More articles from The Clinical Picture

  • 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?

  • Osborn waves: An inverse correlation with core body temperature
    Hesham R. Omar, MD and Hany D. Abdelmalak, MD
    Cleveland Clinic Journal of Medicine November 2011, 78 (11) 734-736; DOI: https://doi.org/10.3949/ccjm.78a.10163

    Classic electrocardiographic findings in hypothermia include J waves, which become higher in amplitude the lower the core body temperature.

  • An erythematous plaque on the nose
    Salvador Arias-Santiago, MD, PhD, María Isabel Soriano-Hernández, MD, José Aneiros-Fernández, MD, Pilar Burkhardt-Pérez, PhD, Agustín Buendía-Eisman, PhD, Ramón Naranjo-Sintes, PhD and Miguel Alaminos-Mingorance, PhD
    Cleveland Clinic Journal of Medicine November 2011, 78 (11) 728-732; DOI: https://doi.org/10.3949/ccjm.78a.10107

    A 38-year-old woman presents with a lesion that appears during periods of cold weather. What is the most likely diagnosis?

  • Necrotic skin lesions after hemodialysis
    Christopher R. Newey, DO, MS, Aarti Sarwal, MD, Jeffrey Uchin, MD and Guy Mulligan, MD
    Cleveland Clinic Journal of Medicine October 2011, 78 (10) 646-648; DOI: https://doi.org/10.3949/ccjm.78a.10149

    A 44-year-old woman with end-stage liver disease presents with a painful, ischemic, necrotic lesion on her thigh. What is the diagnosis?

  • Oral plaques and dysphagia in a young man
    Amber S. Tully, MD and Carol Dao, MD
    Cleveland Clinic Journal of Medicine September 2011, 78 (9) 594-596; DOI: https://doi.org/10.3949/ccjm.78a.10150

    A 23-year-old man presents with oral plaques, a sore throat, dysphagia, malaise, and weight loss. What is the most likely diagnosis?

  • Unmasking gastric cancer
    Faysal Altahawi, Abdul Hamid Alraiyes, MD and M. Chadi Alraies, MD, FACP
    Cleveland Clinic Journal of Medicine September 2011, 78 (9) 606-608; DOI: https://doi.org/10.3949/ccjm.78a.10129

    Screening with diagnostic imaging may be justified in high-risk groups, although the issue is debatable.

  • Electrocardiography in aortic regurgitation: It’s in the details
    Sridhar Venkatachalam, MD, MRCP and Curtis M. Rimmerman, MD, MBA
    Cleveland Clinic Journal of Medicine August 2011, 78 (8) 505-506; DOI: https://doi.org/10.3949/ccjm.78a.10141

    Although not routinely reported, a negative U wave indicates underlying structural or ischemic heart disease.

  • Rash from hepatitis C treatment
    Derek M. Tang, MD and Lawrence Ward, MD, MPH
    Cleveland Clinic Journal of Medicine July 2011, 78 (7) 472-474; DOI: https://doi.org/10.3949/ccjm.78a.10124

    Although the combination of interferon and ribavirin is the standard of treatment for chronic hepatitis C, some patients experience adverse reactions.

  • Scar reactivation and dry cough
    Giulia Rech, MD, Riccardo Balestri, MD, Federico Bardazzi, MD, Bianca Maria Piraccini, MD, PhD and Annalisa Patrizi, MD, PhD
    Cleveland Clinic Journal of Medicine June 2011, 78 (6) 375-376; DOI: https://doi.org/10.3949/ccjm.78a.10132

    A 52-year-old woman has swelling and redness of seven old scars and a dry cough. What diagnostic test should be performed?

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