Clincial diagnosis

"A 22-year-old woman with a family history of hypercholesterolemia had had a soft-tissue swelling on the back of her left ankle..."

Images in clinical medicine. Achilles'-tendon xanthoma in familial hypercholesterolemia.

N Engl J Med.1998;338:1591

Excessive bleeding in an old man with an aortic aneurysm.

Localized consumptive coagulopathy.

Circulation.2001;104:120

"A 51-year-old woman with mild hypertension for which she was taking a beta-adrenergic antagonist and a thiazide diuretic was sent to the emergency department because of the discovery of hypocalcemia."

Images in clinical medicine. Trousseau's sign.

N Engl J Med.2000;343:1855

"A 44-year-old man had had marked swelling of the terminal digits since early childhood."

Idiopathic Clubbing.

N Engl J Med.2000;343:1235

"A 38-year-old man from India presented for evaluation of a painful vascular malformation of the right hand and forearm that limited the use of his right hand."

Peripheral vascular malformation (Servelle-martorell) [In Process Citation]

Circulation.2000;101:E82

"On admission, the patient complained of chest discomfort."

Myocardial Infarction After Dog Bite.

Circulation.2000;102:713

"Bluish-grey discoloration of the face after 1 year of treatment with amiodarone..."

Amiodarone Skin Toxicity

Circulation.1998;97:1105

75-year-old woman has mitral valve prostheses with a murmur that changes with the width of the QRS complex.

Change in Character of Mitral Prosthesis Regurgitant Murmur With Bundle-Branch Block

Circulation.2001;103:1715

21-year-old woman with prior ventriculoperitoneal shunt presents with headache and failing vision.

Images in clinical medicine. Papilledema associated with intracranial hypertension.

N Engl J Med.2001;344:1442

"A 74-year-old man was found unconscious at home and brought to the emergency department."

Images in clinical medicine. Poor skin turgor.

N Engl J Med.1998;338:25

44-year old college professor presents with a loud systolic murmur. How should the patient be managed.

Case 3: 44-year old college professor with a loud murmur.

ACC

"64-year-old man with an ejection fraction of 15 percent due to dilated cardiomyopathy."

Images in clinical medicine. Pulsus alternans.

N Engl J Med.1996;334:834

"A73-year-old man was admitted to the hospital because of severe back pain."

Cholesterol Embolism as a Complication of Aortic Dissection

Circulation.1999;100:e48

How should this patient with critical aortic stenosis be managed?

Case 2: A 78 year-old female volunteer with critical aortic stenosis.

ACC

36-year-old woman is admitted with chest pain.

Cocaine use and acute left ventricular dysfunction.

Error! Hyperlink reference not valid.

ST Depression V1 V2: Anterior Ischemia or Posterior Infarction?

ST Depression V1 V2: Anterior Ischemia or Posterior Infarction

ACC

63-year-old man presents with heart failure.

An unusual cause of progressive heart failure.

Error! Hyperlink reference not valid.

Clincial diagnosis

"A 22-year-old woman with a family history of hypercholesterolemia had had a soft-tissue swelling on the back of her left ankle..."

Images in clinical medicine. Achilles'-tendon xanthoma in familial hypercholesterolemia.

Excessive bleeding in an old man with an aortic aneurysm.

Localized consumptive coagulopathy.

"A 51-year-old woman with mild hypertension for which she was taking a beta-adrenergic antagonist and a thiazide diuretic was sent to the emergency department because of the discovery of hypocalcemia."

Images in clinical medicine. Trousseau's sign.

"A 44-year-old man had had marked swelling of the terminal digits since early childhood."

Idiopathic Clubbing.

"A 38-year-old man from India presented for evaluation of a painful vascular malformation of the right hand and forearm that limited the use of his right hand."

Peripheral vascular malformation (Servelle-martorell) [In Process Citation]

"On admission, the patient complained of chest discomfort."

Myocardial Infarction After Dog Bite.

"Bluish-grey discoloration of the face after 1 year of treatment with amiodarone..."

Amiodarone Skin Toxicity

75-year-old woman has mitral valve prostheses with a murmur that changes with the width of the QRS complex.

Change in Character of Mitral Prosthesis Regurgitant Murmur With Bundle-Branch Block

21-year-old woman with prior ventriculoperitoneal shunt presents with headache and failing vision.

Images in clinical medicine. Papilledema associated with intracranial hypertension.

"A 74-year-old man was found unconscious at home and brought to the emergency department."

Images in clinical medicine. Poor skin turgor.

44-year old college professor presents with a loud systolic murmur. How should the patient be managed.

Case 3: 44-year old college professor with a loud murmur.

"64-year-old man with an ejection fraction of 15 percent due to dilated cardiomyopathy."

Images in clinical medicine. Pulsus alternans.

"A73-year-old man was admitted to the hospital because of severe back pain."

Cholesterol Embolism as a Complication of Aortic Dissection

How should this patient with critical aortic stenosis be managed?

Case 2: A 78 year-old female volunteer with critical aortic stenosis.

36-year-old woman is admitted with chest pain.

Cocaine use and acute left ventricular dysfunction.

ST Depression V1 V2: Anterior Ischemia or Posterior Infarction?

ST Depression V1 V2: Anterior Ischemia or Posterior Infarction

63-year-old man presents with heart failure.

An unusual cause of progressive heart failure.

Edited by Donald L Vine MD