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Cleveland Clinic Journal of Medicine

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Table of Contents

December 01, 2017; Volume 84,Issue 12

From the Editor

  • You have access
    To have not and then to have: A challenging immune paradox
    Brian F. Mandell, MD
    Cleveland Clinic Journal of Medicine December 2017, 84 (12) 912-913; DOI: https://doi.org/10.3949/ccjm.84b.12017

    The immune reactivation syndrome can occur when the immune system in an immunosuppressed patient with a partially controlled indolent infection is suddenly normalized.

The Clinical Picture

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    Drug reaction or metastatic lung cancer?
    Hiromichi Hara, MD, PhD, Hirofumi Utsumi, MD, PhD, Hiroshi Wakui, MD, PhD, Haruhiko Yanagisawa, MD, PhD, Mitsuo Hashimoto, MD, PhD and Kazuyoshi Kuwano, MD, PhD
    Cleveland Clinic Journal of Medicine December 2017, 84 (12) 914-915; DOI: https://doi.org/10.3949/ccjm.84a.17005

    Imaging shows nodules randomly distributed throughout both lungs, a paradoxical reaction to drug therapy.

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    The Leser-Trélat sign
    Christopher Sardon, MD, MPH and Timothy Dempsey, MD, MPH
    Cleveland Clinic Journal of Medicine December 2017, 84 (12) 918; DOI: https://doi.org/10.3949/ccjm.84a.17021

    The patient presented with night sweats, dry cough, weight loss, and sudden onset of “itchy moles” on her back.

1-Minute Consult

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    Is it time to abandon fasting for routine lipid testing?
    Zareen Farukhi, MD and Samia Mora, MD, MHS
    Cleveland Clinic Journal of Medicine December 2017, 84 (12) 919-922; DOI: https://doi.org/10.3949/ccjm.84a.16135

    Yes. Most patients do not need to fast.

Im Board Review

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    Big heart, small ring
    Igor Kravets, MD, FACE
    Cleveland Clinic Journal of Medicine December 2017, 84 (12) 925-933; DOI: https://doi.org/10.3949/ccjm.84a.16101

    A 58-year-old man has stopped wearing his wedding ring, and his wife suspects him of having an extramarital affair.

Review

  • Diagnosis and treatment of hyperkalemia
    You have access
    Diagnosis and treatment of hyperkalemia
    Biff F. Palmer, MD and Deborah J. Clegg, PhD
    Cleveland Clinic Journal of Medicine December 2017, 84 (12) 934-942; DOI: https://doi.org/10.3949/ccjm.84a.17056

    It is most common in patients with renal impairment, can be life-threatening, and requires a multidisciplinary approach.

  • Diagnostic value of the physical examination in patients with dyspnea
    You have access
    Diagnostic value of the physical examination in patients with dyspnea
    Richard A. Shellenberger, DO, Bathmapriya Balakrishnan, MD, Sindhu Avula, MD, Ariadne Ebel, DO and Sufiya Shaik, MD
    Cleveland Clinic Journal of Medicine December 2017, 84 (12) 943-950; DOI: https://doi.org/10.3949/ccjm.84a.16127

    How accurate are the signs of pneumonia, pleural effusion, COPD, and congestive heart failure?

Current Drug Therapy

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    Pharmacotherapy for obesity: What you need to know
    Sophie Bersoux, MD, MPH, Tina H. Byun, MD, Swarna S. Chaliki, MD and Kenneth G. Poole, MD, MBA
    Cleveland Clinic Journal of Medicine December 2017, 84 (12) 951-958; DOI: https://doi.org/10.3949/ccjm.84a.16094

    Weight-loss drugs are not magic pills, but they can help when used along with diet, exercise, and other lifestyle changes.

Editorial

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    It’s time to consider pharmacotherapy for obesity
    Derrick C. Cetin, DO
    Cleveland Clinic Journal of Medicine December 2017, 84 (12) 959-960; DOI: https://doi.org/10.3949/ccjm.84a.17077

    Consider using chronic weight-loss medications as adjunctive therapy if lifestyle and behavioral strategies are ineffective.

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In this issue

Cleveland Clinic Journal of Medicine: 84 (12)
Cleveland Clinic Journal of Medicine
Vol. 84, Issue 12
1 Dec 2017
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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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