We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Special Feature |

Picture of the Month FREE

Christiane Stahl, MD; Robert Cohen, MD
[+] Author Affiliations

From the Division of Adolescent Medicine, Department of Pediatrics (Dr Stahl), and the Division of Pulmonary Medicine, Department of Internal Medicine (Dr Cohen), Cook County Hospital, Chicago, Ill.

Section Editor: Walter W. Tunnessen, MD

Arch Pediatr Adolesc Med. 2000;154(10):1055-1056. doi:10.1001/archpedi.154.10.1055.
Text Size: A A A
Published online

A 19-YEAR-OLD young adult had a 3-month history of body aches and a 1-month history of swelling of the left clavicle. He also reported fever, cough, and night sweats. The body aches included migratory pains in his left clavicle, lower ribs, lower back, right ankle, and upper arms. On physical examination, tender, warm, firm swelling of the left medial clavicle (Figure 1), right posterior lateral malleolus, and proximal left fibula were found. Findings from the remainder of the examination, including a slitlamp examination of the eyes, were unremarkable. Three weeks later, he developed bilateral parotid swelling that felt woody to palpation. Chest radiography findings were unremarkable except for marked hilar adenopathy. Additional studies included a technetium-Tc 99m bone scan (Figure 2) and computed tomography of the chest (Figure 3).




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

1 Citations

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
Original Article: What Is Causing This Patient's Vaginal Symptoms?

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis