Table of Contents

April 01, 2015; Volume 82,Issue 4

From the Editor

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The art and science of clinical medicine and editorial policy
Brian F. Mandell, MD, PhD

Cleveland Clinic Journal of Medicine April 2015, 82 (4) 201-202; DOI: https://doi.org/10.3949/ccjm.82b.04015

Most clinical decisions are made without any applicable data from clinical studies. This is the “art” of medicine.

The Clinical Picture

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Heart on the right may sometimes be ‘right’
Prashant Sharma, MD, Vijaiganesh Nagarajan, MD, MRCP and Donald A. Underwood, MD

Cleveland Clinic Journal of Medicine April 2015, 82 (4) 206-208; DOI: https://doi.org/10.3949/ccjm.81a.13163

When a 76-year-old man presented with right-sided chest pain, his ECG suggested dextrocardia.
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Eruptive xanthoma
Mahmoud Abdelghany, MD and Samuel Massoud, MD

Cleveland Clinic Journal of Medicine April 2015, 82 (4) 209-210; DOI: https://doi.org/10.3949/ccjm.82a.14081

A man with a total cholesterol level of 1,045 mg/dL and a hemoglobin A1c of 12.6% presents with a new rash.
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A nonhealing oral ulcer in a man with HIV
Lucía Turrión Merino, MD, Guillermo García Serrano, MD, Andres González García, MD, Eva Hermosa Zarza, MD, Marta Urech García De La Vega, MD, Rosario Carrillo Gijón, PhD and Pedro Jaén Olasolo, PhD

Cleveland Clinic Journal of Medicine April 2015, 82 (4) 211-212; DOI: https://doi.org/10.3949/ccjm.82a.14059

The workup eventually led to a diagnosis of oral tuberculosis secondary to active pulmonary tuberculosis.
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Corkscrew hairs
Kaitlin A. Vogt, BLA and Julia S. Lehman, MD

Cleveland Clinic Journal of Medicine April 2015, 82 (4) 216; DOI: https://doi.org/10.3949/ccjm.82a.14135

Scurvy is not a disease of the past: 18% of Americans don’t get enough vitamin C.

1-Minute Consult

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Can the test for human papillomavirus DNA be used as a stand-alone, first-line screening test for cervical cancer?
Xian Wen Jin, MD, PhD, FACP, Margaret L. McKenzie, MD and Belinda Yen-Lieberman, PhD

Cleveland Clinic Journal of Medicine April 2015, 82 (4) 213-215; DOI: https://doi.org/10.3949/ccjm.82a.14092

Yes. The FDA has approved the test for this indication, and guideline committees are reviewing the data.

Im Board Review

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A 57-year-old woman with abdominal pain
Ranjita Pallavi, MD and Beata Popis-Matejak, MD

Cleveland Clinic Journal of Medicine April 2015, 82 (4) 217-225; DOI: https://doi.org/10.3949/ccjm.82a.13171

She was admitted with a diagnosis of acute diverticulitis, but then one thing led to another.

Review

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Alcoholic hepatitis: Challenges in diagnosis and management
Mohannad Dugum, MD, Nizar Zein, MD, Arthur McCullough, MD and Ibrahim Hanouneh, MD

Cleveland Clinic Journal of Medicine April 2015, 82 (4) 226-236; DOI: https://doi.org/10.3949/ccjm.82a.14048

Severe alcoholic hepatitis is a devastating acute condition that requires early recognition and specialized tertiary medical care.
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The Surviving Sepsis Campaign: Where have we been and where are we going?
R. Phillip Dellinger, MD, MSc, MCCM

Cleveland Clinic Journal of Medicine April 2015, 82 (4) 237-244; DOI: https://doi.org/10.3949/ccjm.82gr.15001

Evidence-based guidelines and performance-improvement practices will, it is hoped, reduce mortality from sepsis worldwide.
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Resuming anticoagulation after hemorrhage: A practical approach
Alison Colantino, MD, Amir K. Jaffer, MD, MBA and Daniel J. Brotman, MD

Cleveland Clinic Journal of Medicine April 2015, 82 (4) 245-256; DOI: https://doi.org/10.3949/ccjm.82a.14047

Foremost on our minds is the risk of another hemorrhage. Less obvious is the ongoing risk of thrombosis.

Departments

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Pheochromocytoma (November 2014)
Madhu Belur, MD

Cleveland Clinic Journal of Medicine April 2015, 82 (4) 203; DOI: https://doi.org/10.3949/ccjm.82c.04001

Readers comment on pheochromocytoma (November 2014) and pulmonary tuberculosis (January 2015).
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In Reply: Pheochromocytoma (November 2014)
Ricardo J. Pagán, MD

Cleveland Clinic Journal of Medicine April 2015, 82 (4) 203; DOI: https://doi.org/10.3949/ccjm.82c.04002

Readers comment on pheochromocytoma (November 2014) and pulmonary tuberculosis (January 2015).
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Pulmonary tuberculosis (January 2015)
Mridu Singh, MD, Vikram Singh, MBBS, MD, Saurabh Singh, MBBS, MS, MCh, Anil Kumar Joshi, MBBS and Chitra Joshi, MBBS, MS

Cleveland Clinic Journal of Medicine April 2015, 82 (4) 203-204; DOI: https://doi.org/10.3949/ccjm.82c.04003

Readers comment on pheochromocytoma (November 2014) and pulmonary tuberculosis (January 2015).
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In Reply: Pulmonary tuberculosis (January 2015)
Catherine A. Curley, MD

Cleveland Clinic Journal of Medicine April 2015, 82 (4) 204; DOI: https://doi.org/10.3949/ccjm.82c.04004

Readers comment on pheochromocytoma (November 2014) and pulmonary tuberculosis (January 2015).