More articles from The Clinical Picture
- A large mass in the right ventricle: Tumor or thrombus?
A 69-year-old woman with ovarian cancer presents with worsening dyspnea, lower-extremity edema, and dizziness.
- Porcelain heart in a uremic patient
Constrictive pericarditis due to secondary hyperparathyroidism occurs in up to 4% of patients with end-stage renal disease.
- Secondary syphilis
A 39-year-old man presents with generalized weakness, headache, nausea, and migratory arthralgia.
- Worsening migraine due to neurocysticercosis
When a woman with a history of migraine had new symptoms, MRI revealed a tapeworm scolex in her brain.
- Swelling of both arms and chest after push-ups
Symptoms of rhabdomyolysis: myalgia, muscle weakness, dark urine, and, in some, muscle swelling.
- Drug reaction or metastatic lung cancer?
Imaging shows nodules randomly distributed throughout both lungs, a paradoxical reaction to drug therapy.
- 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.