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Cleveland Clinic Journal of Medicine

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Table of Contents

March 01, 2009; Volume 76,Issue 3

From the Editor

  • You have access
    Identifying and classifying myocardial infarctions
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine March 2009, 76 (3) 150; DOI: https://doi.org/10.3949/ccjm.76a.03001

    In this issue of the Journal, Drs. Shaun Senter and Gary Francis discuss the power of electrocardiographic changes and creatine kinase-MB and troponin elevations in diagnosing acute myocardial infarction. These are not perfect tests.

The Clinical Picture

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    Unilateral cotton wool spots: An important clue
    Thanigaiarsu Thiyagarajan, MD, Hussam Elkambergy, MD, Vijay Mahajan, MD and Priya Kumaraguru, MD
    Cleveland Clinic Journal of Medicine March 2009, 76 (3) 155-158; DOI: https://doi.org/10.3949/ccjm.76a.08036

    The patient has sudden loss of vision in one eye and unilateral cotton wool spots on funduscopy. What is the cause?

Review

  • A new, precise definition of acute myocardial infarction
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    A new, precise definition of acute myocardial infarction
    Shaun Senter, MD, MS and Gary S. Francis, MD
    Cleveland Clinic Journal of Medicine March 2009, 76 (3) 159-166; DOI: https://doi.org/10.3949/ccjm.75a.08092

    The updated definition includes subtypes of acute MI, imaging studies supporting the diagnosis, and biomarker thresholds after percutaneous coronary intervention and coronary artery bypass grafting.

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    Psychiatric symptoms of dementia: Treatable, but no silver bullet
    Wihiam Schwab, MD, PhD, Barbara Messinger-Rapport, MD, PhD and Kathy Franco, MD
    Cleveland Clinic Journal of Medicine March 2009, 76 (3) 167-174; DOI: https://doi.org/10.3949/ccjm.76a.07270

    Your 84-year-old patient’s son is distraught. “I know Mom has dementia, but I don’t understand why she cannot relax. Please give her a pill.”

Imaging in Practice

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    The radiologic workup of a palpable breast mass
    Lauren Stein, MD and Melanie Chellman-Jeffers, MD
    Cleveland Clinic Journal of Medicine March 2009, 76 (3) 175-180; DOI: https://doi.org/10.3949/ccjm.76a.08015

    The discovery of a breast mass is a common occurrence, and it is distressing for any woman. The choice of initial imaging study is most often guided by the patient’s age.

Review

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    Optic neuritis and risk of MS: Differential diagnosis and management
    Benjamín J. Osborne, MD and Nicholas J. Volpe, MD
    Cleveland Clinic Journal of Medicine March 2009, 76 (3) 181-190; DOI: https://doi.org/10.3949/ccjm.76a.07268

    Optic neuritis, a demyelinating inflammatory condition that causes acute vision loss, is associated with multiple sclerosis. Recognizing its classic clinical manifestations early is important so that diagnostic testing and treatment can be started.

Im Board Review

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    A 43-year-old woman with chest pressure
    Deborah Mickelson, DO, Ehab N. Mady, DO and Kathryn Teng, MD
    Cleveland Clinic Journal of Medicine March 2009, 76 (3) 191-198; DOI: https://doi.org/10.3949/ccjm.76a.07006

    She has acute chest discomfort, a 25-pack-year smoking history, and a family history of myocardial infarction and deep vein thrombosis. What is the cause of her symptoms?

Cardiovascular Board Review

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    A 37-year-old man with chest pain, ECG changes, and elevated cardiac enzymes
    Arash Aghel, MD and Richard A. Krasuski, MD
    Cleveland Clinic Journal of Medicine March 2009, 76 (3) 199-205; DOI: https://doi.org/10.3949/ccjm.75a.07008

    He has had chest pain and dyspnea for the past few months, but now they are worse. What is the most likely cause?

Departments

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    Hyperthyroidism or thyrotoxicosis? (November 2008)
    Weekitt Kittisupamongkol, MD
    Cleveland Clinic Journal of Medicine March 2009, 76 (3) 152; DOI: https://doi.org/10.3949/ccjm.76c.03001
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    Shingles vaccine (January 2009)
    Ronald Hirsch, MD
    Cleveland Clinic Journal of Medicine March 2009, 76 (3) 152; DOI: https://doi.org/10.3949/ccim.76c.03002
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    In reply: Shingles vaccine (January 2009)
    Aparajita Singh, MD, MPH
    Cleveland Clinic Journal of Medicine March 2009, 76 (3) 152; DOI: https://doi.org/10.3949/ccjm.76c.03003
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In this issue

Cleveland Clinic Journal of Medicine: 76 (3)
Cleveland Clinic Journal of Medicine
Vol. 76, Issue 3
1 Mar 2009
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Oral leukoplakia and oral cancer
A 50-year-old man presents with shortness of breath
Myasthenia gravis: Frequently asked questions
Central vision loss in a 44-year-old woman
Median rhomboid glossitis caused by tongue-brushing
Making best use of bone turnover markers to monitor oral bisphosphonate therapy
Asymptomatic granules on the buccal mucosa
Does my patient need to be screened or treated for a urinary tract infection?
Ignore e-cigarettes at your patient’s peril
Spontaneous oral hematoma diagnosed as angina bullosa hemorrhagica
Hypophosphatemia in a patient with an eating disorder
Scaly plaques in a malnourished patient
Confusion in a 22-year-old woman, and diagnostic uncertainty
How do we maximize diuresis in acute decompensated heart failure?

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