More articles from The Clinical Picture

  • Soft tissue atrophy after corticosteroid injection
    Patricia J. Papadopoulos, MD and Jess D. Edison, MD
    Cleveland Clinic Journal of Medicine June 2009, 76 (6) 373-374; DOI: https://doi.org/10.3949/ccjm.76a.08096

    Although it is rare, patients still need to be told about this potential adverse effect.

  • Yellow nails, ankle edema, and pleural effusion
    Federico Biscetti, MD, Giuseppe Straface, MD, Giulia De Angelis, MD and Andrea Flex, MD
    Cleveland Clinic Journal of Medicine May 2009, 76 (5) 317-318; DOI: https://doi.org/10.3949/ccjm.76a.08050
  • Salmonella-related mycotic pseudoaneurysm
    Bacel Nseir, MD and Anthony F. Cutrona, MD
    Cleveland Clinic Journal of Medicine May 2009, 76 (5) 315-316; DOI: https://doi.org/10.3949/ccjm.76a.08031
  • Multiple huge bullae after renal transplant
    Ming-Ju Tsai, MD, Hung-Tien Kuo, MD and Hung-Chun Chen, MD, PhD
    Cleveland Clinic Journal of Medicine April 2009, 76 (4) 221-222; DOI: https://doi.org/10.3949/ccjm.76a.08066

    The patient received a kidney transplant 3 months ago and is taking immunosuppressant drugs. What is the most likely diagnosis?

  • Unilateral cotton wool spots: An important clue
    Thanigaiarsu Thiyagarajan, MD, Hussam Elkambergy, MD, Vijay Mahajan, MD and Priya Kumaraguru, MD
    Cleveland Clinic Journal of Medicine March 2009, 76 (3) 155-158; DOI: https://doi.org/10.3949/ccjm.76a.08036

    The patient has sudden loss of vision in one eye and unilateral cotton wool spots on funduscopy. What is the cause?

  • A facial cutaneous horn
    Sergio Vañó-Galván, MD, Alícía Marqués, MD, Ernesto Muñoz-Zato, MD and Pedro Jaén, MD, PhD
    Cleveland Clinic Journal of Medicine February 2009, 76 (2) 92-95; DOI: https://doi.org/10.3949/ccjm.76a.08010

    A healthy 84-year-old woman has an asymptomatic lesion on her cheek that has grown progressively over the past 10 months. What is it?

  • A persistently swollen lip
    Sergio Vañó-Galván, MD, Paula Moreno-Martin, MD, José-María Arrazola, MD and Pedro Jaén, PhD
    Cleveland Clinic Journal of Medicine January 2009, 76 (1) 12-15; DOI: https://doi.org/10.3949/ccjm.76a.08030

    An otherwise healthy man has had asymptomatic swelling of his lower lip for 10 months. What is the cause? What is the treatment?

  • Black hairy tongue
    Sergio Vañó-Galván, MD and Pedro Jaén, PhD
    Cleveland Clinic Journal of Medicine December 2008, 75 (12) 847-848; DOI: https://doi.org/10.3949/ccjm.75a.08023

    A 71-year-old man presents for evaluation of an asymptomatic black discoloration of the tongue. What is the most likely diagnosis?

  • A 90-year-old woman with an asymptomatic spot on her cheek
    Matthew F. Helm and Lin Lin, MD, PhD
    Cleveland Clinic Journal of Medicine November 2008, 75 (11) 768;

    The lesion is asymmetrical and irregularly pigmented with variegated colors and ill-defined borders. What is the diagnosis?

  • A judgment call
    Deepak Asudani, MD, Sharon Wretzel, MD, Ruchita Patel, MD and Aaron Stayman, MD
    Cleveland Clinic Journal of Medicine October 2008, 75 (10) 690-695;

    A young man hospitalized because of a sickle cell crisis requires a central venous line. However, after the catheter is inserted, an initial chest radiograph reveals that the tip may not be in the right place. What should be done?

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