More articles from The Clinical Picture

  • A 46-year-old man with fever, ST-segment elevation
    Atul Singla, MD, Walter Coats, MD and Gregory C. Flaker, MD
    Cleveland Clinic Journal of Medicine May 2011, 78 (5) 286-288; DOI: https://doi.org/10.3949/ccjm.77a.10099

    ST-segment elevation commonly represents acute myocardial infarction, but it is also associated with other conditions.

  • Leukemia cutis
    Christos Tziotzios, BA, MA, MB, BChir (Cantab) and Areti Makrygeorgou, MD
    Cleveland Clinic Journal of Medicine April 2011, 78 (4) 226-227; DOI: https://doi.org/10.3949/ccjm.78a.10127

    This condition occurs in 10% to 15% of patients with acute myeloid leukemia and is a poor prognostic sign.

  • Genital lesions and acute urinary retention
    Nezam AlTorok, MD, Ahmad Abugiazia, MD, Nehaya Abu Shanab, MD and Anita Conway, MD
    Cleveland Clinic Journal of Medicine March 2011, 78 (3) 151-152; DOI: https://doi.org/10.3949/ccjm.78a.10071

    A 36-year-old patient has not voided in 48 hours. Catheterization yields 1,250 mL. What is the next step?

  • A 40-year-old woman with excoriated skin lesions
    M. Chadi Alraies, MD, Emily Keller, MD, Khaldoon Shaheen, MD and Abdul Hamid Alraiyes, MD
    Cleveland Clinic Journal of Medicine March 2011, 78 (3) 161-163; DOI: https://doi.org/10.3949/ccjm.78a.10042

    The lesions have been present for many years; a few show signs of recent bleeding. What is the diagnosis?

  • Cornflake-like scales on the ankles and feet
    Cristina Gómez-Fernández, MD, Beatriz Casado Verrier, MD, Leticia Sanz Canalejas, MD, Ricardo Moreno Alonso De Celada, MD and Pedro Herranz Pinto, MD
    Cleveland Clinic Journal of Medicine December 2010, 77 (12) 848-849; DOI: https://doi.org/10.3949/ccjm.77a.10055

    An 81-year-old woman presents with slowly growing, asymptomatic lesions on both feet and ankles. Which test should be ordered to establish the diagnosis?

  • Palmoplantar eruption
    Salvador Arias-Santiago, MD, Husein Husein-ElAhmed, MD, José Aneiros-Fernández, MD, María Sierra Girón-Prieto, MD and Ramón Naranjo-Sintes, PhD
    Cleveland Clinic Journal of Medicine October 2010, 77 (10) 729-731; DOI: https://doi.org/10.3949/ccjm.77a.09175

    A 38-year-old woman with a history of episodes of arthritis presents with pustules on the palms and on the soles of her feet. What is the most likely diagnosis?

  • An ulcerated plaque on the hand
    Husein Husein-El Ahmed, MD, José Aneiros-Fernández, MD, Salvador Arias-Santiago, MD, Rosa Ortega Del Olmo, MD and Ramón Naranjo-Sintes, PhD
    Cleveland Clinic Journal of Medicine September 2010, 77 (9) 585-586; DOI: https://doi.org/10.3949/ccjm.77a.10004

    A 73-year-old farmer has a lesion on the dorsum of his hand that bleeds intermittently. What is it?

  • The shrinking woman
    Hung-Yi Chu, MD and Pauling Chu, MD, PhD
    Cleveland Clinic Journal of Medicine September 2010, 77 (9) 583-584; DOI: https://doi.org/10.3949/ccjm.77a.10010

    A 45-year-old woman on dialysis has lost 20 cm in height over the past 8 years, despite two parathyroidectomy procedures. Would a third one help?

  • Painful red nodule on the right hand
    Salvador Arias-Santiago, MD, José Aneiros-Fernández, MD, Husein Husein-El Ahmed, MD, María Sierra Girón-Prieto, MD, Leopoldo Muñoz-Medina, PhD and Ramón Naranjo-Sintes, PhD
    Cleveland Clinic Journal of Medicine August 2010, 77 (8) 512-514; DOI: https://doi.org/10.3949/ccjm.77a.09101

    A healthy man presents with a tender subcutaneous nodule on his hand that appeared after cleaning his aquarium. What is the most likely diagnosis?

  • Pyogenic liver abscess
    Noreen T. Nazir, MD, Joshua D. Penfield, MD, MS and Victor Hajjar, MD
    Cleveland Clinic Journal of Medicine July 2010, 77 (7) 426-427; DOI: https://doi.org/10.3949/ccjm.77a.09151

    Klebsiella pneumoniae has emerged as the most common organism seen in pyogenic liver abscess.

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