More articles from Im Board Review

  • Another complication of cirrhosis
    Houriya Ayoubieh, MD and Eyas Alkhalili, MD
    Cleveland Clinic Journal of Medicine September 2017, 84 (9) 701-706; DOI: https://doi.org/10.3949/ccjm.84a.16084

    A patient with cirrhosis presents with acute abdominal pain and shock.

  • Big heart, small ring
    Igor Kravets, MD, FACE
    Cleveland Clinic Journal of Medicine December 2017, 84 (12) 925-933; DOI: https://doi.org/10.3949/ccjm.84a.16101

    A 58-year-old man has stopped wearing his wedding ring, and his wife suspects him of having an extramarital affair.

  • A patient with altered mental status and an acid-base disturbance
    Shylaja Mani, MD and Gregory W. Rutecki, MD
    Cleveland Clinic Journal of Medicine January 2017, 84 (1) 27-34; DOI: https://doi.org/10.3949/ccjm.84a.16042

    Acid-base disorders can be diagnosed and characterized using a systematic, fi ve-step approach.

  • Man’s best friend, fatal in the end
    Evelyn Ling, MD, Stacey Howell, MD, Mai Vang, BS and Paul Aronowitz, MD
    Cleveland Clinic Journal of Medicine February 2017, 84 (2) 146-150; DOI: https://doi.org/10.3949/ccjm.84a.16061

    A dog bite in a patient without a spleen can have serious consequences.

  • Left ventricular thrombosis can still complicate acute myocardial infarction
    Left ventricular thrombosis can still complicate acute myocardial infarction
    Muhammad Umer Tariq, MD, Ali M. Tariq, MD, Carmela D. Tan, MD, E. Rene Rodriguez, MD and Venu Menon, MD
    Cleveland Clinic Journal of Medicine November 2016, 83 (11) 819-826; DOI: https://doi.org/10.3949/ccjm.83a.14078

    Despite revascularization, the next day the patient had an ejection fraction of 35% and a mass in the left ventricle.

  • Erythrocytosis due to presumed polycythemia vera
    Rushad Patell, MD, Karl Theil, MD and Alan Lichtin, MD
    Cleveland Clinic Journal of Medicine September 2016, 83 (9) 648-653; DOI: https://doi.org/10.3949/ccjm.83a.15154

    Erythrocytosis has a variety of potential causes.

  • Renal failure in HCV cirrhosis
    Chitra Deepak Punjabi, MD, Yu Kuang Lai, MD, Manjula Balasubramanian, MD and Imara Dissanayake, MD, FACP
    Cleveland Clinic Journal of Medicine August 2016, 83 (8) 583-588; DOI: https://doi.org/10.3949/ccjm.83a.15106

    The patient was diagnosed with hepatitis C 15 years ago; now, his kidneys are failing.

  • A tale of two sisters with liver disease
    Mohamad A. Hanouneh, MD, Ari Garber, MD, EdD, Anthony S. Tavill, MD, FAASLD, Nizar N. Zein, MD, FAASLD and Ibrahim A. Hanouneh, MD
    Cleveland Clinic Journal of Medicine February 2016, 83 (2) 109-115; DOI: https://doi.org/10.3949/ccjm.83a.15048

    A young woman presents with acute liver failure. What is the cause? Is her sister at risk?

  • Not all abdominal pain is gastrointestinal
    Mena Boules, MD, Madonna Michael, MD, Julietta Chang, MD, Bruce Vrooman, MD, Matthew Kroh, MD and Maged Rizk, MD
    Cleveland Clinic Journal of Medicine January 2016, 83 (1) 29-35; DOI: https://doi.org/10.3949/ccjm.83a.14082

    A 31-year-old woman presents with right mid-abdominal pain that began 1 day ago.

  • A young man with an unusual cause of palpitations
    A young man with an unusual cause of palpitations
    Yu Xie, MD, Anna M. McDivit, MD and Luis R. Castellanos, MD, MPH
    Cleveland Clinic Journal of Medicine December 2015, 82 (12) 820-827; DOI: https://doi.org/10.3949/ccjm.82a.14171

    His heart rate is 260, with wide QRS complexes. Is his tachycardia ventricular or supraventricular?

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