Table of Contents
April 01, 2016; Volume 83, Issue 4-
From the Editor
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Zika—a new continent and new complications?
Brian F. Mandell, MD, PhD- Cleveland Clinic Journal of Medicine April 2016, 83 (4) 247-248;
- DOI: https://doi.org/10.3949/ccjm.83b.04016
Zika reminds us that we live in a medically connected global community.
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The Clinical Picture
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Phrenic nerve paralysis induced by brachial plexus block
Aaron C. Hamilton, MD, MBA and Christopher Pleyer, MD- Cleveland Clinic Journal of Medicine April 2016, 83 (4) 250-251;
- DOI: https://doi.org/10.3949/ccjm.83a.15032
The patient developed shortness of breath 1 day after undergoing arthroscopic repair of a rotator cuff.
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Cocaine-induced ecchymotic rash
Naveen K. Voore, MD- Cleveland Clinic Journal of Medicine April 2016, 83 (4) 252-253;
- DOI: https://doi.org/10.3949/ccjm.83a.15125
Levamisole-adulterated cocaine can induce an ANCA-associated vasculitic rash within hours or days.
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1-Minute Consult
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What is the best approach to a high systolic pulmonary artery pressure on echocardiography?
Mostafa Ahmed, MD, Raed A. Dweik, MD and Adriano R. Tonelli, MD- Cleveland Clinic Journal of Medicine April 2016, 83 (4) 256-260;
- DOI: https://doi.org/10.3949/ccjm.83a.14186
This is a common incidental finding. What to do depends on clinical presentation, comorbidities, and results of other tests.
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Review
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Zika virus: A primer for clinicians
Michelle S. Flores, MD, Timothy H. Burgess, MD, MPH and Michael Rajnik, MD- Cleveland Clinic Journal of Medicine April 2016, 83 (4) 261-270;
- DOI: https://doi.org/10.3949/ccjm.83a.16027
Zika is worrisome because of associations with microcephaly and Guillain-Barré syndrome. Watch for updates at cdc.gov.
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When does asymptomatic aortic stenosis warrant surgery? Assessment techniques
Cian P. McCarthy, MB, BCh, BAO, Dermot Phelan, MD, PhD and Brian Griffin, MD- Cleveland Clinic Journal of Medicine April 2016, 83 (4) 271-280;
- DOI: https://doi.org/10.3949/ccjm.83a.15069
We review the guidelines for valve replacement and the traditional and novel variables to consider.
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Drugs that may harm bone: Mitigating the risk
Faye N. Hant, DO, MSCR and Marcy B. Bolster, MD- Cleveland Clinic Journal of Medicine April 2016, 83 (4) 281-288;
- DOI: https://doi.org/10.3949/ccjm.83a.15066
The implicated drugs have important therapeutic roles, so their benefits must be weighed against the risks.
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Treating and preventing acute exacerbations of COPD
Umur S. Hatipoglu, MD and Loutfi S. Aboussouan, MD- Cleveland Clinic Journal of Medicine April 2016, 83 (4) 289-300;
- DOI: https://doi.org/10.3949/ccjm.83a.14188
Corticosteroids, antibiotics, and bronchodilators are the cornerstones of prevention and treatment.
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Managing diabetes in hospitalized patients with chronic kidney disease
Shridhar N. Iyer, MD, PhD, FACP and Robert J. Tanenberg, MD, FACP- Cleveland Clinic Journal of Medicine April 2016, 83 (4) 301-310;
- DOI: https://doi.org/10.3949/ccjm.83a.14189
Avoiding hypoglycemia takes precedence over meeting strict blood sugar targets.
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