More articles from The Clinical Picture

  • Purpuric lesion on the elbow
    Naveen K. Voore, MD, Asima Rahman, MD, MRCGP, MRCOG, Sathish Sanna, MD and Huzefa Bahrain, DO
    Cleveland Clinic Journal of Medicine April 2012, 79 (4) 253-256; DOI: https://doi.org/10.3949/ccjm.79a.11036

    A 75-year-old man developed a painful lesion on the elbow several days after starting warfarin therapy. What is the most likely diagnosis?

  • A nodule on a woman’s face
    Salvador Arias-Santiago, MD, José Aneiros-Fernández, MD, Antonio Cutando, PhD, Agustín Buendía-Eisman, PhD, Ramón Naranjo-Sintes, PhD, Antonio Campos, PhD and Miguel Alaminos-Mingorance
    Cleveland Clinic Journal of Medicine April 2012, 79 (4) 282-284; DOI: https://doi.org/10.3949/ccjm.79a.10115

    It is firm, pink, 10 mm in diameter, with surrounding telangiectasias. What is it?

  • A 26-year-old woman with a lump in her chest
    Vanya D. Wagler, DO, Sonny Huitron, DO and Christopher S. King, MD
    Cleveland Clinic Journal of Medicine March 2012, 79 (3) 177-178; DOI: https://doi.org/10.3949/ccjm.79a.11070

    Computed tomography revealed a necrotic mass and bony destruction of the inferior sternum, but no pulmonary parenchymal lesions. What is the most likely diagnosis?

  • High creatinine 6 months after renal transplant
    Neeraj Singh, MBBS and Anil K. Agarwal, MD
    Cleveland Clinic Journal of Medicine March 2012, 79 (3) 174-175; DOI: https://doi.org/10.3949/ccjm.79a.11050

    Ultrasonography showed a large fluid collection compressing the transplanted kidney. What is the diagnosis?

  • Chest pain followed by sudden collapse
    Hesham R. Omar, MD
    Cleveland Clinic Journal of Medicine February 2012, 79 (2) 110-112; DOI: https://doi.org/10.3949/ccjm.78a.10050

    A 51-year-old man, resuscitated from ventricular fibrillation, has ST elevation in leads V1 and V2. What is the likely cause?

  • A 48-year-old woman with an ecchymotic rash
    Soumya Chatterjee, MD, MS, FRCP and Ralph J. Tuthill, MD
    Cleveland Clinic Journal of Medicine February 2012, 79 (2) 102-105; DOI: https://doi.org/10.3949/ccjm.78a.10173

    Her test results satisfied the criteria for a lupus anticoagulant. What is the most likely diagnosis?

  • Diffuse reticulonodular infiltrates
    Maria Giselle S. Velez, MD, FACP and Vicente Jose M. Velez, MD, FACP
    Cleveland Clinic Journal of Medicine January 2012, 79 (1) 16-17; DOI: https://doi.org/10.3949/ccjm.78a.11009
  • Cytomegalovirus colitis
    Jana G. Hashash, MD, Marwan Refaat, MD, Abdulrahman Abdulbaki, MD, Elie G. Aoun, MD and Leonard Baidoo, MD
    Cleveland Clinic Journal of Medicine January 2012, 79 (1) 12-13; DOI: https://doi.org/10.3949/ccjm.78a.11028
  • A less common source of dyspnea in scleroderma
    Faysal Altahawi and M. Chadi Alraies, MD, FACP
    Cleveland Clinic Journal of Medicine December 2011, 78 (12) 801-802; DOI: https://doi.org/10.3949/ccjm.78a.11014

    A 48-year-old man with scleroderma reports progressive shortness of breath, fatigue, and melena over the past month. What is the link?

  • Presumed premature ventricular contractions
    Moises Auron, MD and Donald Underwood, MD
    Cleveland Clinic Journal of Medicine December 2011, 78 (12) 812-814; DOI: https://doi.org/10.3949/ccjm.78a.10155

    The electrocardiogram shows what appear to be premature ventricular contractions. But are they?

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