Table of Contents
June 01, 2010; Volume 77, Issue 6-
From the Editor
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LVH and hypertension: Is treating the pressure not enough?
Brian F. Mandell, MD, PhD- Cleveland Clinic Journal of Medicine June 2010, 77 (6) 344;
- DOI: https://doi.org/10.3949/ccjm.77a.06001
I am not sure the weight of current evidence supports routinely screening hypertensive patients for left ventricular hypertrophy using echocardiography, but the concept warrants consideration and study.
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The Clinical Picture
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Recurrent spontaneous pneumothorax
Aditya Gupta, MD, Bela Patel, MD, Khalid Almoosa, MD and Brandy J. McKelvy, MD- Cleveland Clinic Journal of Medicine June 2010, 77 (6) 345-347;
- DOI: https://doi.org/10.3949/ccjm.77a.09108
The patient, a 26-year-old woman, also has many nodular lesions on her face, a hypopigmented lesion on her thigh, and a fleshy plaque on her back. What is the diagnosis?
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An erythematous plaque on the arm
Salvador Arias-Santiago, MD, José Aneiros-Fernández, MD, Husein Husein El-Ahmed, MD, Pilar Burkhardt-Pérez, MD and Ramón Naranjo-Sintes, PhD- Cleveland Clinic Journal of Medicine June 2010, 77 (6) 351-352;
- DOI: https://doi.org/10.3949/ccjm.77a.09073
A 68-year-old farmer presents with an asymptomatic lesion that appeared spontaneously 5 months ago and has grown progressively. What is the diagnosis?
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Im Board Review
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Difficulty swallowing solid foods; food ‘getting stuck in the chest’
Maqsood A. Khan, MD, Bijo K. John, MD, Bret A. Lashner, MD and Donald F. Kirby, MD- Cleveland Clinic Journal of Medicine June 2010, 77 (6) 354-363;
- DOI: https://doi.org/10.3949/ccjm.77a.09144
A 61-year-old woman has had alarming symptoms for the last 4 weeks. Which test will you order now?
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1-Minute Consult
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Should patients with mild asthma use inhaled steroids?
Susan Razavi Abouhassan, MD and David M. Lang, MD- Cleveland Clinic Journal of Medicine June 2010, 77 (6) 364-368;
- DOI: https://doi.org/10.3949/ccjm.77a.09074
Yes—but only if we consider the severity of the asthma, the goals of therapy, and the benefits and risks.
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Review
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Incidence, outcomes, and management of bleeding in non-ST-elevation acute coronary syndromes
Antonio Gutierrez, MD and Sunil V. Rao, MD- Cleveland Clinic Journal of Medicine June 2010, 77 (6) 369-379;
- DOI: https://doi.org/10.3949/ccjm.77a.09142
Powerful antithrombotic and antiplatelet drugs and percutaneous interventions pose risks of bleeding. Fortunately, the risk can be managed.
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Left ventricular hypertrophy: An overlooked cardiovascular risk factor
Michael A. Bauml, MD and Donald A. Underwood, MD- Cleveland Clinic Journal of Medicine June 2010, 77 (6) 381-387;
- DOI: https://doi.org/10.3949/ccjm.77a.09158
Antihypertensive treatment that causes left ventricular hypertrophy to regress also decreases rates of cardiovascular morbidity and death, independently of how much the blood pressure is lowered.
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Update on the management of hirsutism
Shannon Harrison, MBBS, MMed, FACD, Najwa Somani, MD and Wilma F. Bergfeld, MD- Cleveland Clinic Journal of Medicine June 2010, 77 (6) 388-398;
- DOI: https://doi.org/10.3949/ccjm.77a.08079
Hirsutism causes considerable anxiety in women. Although it is itself benign, it is often the sign of an underlying and possibly serious endocrine condition.
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Departments
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Financial disclosure for associate editors of the Cleveland Clinic Journal of Medicine
- Cleveland Clinic Journal of Medicine June 2010, 77 (6) 347;
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