The Cleveland Clinic Internal Medicine Case Reviews

by Longworth, David L.; Stoller, James K.; Casey, David M.; Jewell, John K.

• ISBN13: 9780781742665
• ISBN10: 0781742668
• Format: Paperback
• Copyright: 2003-05-20
• Publisher: LWW

Summary

This companion to The Cleveland Clinic Intensive Review of Internal Medicine includes 62 cases across all subspecialties of internal medicine. Cases have been authored by house officers with reviews by distinguished Cleveland Clinic faculty. Plus, board review questions enable readers to identify and review weak areas as they prepare for the American Board of Internal Medicine exam. The Cleveland Clinic Internal Medicine Case Reviews provides step-by-step cases with a problem-oriented presentation style. Summaries of appropriate procedures and regimens are supported by the inclusion of recent literature. The case review book is enhanced with easy-to-use tables and summaries and large illustrations.

Table of Contents

Editors' Note	viii
Contributing Authors	ix
Preface	xv
SECTION I: CARDIOVASCULAR DISEASE
A 32-Year-Old Woman with Ischemia of the Left Foot and Right Fifth Finger	3	(7)
Jose Rafael Romero
John Kevin Hix
James C. Pile
Teresa L. Carman
An 86-Year-Old Woman with Chest Pain	10	(4)
Yasser M. Bhat
Allen Jeremias
Sabba Maqbool
Amir K. Jaffer
A 75-Year-Old Woman with Bilateral Lower-Extremity Edema	14	(4)
Anne Kanderian
Sasan Ghaffari
A 47-Year-Old Man with a Painful, Blue Finger	18	(5)
Ahmed A. Absi
Susan M. Begelman
A 46-Year-Old Man with Right Leg Pain	23	(6)
Sibyll Goetze
Johannes Brechtken
Christopher T. Bajzer
A 66-Year-Old Man with Chest Pain and Cocaine Abuse	29	(6)
Benjamin J. Freda
Amjad AlMahameed
Ritesh Gupta
W. Frank Peacock IV
A Young Man with Aortic Dissection	35	(4)
Rita Shi-Ming Lee
Mark E. Mayer
A 55-Year-Old Man with Chest Pain Following Valve Repair Surgery	39	(6)
Khaldoun G. Tarakji
Curtis M. Rimmerman
A 26-Year-Old Postpartum Woman with Dyspnea	45	(4)
Tyler Stevens
Mark A. Roth
A 62-Year-Old Man with Polymorphic Ventricular Tachycardia	49	(4)
John P. Girod
Daniel J. Brotman
A 35-Year-Old Woman with Heart Palpitations	53	(6)
Todd Schwedt
Bruce Wilkoff
SECTION II: ENDOCRINOLOGY
A 55-Year-Old Woman with Postoperative Hypotension	59	(5)
Anil Asgaonkar
Amir H. Hamrahian
Muscle Spasms in a Young Man with Short Stature, Mild Mental Retardation, and Brachydactyly	64	(5)
Timir S. Baman
Mario Skugor
Alejandro Morales
Daniel J. Brotman
A 36-Year-Old Man with Polydipsia, Polyuria, and Nausea	69	(4)
Martin E. Lascano
Richard S. Lang
Leg Pain and Anxiety in a 31-Year-Old Woman with Crohn Disease	73	(4)
Ashish Atreja
Cynthia C. Abacan
A 41-Year-Old Woman with Thinning Hair	77	(3)
Mark Everett Rose
Joel Weisblat
Christian Nasr
A 38-Year-Old Woman with Severe Headache	80	(7)
Katherine Keith
Jesse T. Jacob
Amir H. Hamrahian
SECTION III: GASTROENTEROLOGY
A 57-Year-Old Man with New-Onset Ascites	87	(5)
Rony M. Abou-Jawde
Gabriel Bou Merhi
Tarek Mekhail
William D. Carey
A 73-Year-Old Man with Fever and Jaundice	92	(3)
Mohammed S. Ghanamah
Aaron Brzezinski
A 34-Year-Old Woman with Rash, Weight Loss, and Right-Upper-Quadrant Pain	95	(4)
Gabriel Bou Merhi
Rony M. Abou-Jawde
Ronald Adams
A 73-Year-Old Man with Recurrent Gastrointestinal Bleeding	99	(5)
Saleh A. Ismail
Darwin L. Conwell
Diarrhea and Diffuse Colitis in a Renal Transplant Patient	104	(5)
Rony M. Abou-Jawde
Matthew G. Smith
A 59-Year-Old Man with Chronic Diarrhea	109	(8)
Anthony K. Leung
Robin K. Avery
Michael B. Lehman
SECTION IV: HEMATOLOGY/MEDICAL ONCOLOGY
Recurrent Spontaneous Hematomas in an Elderly Woman	117	(4)
Soufian AlMahameed
Sarkis B. Baghdasarian
Elisa Tso
A 34-Year-Old Woman with Gross Hematuria	121	(3)
Firas Z. Sioufi
David M. Casey
A 78-Year-Old Man with Thrombocytopenia	124	(4)
Armando Philip S. Paez
James C. Pile
A 44-Year-Old Woman with Severe Iron-Deficiency Anemia	128	(3)
Jason G. Hurbanek
Sarkis B. Baghdasarian
Robert M. Palmer
A 71-Year-Old Woman with Persistent Lymphadenopathy	131	(4)
Bridget P. Sinnott
Roderick Adams
A 54-Year-Old Woman with Back Pain	135	(5)
Michael J. Lee
Robert J. Pelley
Low Back Pain in a 78-Year-Old Man	140	(4)
Snehal G. Thakkar
Chelif Junor
Gordan Srkalovic
A 62-Year-Old Man with Edema and Hepatosplenomegaly	144	(4)
Eyad Al-Hattab
Bindu Sangani
Pelvic Pain in a 58-Year-Old Woman	148	(3)
Toni Choueiri
Rony M. Abou-Jawde
Robert J. Pelley
A 41-Year-Old Woman with Anemia and Thrombocytopenia	151	(6)
Ahmed A. Absi
Mohammed S. Ghanamah
SECTION V: INFECTIOUS DISEASES
A Patient with Human Immunodeficiency Virus Infection with Fever and Shortness of Breath	157	(4)
Jose Rafael Romero
Sarkis B. Baghdasarian
Olympia A. Tachopoulou
Thomas F. Keys
A 22-Year-Old Woman with Systemic Lupus Erythematosus and Brain Lesions	161	(5)
Shadi N. Daoud
Olympia A. Tachopoulou
Susan J. Rehm
A 59-Year-Old Diabetic Man with a Painful Hand Ulcer	166	(4)
Khalid Tabbarah
Toni Choueiri
Olympia A. Tachopoulou
Steven P. LaRosa
A Young Woman with Right-Upper-Quadrant Pain and Fever	170	(5)
Angela M. Marschalk
Natalie G. Correia
A 42-Year-Old Woman with Fever, Cough, and Dyspnea	175	(5)
Mohammed Alghoul
J. Walton Tomford
A 54-Year-Old Woman with Headache, Fever, and Confusion	180	(4)
Martin E. Lascano
M. Fernanda Bonilla
Peter J. Mazzone
A 61-Year-Old Woman with Persistent Pneumonia	184	(5)
Benjamin J. Freda
Jeffrey T. Chapman
Robin K. Avery
A 73-Year-Old Man with Fever and Chills	189	(4)
Mohammed S. Ghanamah
Ritesh Gupta
A 49-Year-Old Man with Cough, Fever, and Night Sweats	193	(6)
Suzanne M. Breckenridge
J. Walton Tomford
SECTION VI: MISCELLANEOUS
A 78-Year-Old Woman with Progressive Lower-Extremity and Facial Weakness	199	(5)
Ahmed K. Abdel Latif
Lara E. Jeha
Bryan E. Tsao
A Young Woman with Dizziness and Syncope	204	(4)
Andres A. Gonzalez
Fetnat Fouad-Tarazi
A 47-Year-Old Man with Paresthesias and Difficulty Walking	208	(3)
Basuki K. Gunawan
Michael Baytion
J. Harry Isaacson
A 59-Year-Old Man with Nonhealing Lower-Extremity Ulcers	211	(4)
Rony M. Abou-Jawde
Sarkis B. Baghdasarian
Steven K. Schmitt
Natalie G. Correia
A 63-Year-Old Woman with Left-Sided Weakness	215	(8)
Armando Philip S. Paez
Anthony Furlan
SECTION VII: NEPHROLOGY
A 69-Year-Old Woman with Subcutaneous Nodules and Arthralgias	223	(4)
Gazala N. Khan
Byron J. Hoogwerf
A Healthy 23-Year-Old Man with Acute Mental Status Change	227	(4)
Kevin J. Mikielski
Richard A. Fatica
A 77-Year-Old Man with Altered Mental Status	231	(4)
Andrea Wang-Gillam
John Kevin Hix
Saul Nurko
Nausea, Vomiting, and Confusion in a 74-Year-Old Woman	235	(4)
Rohtashav Dhir
Natalie G. Correia
A 33-Year-Old Woman with Chest Pain and Shortness of Breath	239	(4)
Jonathan A. Rapp
Michael Baytion
Yasser M. Bhat
Amir K. Jaffer
A 65-Year-Old Man with Dyspnea and Oliguria	243	(6)
Michael B. Davidson
Alan Wong
Martin J. Schreiber, Jr.
SECTION VIII: PULMONARY AND CRITICAL CARE MEDICINE
A 61-Year-Old Man with Shortness of Breath After Myocardial Infarction	249	(6)
Jason M. Guardino
Susan J. Rehm
Peter J. Mazzone
A 48-Year-Old Woman with Postoperative Shortness of Breath	255	(3)
Sarkis B. Baghdasarian
Rony M. Abou-Jawde
Frank Michota
A 56-Year-Old Woman with Increasing Dyspnea and Cough	258	(4)
Alan Wong
Shaun D. Frost
A 30-Year-Old Woman with Cyanosis, Dyspnea, and Oxygen Desaturation After Bronchoscopy	262	(3)
Feyrouz T. Al-Ashkar
Peter J. Mazzone
A 53-Year-Old Man with Chest Pain	265	(5)
May Azem
James K. Stoller
Pulseless Cardiac Arrest in a 64-Year-Old Man	270	(4)
John Kevin Hix
David V. Gugliotti
A 20-Year-Old Woman with Shortness of Breath	274	(7)
Yaser Abu El-Sameed
Raed Dweik
SECTION IX: RHEUMATOLOGY
A 46-Year-Old Man with Left Knee Pain	281	(5)
Michael J. Lee
Derrick C. Cetin
A 62-Year-Old Woman with Left Hand Edema	286	(5)
Martin E. Lascano
Susan J. Rehm
Subject Index	291