More articles from The Clinical Picture

  • Pacemaker lead-induced venous thoracic outlet syndrome
    Abhinav Sood, MBBS, MD, Daniel Benhuri, MD, Ujjwal Rastogi, MD and Ramesh M. Gowda, MD
    Cleveland Clinic Journal of Medicine February 2021, 88 (2) 75-76; DOI: https://doi.org/10.3949/ccjm.88a.20023

    Acute arm swelling and pain after an airline flight and a missed anticoagulant dose.

  • Cutaneous digital papules
    Hiroyuki Yano, MD and Mitsuyo Kinjo, MD, MPH
    Cleveland Clinic Journal of Medicine February 2021, 88 (2) 73-74; DOI: https://doi.org/10.3949/ccjm.88a.20063

    Tophi in the finger pads call for aggressive urate-lowering therapy.

  • A patient with breast cancer and a rash on her hands and feet
    Jonathan Stewart, BS, Grace U. Salacup, MD and Kevin Bryan Uy Lo, MD
    Cleveland Clinic Journal of Medicine January 2021, 88 (1) 22-23; DOI: https://doi.org/10.3949/ccjm.88a.20020

    She had completed her third cycle of chemotherapy 3 days earlier.

  • Cryptosporidiosis in an immunosuppressed patient with persistent diarrhea
    Firas Bahdi, MD, Shilpa Jain, MD and Suneal Kumar Agarwal, MD, FACG
    Cleveland Clinic Journal of Medicine January 2021, 88 (1) 24-26; DOI: https://doi.org/10.3949/ccjm.88a.20016

    A 29-year-old lung transplant recipient presents with diarrhea lasting 1 month.

  • Air embolism after peripheral IV contrast injection
    Justin Goodwin, MS and Karthik Gnanapandithan, MD, MS, FHM
    Cleveland Clinic Journal of Medicine December 2020, 87 (12) 718-720; DOI: https://doi.org/10.3949/ccjm.87a.20001

    As little as 2 to 3 mL of air in the cerebral circulation can be fatal.

  • Hypothyroidism, eyelash loss
    Hiroki Matsuura, MD and Yu Suganami, MD, PhD
    Cleveland Clinic Journal of Medicine December 2020, 87 (12) 717; DOI: https://doi.org/10.3949/ccjm.87a.20009

    Testing showed high TSH, low T4, and antithyroid antibodies.

  • Spur-cell anemia
    Satish Maharaj, MD, Drew Murray, MD, Simone Chang, MD and Kamila Cisak, MD
    Cleveland Clinic Journal of Medicine November 2020, 87 (11) 649-650; DOI: https://doi.org/10.3949/ccjm.87a.20044

    A man with liver disease presents with dizziness and fatigue.

  • Miliary tuberculosis in a patient with end-stage liver disease
    Victoria Poplin, MD, Brent Harbaugh, DO, MA, Matthias Salathe, MD and Nathan C. Bahr, MD, MA
    Cleveland Clinic Journal of Medicine October 2020, 87 (10) 590-593; DOI: https://doi.org/10.3949/ccjm.87a.19143

    Chest radiography showed patchy left basilar consolidation with subtle, diffuse interstitial opacities.

  • Verrucous plaques on the face, dysphagia, and limb weakness
    Kerry Hennessy, MD and Mahmoud Shorman, MD, MHA
    Cleveland Clinic Journal of Medicine October 2020, 87 (10) 587-589; DOI: https://doi.org/10.3949/ccjm.87a.19151

    An itchy bump on the upper lip rapidly grew and spread.

  • 5-Fluorouracil–induced encephalopathy
    Yudai Yano, MD and Akira Kuriyama, MD, MPH
    Cleveland Clinic Journal of Medicine September 2020, 87 (9) 532-533; DOI: https://doi.org/10.3949/ccjm.87a.19126

    A woman on chemotherapy for rectal cancer presents with mental status changes.

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