More articles from The Clinical Picture

  • Chest pain: The importance of serial ECGs
    Rene Jansen van Rensburg, MBChB, MD, Jason Schutte, MBChB and Thomas de Beenhouwer, MD
    Cleveland Clinic Journal of Medicine October 2021, 88 (10) 538-540; DOI: https://doi.org/10.3949/ccjm.88a.20183

    Repeat electrocardiograms in a 44-year-old man who presented with severe hypertension revealed de Winter and Wellens patterns.

  • Dermatomyositis-related interstitial lung disease mimicking COVID-19 pneumonia
    Satoshi Hayano, MD, Kenichiro Tokunaga, MD, Yusuke Imamura, MD and Hideto Oshikawa, MD
    Cleveland Clinic Journal of Medicine September 2021, 88 (9) 484-486; DOI: https://doi.org/10.3949/ccjm.88a.20204

    A subtype of myositis with characteristic skin rashes and ulcers, amyopathic or hypomyopathic symptoms, and rapidly progressive ILD.

  • An uncommon cause of chest pain
    Salman Salahuddin, MD, DM, MRCP (UK)
    Cleveland Clinic Journal of Medicine September 2021, 88 (9) 487-488; DOI: https://doi.org/10.3949/ccjm.88a.20160

    Re-review of a “normal” chest radiograph provided valuable clues.

  • Leriche syndrome
    Hiroki Matsuura, MD and Hiroyuki Honda, MD, PhD
    Cleveland Clinic Journal of Medicine September 2021, 88 (9) 482-483; DOI: https://doi.org/10.3949/ccjm.88a.20179

    Physical examination revealed pallor of the toes, cold extremities, dry skin, and absence of bilateral femoral pulses. The patient also disclosed erectile dysfunction.

  • Abdominal pseudohernia due to herpes zoster
    Junki Mizumoto, MD
    Cleveland Clinic Journal of Medicine September 2021, 88 (9) 480-481; DOI: https://doi.org/10.3949/ccjm.88a.20178

    A 66-year-old man presents with bulging and persistent burning pain in the right abdominal side for 4 days.

  • Eruptive seborrheic keratosis: A perilous clue
    Akanksha Kaushik, MD, Soufila KT, MD, Manju Daroach, MD, Divya Aggarwal, MD, Pulkit Rastogi, MD, DM and Muthu Sendhil Kumaran, MD, DNB
    Cleveland Clinic Journal of Medicine August 2021, 88 (8) 428-430; DOI: https://doi.org/10.3949/ccjm.88a.20124

    An abrupt increase in seborrheic keratoses in patients with an underlying malignancy is called the Leser-Trélat sign.

  • Pseudopathologic vertebral body enhancement
    Yi Pan, MD, Peixin Tan, MD, Songxi Xie, MD, Jiewen Chen, MMed and Yi-Long Wu, MD
    Cleveland Clinic Journal of Medicine August 2021, 88 (8) 424-425; DOI: https://doi.org/10.3949/ccjm.88a.20150

    Contrast-enhanced computed tomography revealed sclerotic enhancement of the T1 vertebral body and the vertebral bodies from C2 to T2.

  • Shedding light on subungual digital mucous cysts
    Taylor Bullock, BS, Daniel Michalik, MD, Rashmi Unwala, MD and John Anthony, MD
    Cleveland Clinic Journal of Medicine August 2021, 88 (8) 426-427; DOI: https://doi.org/10.3949/ccjm.88a.20125

    Transillumination is a quick and easy way to diagnose digital mucous cysts and rule out other subungual masses.

  • Tuberous sclerosis complex
    Jesica Martín Carmona, MD, Elisabeth Gómez Moyano, MD, PhD, Ana Raquel de Castro Almeida, MD and Leandro Martínez Pilar, MD, PhD
    Cleveland Clinic Journal of Medicine July 2021, 88 (7) 367-368; DOI: https://doi.org/10.3949/ccjm.88a.20075

    A rare disorder caused by mutations of tumor-suppressor genes.

  • Aspiration of a partial denture after an ischemic stroke
    Alisha Kamboj, MD, MBA, Zi Yu Liu, MD, Sharmila Price, MD and Michael Sun, MD
    Cleveland Clinic Journal of Medicine July 2021, 88 (7) 375-376; DOI: https://doi.org/10.3949/ccjm.88a.20132

    A bedside evaluation inaccurately led to the conclusion that it was safe to advance to a dysphagia diet.

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