on her ear. What does she have?

  • It’s all in the P wave
    Sridhar Venkatachalam, MD, MRCP and Curtis Rimmerman, MD, MBA, FACC
    Cleveland Clinic Journal of Medicine February 2013, 80 (2) 80-82; DOI: https://doi.org/10.3949/ccjm.80a.12044

    A 49-year-old man with rheumatic mitral valve stenosis presents with worsening exertional dyspnea, fatigue, and cough. What can his electrocardiogram tell us?

  • Right upper-abdominal pain in a 97-year-old
    Chia-Ter Chao, MD
    Cleveland Clinic Journal of Medicine January 2013, 80 (1) 15-16; DOI: https://doi.org/10.3949/ccjm.80a.11155

    Physical findings and laboratory studies are normal. What is the cause of this patient’s pain?

  • A 47-year-old man with chest and neck pain
    M. Chadi Alraies, MD, FACP, Usman Ayub Khan, MBBS, Khaldoon Shaheen, MD and Abdul Hamid Alraiyes, MD
    Cleveland Clinic Journal of Medicine January 2013, 80 (1) 6-8; DOI: https://doi.org/10.3949/ccjm.80a.12032

    While boarding a bus, a 50-pack-year smoker with chronic obstructive pulmonary disease heard popping sounds, which were followed by chest and neck pain. What do his radiographs show?

  • Bilateral adrenal masses
    Sima Saberi, MD and Nazanene H. Esfandiari, MD
    Cleveland Clinic Journal of Medicine December 2012, 79 (12) 841-842; DOI: https://doi.org/10.3949/ccjm.79a.12031

    In a woman with a thrombus in the aorta, imaging reveals bilateral high-density adrenal masses. What is the diagnosis?

  • Nail pigmentation and fatigue
    Claudio Guarneri, MD, Valentina Bevelacqua, MD, PhD and Giuseppe Nunnari, MD, PhD, MPH
    Cleveland Clinic Journal of Medicine November 2012, 79 (11) 785-786; DOI: https://doi.org/10.3949/ccjm.79a.12011

    A number of conditions can cause discoloration of the nails. What is the diagnosis?

  • A rash after streptococcal infection
    Naveen K. Voore, MD, Alexis Davis, MD and Joseph Fuscaldo, MD
    Cleveland Clinic Journal of Medicine November 2012, 79 (11) 759-760; DOI: https://doi.org/10.3949/ccjm.79a.12042

    The patient, a 39-year-old woman, had been taking amoxicillin for streptococcal pharyngitis. What caused the rash?

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