More articles from The Clinical Picture

  • A young man with unexplained dyspnea
    Marc Williams, MD, Firas Zahr, MD, Atul C. Mehta, MD and Omar A. Minai, MD
    Cleveland Clinic Journal of Medicine June 2006, 73 (6) 554-556;

    He has Wegener granulomatosis, and pulmonary function testing shows flattening of the inspiratory and expiratory limbs of his flow-volume loop. What is the cause?

  • A tropical souvenir not worth picking up
    Sastry Prayaga, MD and Giri B. Mannepuli, MD
    Cleveland Clinic Journal of Medicine May 2006, 73 (5) 458-459;

    The patient recently returned from a beach resort in Jamaica and now has a painful rash on her foot. What is it?

  • A young woman withan eroded plaque on the hand
    Anjeli G. Laungani, MD, Abha Khandelwal, MS, MD and Kenneth J. Tomecki, MD
    Cleveland Clinic Journal of Medicine April 2006, 73 (4) 369-371;

    She has a painful, inflamed eroded plaque at the previous site of an intravenous catheter. She is afebrile, and blood cultures and tissue cultures are negative.

  • A middle-aged man with progressive neurologic deficits and bilateral leg lesions
    Marc Williams, MD, Brendan J. Kelley, MD, Stephen Samples, MD and Maryann Mays, MD
    Cleveland Clinic Journal of Medicine March 2006, 73 (3) 269-272;

    His speech is severely impaired and he cannot swallow liquids or solids. The leg lesions have been present for several years and are painless. What is the likely diagnosis?

  • An expanding skin lesion in a patient on immunosuppressive therapy
    Marc Williams, MD, Ravindran A. Padmanabhan, MD, MRCP (UK), Leonard H. Calabrese, DO and Steven M. Gordon, MD
    Cleveland Clinic Journal of Medicine February 2006, 73 (2) 170-171;

    The lesion, originally diagnosed as pyoderma gangrenosum, now measures 15 cm × 6 cm. What should be the next step in management?

  • Severe chest pain in a 32-year-old man
    Marc Williams, MD and Arnaldo G. Carvalho, MD
    Cleveland Clinic Journal of Medicine January 2006, 73 (1) 49-50;

    His electrocardiogram shows ST-segment elevation in leads I, II, aVF, and V5 and V6, but no reciprocal changes. What is the diagnosis?

  • A 73-year-old woman with chronic nonhealing cellulitis
    Anthony K. Leung, DO and Wendy S. Armstrong, MD
    Cleveland Clinic Journal of Medicine November 2005, 72 (11) 1022-1024;

    She has undergone extensive treatment with antibiotics and corticosteroids, without success. What is the likely diagnosis?

  • A woman with headache and blurred vision
    Ena Segota, MD, David Adelstein, MD and Tarek Mekhail, MD, MSc
    Cleveland Clinic Journal of Medicine October 2005, 72 (10) 848-851;

    She has non-small-cell lung cancer and patchy symmetrical areas of subcortical edema in the posterior parietal and occipital lobes of the brain. What is the most likely diagnosis?

  • Multiple skin nodules in a 64-year-old woman
    Sheetal Chhaya, DO and Karen Rendt, MD
    Cleveland Clinic Journal of Medicine August 2005, 72 (8) 687-688;

    The nodules developed about 18 years ago, about 10 years after the onset of proximal muscle weakness and rash. What is the diagnosis?

  • A 35-year-old man with recurrent hoarseness
    Gunjan M. Dalal, MB, BS and Atul C. Mehta, MB, BS
    Cleveland Clinic Journal of Medicine July 2005, 72 (7) 549-550;

    He has undergone laser photoresection of a tracheal mass three times in the past 2 years. What is the diagnosis?

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