More articles from The Clinical Picture

  • Light-headedness and bradycardia in a 72-year-old woman
    Brijesh Patel, DO, Charlotte Wiemann, MD and Dipak P. Shah, MD
    Cleveland Clinic Journal of Medicine May 2015, 82 (5) 280-282; DOI: https://doi.org/10.3949/ccjm.82a.14019

    Complete heart block is a form of atrioventricular (AV) dissociation, but not all AV dissociation is complete heart block.

  • A lump in the umbilicus
    Hadi Mirfazaelian, MD, Ahmad Mosalei, MD, Yahya Daneshbod, MD, Shahrzad Negahban, MD and Azita Aledavood, MD
    Cleveland Clinic Journal of Medicine May 2015, 82 (5) 270; DOI: https://doi.org/10.3949/ccjm.82a.13164

    An estimated 1% to 3% of patients with cancer in the abdomen or pelvis present with a nodule in the umbilicus.

  • Morphea-like plaques, induration of the extremities, and eosinophilia
    César Magro-Checa, MD, Jacinto Orgaz-Molina, PhD, Sunna R. Lafèbre, MD, José L. Rosales-Alexander, PhD, Salvador Arias-Santiago, PhD and Enrique Raya, PhD
    Cleveland Clinic Journal of Medicine May 2015, 82 (5) 283-284; DOI: https://doi.org/10.3949/ccjm.82a.13126

    Eosinophilic fasciitis is suspected in a patient with eosinophilia and characteristic cutaneous features.

  • Heart on the right may sometimes be ‘right’
    Prashant Sharma, MD, Vijaiganesh Nagarajan, MD, MRCP and Donald A. Underwood, MD
    Cleveland Clinic Journal of Medicine April 2015, 82 (4) 206-208; DOI: https://doi.org/10.3949/ccjm.81a.13163

    When a 76-year-old man presented with right-sided chest pain, his ECG suggested dextrocardia.

  • Corkscrew hairs
    Kaitlin A. Vogt, BLA and Julia S. Lehman, MD
    Cleveland Clinic Journal of Medicine April 2015, 82 (4) 216; DOI: https://doi.org/10.3949/ccjm.82a.14135

    Scurvy is not a disease of the past: 18% of Americans don’t get enough vitamin C.

  • Eruptive xanthoma
    Mahmoud Abdelghany, MD and Samuel Massoud, MD
    Cleveland Clinic Journal of Medicine April 2015, 82 (4) 209-210; DOI: https://doi.org/10.3949/ccjm.82a.14081

    A man with a total cholesterol level of 1,045 mg/dL and a hemoglobin A1c of 12.6% presents with a new rash.

  • A nonhealing oral ulcer in a man with HIV
    Lucía Turrión Merino, MD, Guillermo García Serrano, MD, Andres González García, MD, Eva Hermosa Zarza, MD, Marta Urech García De La Vega, MD, Rosario Carrillo Gijón, PhD and Pedro Jaén Olasolo, PhD
    Cleveland Clinic Journal of Medicine April 2015, 82 (4) 211-212; DOI: https://doi.org/10.3949/ccjm.82a.14059

    The workup eventually led to a diagnosis of oral tuberculosis secondary to active pulmonary tuberculosis.

  • Pneumatosis cystoides intestinalis: Is surgery always indicated?
    Dayakar Kancherla, MD, Swapna Vattikuti, MD and Kishore Vipperla, MD
    Cleveland Clinic Journal of Medicine March 2015, 82 (3) 151-152; DOI: https://doi.org/10.3949/ccjm.82a.14006

    This disease is usually benign, but evidence of necrosis or pneumoperitoneum warrants immediate surgery.

  • Syncope from a twiddled ICD
    Fatima Adhi, MD, Gurshawn Singh, MD, Wayne Tsuang, MD and Eduardo Mireles-Cabodevila, MD
    Cleveland Clinic Journal of Medicine February 2015, 82 (2) 81-82; DOI: https://doi.org/10.3949/ccjm.82a.14095

    A patient playing (“twiddling”) with his or her implanted cardioverter-defibrillator can dislodge the lead.

  • Joint pain in a man with lung cancer
    Emily Jernigan, BS, Nadia Siddiqi, DO and Prashanth Peddi, MD
    Cleveland Clinic Journal of Medicine January 2015, 82 (1) 18-19; DOI: https://doi.org/10.3949/ccjm.82a.13137

    Hypertrophic pulmonary osteoarthropathy is characterized by proliferation of the skin and periosteal formation of new bone.

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