Table of Contents

March 01, 2017; Volume 84,Issue 3

From the Editor

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Channeling the flow of medical information
Brian F. Mandell, MD, PhD

Cleveland Clinic Journal of Medicine March 2017, 84 (3) 178-179; DOI: https://doi.org/10.3949/ccjm.84b.03017

Accesssing information today is like drinking from a firehose. We need some kind of valve to adjust the flow.

The Clinical Picture

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Porcelain heart in a uremic patient
Hsiu-Chien Yang, MD, Chang-Han Lo, MD, Chun-Chi Chen, MD and Chia-Chao Wu, MD, PhD

Cleveland Clinic Journal of Medicine March 2017, 84 (3) 184-185; DOI: https://doi.org/10.3949/ccjm.84a.15177

Constrictive pericarditis due to secondary hyperparathyroidism occurs in up to 4% of patients with end-stage renal disease.
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Disseminated molluscum contagiosum lesions in an HIV patient
Telma Azevedo, MD, Alexandre Catarino, MD, Lurdes Ferreira, MD, Fernando Borges, MD and Kamal Mansinho, MD

Cleveland Clinic Journal of Medicine March 2017, 84 (3) 186-187; DOI: https://doi.org/10.3949/ccjm.84a.16070

The patient was diagnosed with HIV-related encephalopathy and disseminated Mycobacterium tuberculosis infection.
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Worsening migraine due to neurocysticercosis
Emily J. Elliott, DO, LT MC USN and Edwin J. Landaker, MD, CDR MC USN

Cleveland Clinic Journal of Medicine March 2017, 84 (3) 196-198; DOI: https://doi.org/10.3949/ccjm.84a.16003

When a woman with a history of migraine had new symptoms, MRI revealed a tapeworm scolex in her brain.

1-Minute Consult

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Bleeding esophageal varices: Who should receive a shunt?
Ghassoub Rifai, MD, Zade Akras and Ibrahim A. Hanouneh, MD

Cleveland Clinic Journal of Medicine March 2017, 84 (3) 199-201; DOI: https://doi.org/10.3949/ccjm.84a.15149

A transjugular intrahepatic portosystemic shunt can prevent repeated variceal bleeding and control refractory ascites.

Review

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Update on viral hepatitis in pregnancy
Zhili Shao, MD, PhD, Mohammad Al Tibi, MD and Jamilé Wakim-Fleming, MD

Cleveland Clinic Journal of Medicine March 2017, 84 (3) 202-206; DOI: https://doi.org/10.3949/ccjm.84a.15139

Indications for treatment may be different from those in the general population. New treatments are available.
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Bedbugs: Helping your patient through an infestation
Omer Ibrahim, MD, Usama Mohammad Syed, MBBS, BSc and Kenneth J. Tomecki, MD

Cleveland Clinic Journal of Medicine March 2017, 84 (3) 207-211; DOI: https://doi.org/10.3949/ccjm.84a.15024

Physicians are often at the forefront in the diagnosis and treatment of bedbug infestation.

Editorial

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Bedbugs: Awareness is key
Whitney A. High, MD, JD, MEng

Cleveland Clinic Journal of Medicine March 2017, 84 (3) 212-213; DOI: https://doi.org/10.3949/ccjm.84a.17001

Bedbugs are back, and they are everywhere. Not all who are bitten have reactions.

Review

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Vulvovaginitis: Find the cause to treat it
Oluwatosin Goje, MD, MSCR, FACOG and Jessian L. Munoz, MD, PhD

Cleveland Clinic Journal of Medicine March 2017, 84 (3) 215-224; DOI: https://doi.org/10.3949/ccjm.84a.15163

The cause is usually infectious, but noninfectious causes should also be considered, and differentiating them can be challenging.
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Staying afloat in a sea of information: Point-of-care resources
Rebecca Andrews, MS, MD, FACP, Neil Mehta, MBBS,MS,FACP, Jack Maypole, MD and Stephen A. Martin, MD, EdM

Cleveland Clinic Journal of Medicine March 2017, 84 (3) 225-235; DOI: https://doi.org/10.3949/ccjm.84a.15087

We can refine our skills in accessing, sorting, and interpreting scientific evidence.
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Iodine deficiency: Clinical implications
Soamsiri Niwattisaiwong, MD, Kenneth D. Burman, MD and Melissa Li-Ng, MD

Cleveland Clinic Journal of Medicine March 2017, 84 (3) 236-244; DOI: https://doi.org/10.3949/ccjm.84a.15053

Requirements are higher in pregnant and lactating women. Risk is higher in vegans and those who are lactose-intolerant.

Letters to the Editor

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Caring for international patients November 2016
Maryam Sattari, MD, Shehla Islam, MD and Amir Kazory, MD

Cleveland Clinic Journal of Medicine March 2017, 84 (3) 180; DOI: https://doi.org/10.3949/ccjm.84c.03001

Readers comment on caring for international patients (November 2016) and on acid-base disorders (January 2017).
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In Reply: Caring for international patients November 2016
Kelly W. Cawcutt, MD and John W. Wilson, MD

Cleveland Clinic Journal of Medicine March 2017, 84 (3) 180-181; DOI: https://doi.org/10.3949/ccjm.84c.03002

Readers comment on caring for international patients (November 2016) and on acid-base disorders (January 2017).
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Acid-base disturbances January 2017
Michael Emmett, MD, MACP

Cleveland Clinic Journal of Medicine March 2017, 84 (3) 181; DOI: https://doi.org/10.3949/ccjm.84c.03003

Readers comment on caring for international patients (November 2016) and on acid-base disorders (January 2017).
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In Reply: Acid-base disturbances January 2017
Gregory W. Rutecki, MD and Shylaja Mani, MD

Cleveland Clinic Journal of Medicine March 2017, 84 (3) 181; DOI: https://doi.org/10.3949/ccjm.84c.03004

Readers comment on caring for international patients (November 2016) and on acid-base disorders (January 2017).

Corrections

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Altered mental status and an acid-base disturbance January 2017
Cleveland Clinic Journal of Medicine March 2017, 84 (3) 214;

Errors occurred in: Mani S, Rutecki GW. A patient with altered mental status and an acid-base disturbance. Cleve Clin J Med 2017; 84:27–34.
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Cardiopulmonary exercise testing February 2017
Cleveland Clinic Journal of Medicine March 2017, 84 (3) 214;

Errors occurred in Leclerc K. Cardiopulmonary exercise testing: A contemporary and versatile clinical tool Cleve Clin J Med 2017; 84:161–168.