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Cleveland Clinic Journal of Medicine

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Table of Contents

June 01, 2016; Volume 83,Issue 6

From the Editor

  • You have access
    The fifth vital sign: A complex story of politics and patient care
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine June 2016, 83 (6) 400-401; DOI: https://doi.org/10.3949/ccjm.83b.06016

    Times have changed, and the diffi culties and complexities of trying to help patients with ongoing pain have increased.

Commentary

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    Anticoagulation in dental surgery: Is it rude to interrupt?
    Michael J. Wahl, DDS
    Cleveland Clinic Journal of Medicine June 2016, 83 (6) 409-413; DOI: https://doi.org/10.3949/ccjm.83a.15014

    Anticoagulation should not be interrupted for dental surgery.

The Clinical Picture

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    Multiple linear subcutaneous nodules
    Gitesh U. Sawatkar, MD, Dipankar De, MD, Uma Nahar Saikia, MD and Sanjeev Handa, MD, FRCP (EDIN)
    Cleveland Clinic Journal of Medicine June 2016, 83 (6) 414-416; DOI: https://doi.org/10.3949/ccjm.83a.15058

    A 34-year-old woman has an asymptomatic swelling on her foot that has been slowly growing for 15 years.

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    Whiplash-shaped acute rash
    Lidia Maroñas-Jiménez, MD, Alejandro Lobato-Berezo, MD, Ramon Pigem, MD, Diana Menis, MD and Sara Palencia-Pérez, MD, PhD
    Cleveland Clinic Journal of Medicine June 2016, 83 (6) 417-418; DOI: https://doi.org/10.3949/ccjm.83a.15062

    The rash appeared suddenly 2 days after the patient ate Chinese food.

1-Minute Consult

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    Should I suspect obstructive sleep apnea if a patient has hard-to-control hypertension?
    Harneet K. Walia, MD
    Cleveland Clinic Journal of Medicine June 2016, 83 (6) 419-421; DOI: https://doi.org/10.3949/ccjm.83a.15112

    Yes. Obstructive sleep apnea is common and is associated with hypertension and resistant hypertension.

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    When does chest CT require contrast enhancement?
    Camila Piza Purysko, MD, Rahul Renapurkar, MD and Michael A. Bolen, MD
    Cleveland Clinic Journal of Medicine June 2016, 83 (6) 423-426; DOI: https://doi.org/10.3949/ccjm.83a.15037

    It may be needed in cases of suspected cancer or thoracovascular disease.

Review

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    Navigating pneumococcal vaccination in adults
    Andrea Pallotta, PharmD, BCPS (AQ-ID), AAHIVP and Susan J. Rehm, MD, FACP, FIDSA
    Cleveland Clinic Journal of Medicine June 2016, 83 (6) 427-433; DOI: https://doi.org/10.3949/ccjm.83a.15044

    With two nonequivalent vaccines and different schedules for different groups, vaccination can be confusing.

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    Total pancreatectomy and islet cell autotransplantation: Definitive treatment for chronic pancreatitis
    Karla M. Arce, MD, Yu Kuei Lin, MD, Tyler Stevens, MD, R. Matthew Walsh, MD and Betul A. Hatipoglu, MD
    Cleveland Clinic Journal of Medicine June 2016, 83 (6) 435-442; DOI: https://doi.org/10.3949/ccjm.83a.15056

    Most patients report less pain after this procedure, and many avoid overt diabetes.

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    Opioids for persistent pain in older adults
    Marissa Galicia-Castillo, MD
    Cleveland Clinic Journal of Medicine June 2016, 83 (6) 443-451; DOI: https://doi.org/10.3949/ccjm.83a.15023

    Legitimate need must be balanced against the risks, especially in older patients.

  • A guide to managing acute liver failure
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    A guide to managing acute liver failure
    Tavankit Singh, MD, Nancy Gupta, MD, Naim Alkhouri, MD, William D. Carey, MD and Ibrahim A. Hanouneh, MD
    Cleveland Clinic Journal of Medicine June 2016, 83 (6) 453-462; DOI: https://doi.org/10.3949/ccjm.83a.15101

    Transfer to intensive care, start specific treatment depending on the cause, and consider transplant.

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    Dietary and medical management of recurrent nephrolithiasis
    Silvi Shah, MD and Juan Camilo Calle, MD
    Cleveland Clinic Journal of Medicine June 2016, 83 (6) 463-471; DOI: https://doi.org/10.3949/ccjm.83a.15089

    Some interventions, such as increasing fl uid intake, apply to all patients, while some apply to those with specifi c types of stones.

Departments

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    Wilson disease (February 2016)
    Aibek E. Mirrakhimov, MD, Taha Ayach, MD and Aram Barbaryan, MD
    Cleveland Clinic Journal of Medicine June 2016, 83 (6) 406; DOI: https://doi.org/10.3949/ccjm.83c.06001

    Readers comment on Wilson disease (February 2016).

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    In reply: Wilson disease (February 2016)
    Mohamad A. Hanouneh, MD, Ari Garber, MD, EDD, Anthony S. Tavill, MD, FAASLD, Nizar N. Zein, MD, FAASLD and Ibrahim A. Hanouneh, MD
    Cleveland Clinic Journal of Medicine June 2016, 83 (6) 406-407; DOI: https://doi.org/10.3949/ccjm.83c.06002
  • You have access
    Cognitive bias and diagnostic error (November 2015)
    Morton H. Field, MD
    Cleveland Clinic Journal of Medicine June 2016, 83 (6) 407-408; DOI: https://doi.org/10.3949/ccjm.83c.06003

    Readers comment on cognitive bias and diagnostic error (November 2015).

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    In reply: Cognitive bias and diagnostic error (November 2015)
    Nikhil Mull, MD, James B. Reilly, MD, MS and Jennifer S. Myers, MD
    Cleveland Clinic Journal of Medicine June 2016, 83 (6) 408; DOI: https://doi.org/10.3949/ccjm.83c.06004
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In this issue

Cleveland Clinic Journal of Medicine: 83 (6)
Cleveland Clinic Journal of Medicine
Vol. 83, Issue 6
1 Jun 2016
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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?
Nasal herpes simplex virus infection
Phenytoin-induced gingival overgrowth
Mucinous ascites: Pseudomyxoma peritonei

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