More articles from The Clinical Picture
- Osborn waves of hypothermia
The differential diagnosis includes Brugada syndrome, hypercalcemia, and early repolarization syndrome.
- Sarcoidosis mimicking lytic osseous metastases
Sarcoidosis involves the lung in more than 90% of cases; skeletal involvement has been reported in 1% to 14%.
- An unexpected cause of shoulder pain
The patient’s scapula protruded abnormally during forward flexion and abduction of the arm.
- Breast calcifications mimicking pulmonary nodules
Radiography suggested the lesions were in the lungs, but CT and mammography said otherwise.
- The Leser-Trélat sign
The patient presented with night sweats, dry cough, weight loss, and sudden onset of “itchy moles” on her back.
- Hypertrophic osteoarthropathy: Uncommon presentation of lung cancer
The patient presented with bilateral ankle joint pain, swelling of the ankles and wrists, and digital clubbing.
- Pseudo-Wellens syndrome after heavy marijuana use
Acute marijuana intoxication is associated with reversible changes in the P and T waves and ST segments.
- A broken pacemaker lead in a 69-year-old woman
The patient presented with fatigue, cough, light-headedness, and a heart rate of 30 beats per minute.

