Table of Contents

April 01, 2018; Volume 85,Issue 4

From the Editor

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Understanding the tests we order: Comments and an invitation
Brian F. Mandell, MD, PhD

Cleveland Clinic Journal of Medicine April 2018, 85 (4) 257-260; DOI: https://doi.org/10.3949/ccjm.85b.04018

Some new laboratory tests go through a life cycle, first being used by subspecialists and then by physicians everywhere.

The Clinical Picture

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Hyperkeratotic fissured plaques on both hands: Mechanic’s hands
Anuradha Bishnoi, MD and Davinder Parsad, MD

Cleveland Clinic Journal of Medicine April 2018, 85 (4) 268-269; DOI: https://doi.org/10.3949/ccjm.85a.17045

This sign is seen in about 30% of patients with antisynthetase syndrome.
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Hidden lesion easily missed on chest radiography
Kamolyut Lapumnuaypol, MD and Jessica M. Stempel, MD

Cleveland Clinic Journal of Medicine April 2018, 85 (4) 270-273; DOI: https://doi.org/10.3949/ccjm.85a.17067

Chest radiography showed an opacity behind the heart, and CT angiography revealed it to be an aortic aneurysm.

1-Minute Consult

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Are serum troponin levels elevated in conditions other than acute coronary syndrome?
Kiran Sebastian, MD, Alexander Wester, BS, Anupama Kottam, MD and Ayman O. Soubani, MD

Cleveland Clinic Journal of Medicine April 2018, 85 (4) 274-277; DOI: https://doi.org/10.3949/ccjm.85a.17011

Yes. Troponin elevation is a nonspecific sign.

Review

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Musculoskeletal ultrasonography basics
Michael C. Forney, MD and Patricia B. Delzell, MD

Cleveland Clinic Journal of Medicine April 2018, 85 (4) 283-300; DOI: https://doi.org/10.3949/ccjm.85a.17014

Ultrasonography is emerging as a core method to evaluate musculoskeletal problems.

Editorial

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Musculoskeletal ultrasonography has arrived
Joanne Szczygiel Cunha, MD and Anthony M. Reginato, PhD, MD

Cleveland Clinic Journal of Medicine April 2018, 85 (4) 301-302; DOI: https://doi.org/10.3949/ccjm.85a.17127

With its many advantages, it has become a mainstay in many subspecialities.

Symptoms to Diagnosis

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A 71-year-old woman with shock and a high INR
Raja Y. Zaghlol, MD, Michael E. Tierney, MD, BMedSc, Louay Y. Zaghlol and Ayman A. Zayed, MD, MSc, FACE, FACP

Cleveland Clinic Journal of Medicine April 2018, 85 (4) 303-312; DOI: https://doi.org/10.3949/ccjm.85a.17031

She presents with an acute change in mental status, blood pressure 80/40 mm Hg, pulse 130, INR 6.13.

Review

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The female athlete triad: It takes a team
Jaya Mehta, MD, Bithika Thompson, MD and Juliana M. Kling, MD, MPH

Cleveland Clinic Journal of Medicine April 2018, 85 (4) 313-320; DOI: https://doi.org/10.3949/ccjm.85a.16137

An energy deficit from increased exercise, decreased intake, or both can suppress the menstrual cycle and lead to bone loss.

Editorial

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Make no bones about it!
Elizabeth Matzkin, MD

Cleveland Clinic Journal of Medicine April 2018, 85 (4) 321-322; DOI: https://doi.org/10.3949/ccjm.85a.17071

It is important to diagnose and treat the female athlete triad to maintain optimal bone health.

Review

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Gallstones: Watch and wait, or intervene?
Mounir Ibrahim, MD, Shashank Sarvepalli, MD, Gareth Morris-Stiff, MD, PhD, Maged Rizk, MD, Amit Bhatt, MD, R. Matthew Walsh, MD, Umar Hayat, MD, Ari Garber, MD, EdD, John Vargo, MD and Carol A. Burke, MD

Cleveland Clinic Journal of Medicine April 2018, 85 (4) 323-331; DOI: https://doi.org/10.3949/ccjm.85a.17035

Consider laparoscopic cholecystectomy for symptomatic cholelithiasis, expectant management for asymptomatic cases.

Departments

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Perioperative interruption of dual antiplatelet therapy (November 2017)
Elias B. Hanna, MD and Eliana Hanna Deschamps, MD

Cleveland Clinic Journal of Medicine April 2018, 85 (4) 261; DOI: https://doi.org/10.3949/ccjm.85c.04001

Readers comment on perioperative interruption of dual antiplatelet therapy (November 2017).
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In reply: Perioperative interruption of dual antiplatelet therapy (November 2017)
Ryan Munyon, Steven L. Cohn, MD, FACP, SFHM, Barbara Slawski, MD, MS, SFHM, Gerald W. Smetana, MD, MACP and Kurt Pfeifer, MD, FACP, SFHM

Cleveland Clinic Journal of Medicine April 2018, 85 (4) 262; DOI: https://doi.org/10.3949/ccjm.85c.04002
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Gas under the right diagphragm (February 2018)
Cleveland Clinic Journal of Medicine April 2018, 85 (4) 332;

Errors occurred in Matsuura H, Hata H. Gas under the right diaphragm. Cleve Clin J Med 2018; 85(2):98–100.
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Physical examination in dyspnea (December 2017)
Cleveland Clinic Journal of Medicine April 2018, 85 (4) 332;

Errors occurred in Shellenberger RA, Balakrishnan B, Avula S, Ebel A, Shaik S. Diagnostic value of the physical examination in patients with dyspnea. Cleve Clin J Med 2017; 84(12):943–950.