More articles from The Clinical Picture

  • Osborn waves of hypothermia
    Paurush Ambesh, MD, Gerald Hollander, MD and Jacob Shani, MD
    Cleveland Clinic Journal of Medicine October 2017, 84 (10) 746-747; DOI: https://doi.org/10.3949/ccjm.84a.16134

    The differential diagnosis includes Brugada syndrome, hypercalcemia, and early repolarization syndrome.

  • Sarcoidosis mimicking lytic osseous metastases
    Anahy M. Brandy-García, Ivan Cabezas-Rodriguez, Luis Caminal-Montero, Carlos Suarez-Cuervo and Pilar Redondo-Buil
    Cleveland Clinic Journal of Medicine October 2017, 84 (10) 753-754; DOI: https://doi.org/10.3949/ccjm.84a.16108

    Sarcoidosis involves the lung in more than 90% of cases; skeletal involvement has been reported in 1% to 14%.

  • Pseudo-Wellens syndrome after heavy marijuana use
    Michael Lawrenz Ferreras Co, MD, Anshuman Das, MD and Tochukwu Okwuosa, DO
    Cleveland Clinic Journal of Medicine August 2017, 84 (8) 590-591; DOI: https://doi.org/10.3949/ccjm.84a.16133

    Acute marijuana intoxication is associated with reversible changes in the P and T waves and ST segments.

  • A burning sensation in the mouth
    Satvinder Singh Bakshi, MS, DNB
    Cleveland Clinic Journal of Medicine May 2017, 84 (5) 344-345; DOI: https://doi.org/10.3949/ccjm.84a.16005

    The patient was a smoker with poor oral hygiene.

  • A lump on the hip
    Morteza Khodaee, MD, MPH, Seth Mathern, MD, Wendy S. Madigosky, MD, MSPH and Jonathan T. Bravman, MD
    Cleveland Clinic Journal of Medicine August 2017, 84 (8) 594-596; DOI: https://doi.org/10.3949/ccjm.84a.16065

    The patient had fallen on his hip while playing basketball about 2 weeks earlier.

  • A broken pacemaker lead in a 69-year-old woman
    Belal Kaseer, MD, Mhd Yassin Al Mouslmani, MD, David S. Hirsh, MD and Muhammad Hammadah, MD
    Cleveland Clinic Journal of Medicine May 2017, 84 (5) 346-347; DOI: https://doi.org/10.3949/ccjm.84a.16075

    The patient presented with fatigue, cough, light-headedness, and a heart rate of 30 beats per minute.

  • Metastatic pulmonary calcification and end-stage renal disease
    James M. Walter, MD, Marion Stanley, MD and Benjamin D. Singer, MD
    Cleveland Clinic Journal of Medicine September 2017, 84 (9) 668-669; DOI: https://doi.org/10.3949/ccjm.84a.16132

    CT may show diffusely calcified nodules, high-attenuation areas of consolidation, or fluffy ground-glass nodules.

  • Erythematous patches with keratotic annular borders on the glans penis
    Elisabeth Gómez-Moyano, MD, PhD, Inmaculada Ureña-Garnica, MD, PhD, Sara Manrique-Arija, MD, PhD and Luis Miguel Perez-Belmonte, MD, PhD
    Cleveland Clinic Journal of Medicine January 2017, 84 (1) 23-24; DOI: https://doi.org/10.3949/ccjm.84a.15145

    Reactive arthritis was diagnosed on the basis of urethritis, ocular symptoms, circinate balanitis, and sacroiliitis.

  • A second-degree burn after MRI
    Nicole S. Mandel, MD, Jeremy L. Ramdial, MD and Erin N. Marcus, MD
    Cleveland Clinic Journal of Medicine May 2017, 84 (5) 348-349; DOI: https://doi.org/10.3949/ccjm.84a.15164

    After undergoing imaging, the patient had 2 new bullous lesions on his inner thighs.

  • Heartburn or heart attack? A mimic of MI
    Willis S. Bowman, MD, Amir Farid, MD and Paul Aronowitz, MD
    Cleveland Clinic Journal of Medicine September 2017, 84 (9) 664-665; DOI: https://doi.org/10.3949/ccjm.84a.16093

    The diagnosis: milk-alkali syndrome, complicated by thiazide use.

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