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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.

  • You have access
    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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What screening approach could improve early detection of ‘at-risk’ metabolic dysfunction–associated steatohepatitis in my patients?
Sclerotic lesions in the metadiaphysis regions of the knee
Comfort care: Creating a plan for hospitalized patients and their families
Disseminated coccidioidomycosis masquerading as bacterial cellulitis
Potassium-competitive acid blockers: Clinical pearls and practical insights
KDIGO chronic kidney disease heat map: Let the colors be your guide!
Sex-specific risk factors for stroke in women: Focus on the 2024 AHA/ASA guideline
FINEARTS-HF: Improving outcomes in heart failure with preserved or mildly reduced ejection fraction
Iris roseola: A diagnostic clue in neurosyphilis
‘All that wheezes is not asthma’—a reminder that the physical examination
Treating perinatal mood and anxiety disorders: A call to action
Palatal mass with an overlying white lesion
Ogilvie syndrome (colonic pseudo-obstruction)
Alpha-1 antitrypsin deficiency: A persistently underrecognized condition
Westermark sign (focal oligemia) in pulmonary embolism

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