Oncology

  • Central nervous system lymphoma mimicking Bell palsy
    Kiyoshi Shikino, MD, PhD, Shingo Suzuki, MD, PhD, Takanori Uehara, MD, PhD and Masatomi Ikusaka, MD, PhD
    Cleveland Clinic Journal of Medicine June 2018, 85 (6) 442-443; DOI: https://doi.org/10.3949/ccjm.85a.17061

    Failure of presumed Bell palsy to improve should prompt an evaluation for an underlying condition.

  • Is a detailed neurologic physical examination always necessary?
    Richard J. Lederman, MD, PhD
    Cleveland Clinic Journal of Medicine June 2018, 85 (6) 444-445; DOI: https://doi.org/10.3949/ccjm.85a.17110

    In medicine, we need all the help we can get.

  • Is Pap testing still needed after hysterectomy?
    Halle G. Sobel, MD, Elise Everett, MD and Laura D. Lipold, MD
    Cleveland Clinic Journal of Medicine June 2018, 85 (6) 456-458; DOI: https://doi.org/10.3949/ccjm.85a.17063

    There is no need to continue Pap testing after hysterectomy for a benign indication.

  • Hyperkeratotic fissured plaques on both hands: Mechanic’s hands
    Anuradha Bishnoi, MD and Davinder Parsad, MD
    Cleveland Clinic Journal of Medicine April 2018, 85 (4) 268-269; DOI: https://doi.org/10.3949/ccjm.85a.17045

    This sign is seen in about 30% of patients with antisynthetase syndrome.

  • Are serum troponin levels elevated in conditions other than acute coronary syndrome?
    Kiran Sebastian, MD, Alexander Wester, BS, Anupama Kottam, MD and Ayman O. Soubani, MD
    Cleveland Clinic Journal of Medicine April 2018, 85 (4) 274-277; DOI: https://doi.org/10.3949/ccjm.85a.17011

    Yes. Troponin elevation is a nonspecific sign.

  • Primary livedo reticularis of the abdomen
    Michael Chew, MD and Paul Aronowitz, MD
    Cleveland Clinic Journal of Medicine March 2018, 85 (3) 181-183; DOI: https://doi.org/10.3949/ccjm.85a.17047

    Livedo reticularis can be the manifestation of a wide range of conditions—or not.

  • Ascites from intraperitoneal urine leakage after pelvic radiation
    Tatsuya Fujikawa, MD, PhD and Yasuharu Tokuda, MD, PhD
    Cleveland Clinic Journal of Medicine March 2018, 85 (3) 188-189; DOI: https://doi.org/10.3949/ccjm.85a.17028

    Six years earlier, the patient had undergone hysterectomy and chemoradiotherapy for cervical cancer.

  • A 67-year-old woman with bilateral hand numbness
    Sohab S. Radwan, MD, Khair M. Hamo and Ayman A. Zayed, MD, MSc, FACE, FACP
    Cleveland Clinic Journal of Medicine March 2018, 85 (3) 200-208; DOI: https://doi.org/10.3949/ccjm.85a.17026

    Her history includes type 2 diabetes mellitus, dyslipidemia, hypertension, diastolic heart failure, and thyroid surgery.

  • Paraneoplastic acral vascular syndrome
    Satish Maharaj, MBBS, Simone Chang, MBBS, Karan Seegobin, MBBS and Carmen Isache, MD
    Cleveland Clinic Journal of Medicine February 2018, 85 (2) 101-102; DOI: https://doi.org/10.3949/ccjm.85a.17007

    The patient presented with a painful blue great toe, abdominal pain, and unintentional weight loss.

  • Scapular rash and endocrine neoplasia
    Muhammed Razmi T, MD, DNB, Debajyoti Chatterjee, MD and Davinder Parsad, MD
    Cleveland Clinic Journal of Medicine November 2017, 84 (11) 831-832; DOI: https://doi.org/10.3949/ccjm.84a.16121

    A woman in her 30s presents with an itchy skin-colored rash over her scapula of 8 years’ duration.

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