More articles from The Clinical Picture

  • Dyspnea, arthralgias, and muscle weakness
    Rachel M. Taliercio, DO and Jeffrey Chapman, MD
    Cleveland Clinic Journal of Medicine July 2008, 75 (7) 540-542;

    A computed tomographic scan shows ground-glass opacities in the lower lobes of both lungs. What is the most likely cause of this patient’s symptoms and radiographic findings?

  • Generalized pruritus after a beach vacation
    Sergio Vañó-Galván, MD and Paula Moreno-Martin, MD
    Cleveland Clinic Journal of Medicine July 2008, 75 (7) 474-478;

    A 25-year-old man presents with a 2-month history of generalized itching that began 5 weeks after a trip to Brazil, during which he had sexual relations without protection. What is the most likely diagnosis?

  • A woman with ulcerating, painful skin lesions
    Melissa P. Piliang, MD and James K. Stoller, MD, MS
    Cleveland Clinic Journal of Medicine June 2008, 75 (6) 414-422;

    She has previously enjoyed good health, has no personal or family history of liver, pancreatic, renal, or lung disease, and is taking no medications. What is the diagnosis?

  • Acute facial purpura in an 82-year-old woman with a respiratory tract infection
    Sergio Vañó-Galván, MD and Ernesto Muñoz-Zato, MD
    Cleveland Clinic Journal of Medicine May 2008, 75 (5) 352;

    The lesions appeared suddenly and spontaneously and were not associated with trauma. What is the most likely diagnosis?

  • Dropped gallstones disguised as a liver abscess
    Syed Kashif Mahmood, MD, J. Walton Tomford, MD, Steven Rosenblatt, MD and Steven Gordon, MD
    Cleveland Clinic Journal of Medicine April 2008, 75 (4) 316-318;

    The patient, who underwent laparoscopic cholecystectomy 3 months ago, now has abdominal pain and a spot on computed tomography that could be a liver abscess. But is it?

  • Bilateral parotitis and facial nerve palsy
    Christopher S. King, MD and Michael Zapor, MD, PhD
    Cleveland Clinic Journal of Medicine July 2007, 74 (7) 512-513;

    The patient also has anterior uveitis and a small skin lesion. Which underlying condition is most likely?

  • A woman with aplastic anemia and a rash
    Ila Tamaskar, MD, Ena Segota, MD, Matt Kalaycio, MD and Jaroslaw Maciejewski, MD, PhD
    Cleveland Clinic Journal of Medicine December 2006, 73 (12) 1088-1090;

    A patient who is receiving multiple drugs, including several antibiotics, develops a rash on her chest, abdomen, and extremities. What is the most likely diagnosis?

  • A 48-year-old man with acute, ‘knife-like’ rectal pain
    David Z. Rose, MD, Navin Kedia, DO, Jesse T. Jacob, MD and J. Walton Tomford, MD
    Cleveland Clinic Journal of Medicine November 2006, 73 (11) 1028-1029;

    He has lost 90 pounds in the last 9 months and has had white oral plaques, chronic diarrhea, low-grade fever, and anorexia. What is the most likely diagnosis?

  • A middle-aged man with asymptomatic chest wall asymmetry
    Sridhar R. Allam, MD, MPH, Ruchi Yadav, MD, Moulay Meziane, MD and Atul C. Mehta, MD
    Cleveland Clinic Journal of Medicine August 2006, 73 (8) 754-756;

    He has no history of trauma or chest wall surgery, and he has been aware of the asymmetry since early childhood. What is your diagnosis?

  • An ectopic peripherally inserted central catheter (‘ectoPICC’)
    Marc Williams, MD, Octavian C. Ioachimescu, MD and James K. Stoller, MD, MS
    Cleveland Clinic Journal of Medicine July 2006, 73 (7) 617-618;

    A chest radiograph shows the line to have fractured and embolized to the left pulmonary artery.

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