More articles from The Clinical Picture

  • A 68-year-old man with a blue toe
    Kiyoshi Shikino, MD, PhD, Takahiro Ota, MD, Takanori Uehara, MD, PhD and Masatomi Ikusaka, MD, PhD
    Cleveland Clinic Journal of Medicine June 2017, 84 (6) 436-437; DOI: https://doi.org/10.3949/ccjm.84a.16059

    The patient had undergone coronary artery bypass grafting, which caused cholesterol crystal embolism.

  • Disseminated molluscum contagiosum lesions in an HIV patient
    Telma Azevedo, MD, Alexandre Catarino, MD, Lurdes Ferreira, MD, Fernando Borges, MD and Kamal Mansinho, MD
    Cleveland Clinic Journal of Medicine March 2017, 84 (3) 186-187; DOI: https://doi.org/10.3949/ccjm.84a.16070

    The patient was diagnosed with HIV-related encephalopathy and disseminated Mycobacterium tuberculosis infection.

  • A large mass in the right ventricle: Tumor or thrombus?
    Soumya Patnaik, MD, Mahek Shah, MD, Saurabh Sharma, MD, Pradhum Ram, MD, Harish Seetha Rammohan, MD and Alexander Rubin, MD
    Cleveland Clinic Journal of Medicine July 2017, 84 (7) 517-519; DOI: https://doi.org/10.3949/ccjm.84a.16115

    A 69-year-old woman with ovarian cancer presents with worsening dyspnea, lower-extremity edema, and dizziness.

  • Porcelain heart in a uremic patient
    Hsiu-Chien Yang, MD, Chang-Han Lo, MD, Chun-Chi Chen, MD and Chia-Chao Wu, MD, PhD
    Cleveland Clinic Journal of Medicine March 2017, 84 (3) 184-185; DOI: https://doi.org/10.3949/ccjm.84a.15177

    Constrictive pericarditis due to secondary hyperparathyroidism occurs in up to 4% of patients with end-stage renal disease.

  • Secondary syphilis
    Emma Coleman, DO, Andre Fiahlo, MD and Andrei Brateanu, MD, FACP
    Cleveland Clinic Journal of Medicine July 2017, 84 (7) 510-511; DOI: https://doi.org/10.3949/ccjm.84a.16089

    A 39-year-old man presents with generalized weakness, headache, nausea, and migratory arthralgia.

  • Worsening migraine due to neurocysticercosis
    Emily J. Elliott, DO, LT MC USN and Edwin J. Landaker, MD, CDR MC USN
    Cleveland Clinic Journal of Medicine March 2017, 84 (3) 196-198; DOI: https://doi.org/10.3949/ccjm.84a.16003

    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
    Kiyoshi Shikino, MD, PHD, Yusuke Hirota, MD and Masatomi Ikusaka, MD, PHD
    Cleveland Clinic Journal of Medicine July 2017, 84 (7) 508-509; DOI: https://doi.org/10.3949/ccjm.84a.16030

    Symptoms of rhabdomyolysis: myalgia, muscle weakness, dark urine, and, in some, muscle swelling.

  • Drug reaction or metastatic lung cancer?
    Hiromichi Hara, MD, PhD, Hirofumi Utsumi, MD, PhD, Hiroshi Wakui, MD, PhD, Haruhiko Yanagisawa, MD, PhD, Mitsuo Hashimoto, MD, PhD and Kazuyoshi Kuwano, MD, PhD
    Cleveland Clinic Journal of Medicine December 2017, 84 (12) 914-915; DOI: https://doi.org/10.3949/ccjm.84a.17005

    Imaging shows nodules randomly distributed throughout both lungs, a paradoxical reaction to drug therapy.

  • Minocycline-induced hyperpigmentation
    Mahmoud Abdelghany, MD and Alan J. Kivitz, MD
    Cleveland Clinic Journal of Medicine December 2016, 83 (12) 876-877; DOI: https://doi.org/10.3949/ccjm.83a.16058

    The patient presented with extensive bluish skin discoloration that had started 1 year earlier as a small area and then spread.

  • Phlegmasia cerulea dolens from radiation-induced venous stenosis
    Suman Paul, MBBS, PhD and Mujeeb Sheikh, MD
    Cleveland Clinic Journal of Medicine December 2016, 83 (12) 865-867; DOI: https://doi.org/10.3949/ccjm.83a.15166

    The patient had received pelvic radiation 10 years earlier for prostate cancer.

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