Table of Contents

June 01, 2018; Volume 85, Issue 6
  • From the Editor

      • Training physician leaders to save the health system… and us

        Brian F. Mandell, MD, PhD
        • Cleveland Clinic Journal of Medicine June 2018, 85 (6) 427-428;
        • DOI: https://doi.org/10.3949/ccjm.85b.06018
        • The success of the health system and the emotional well-being and clinical skills of its physicians are clearly interrelated.

  • The Clinical Picture

      • Aortic dissection presenting as ischemic limb

        Faiza Khalid, MD and Shikha Gupta, MD
        • Cleveland Clinic Journal of Medicine June 2018, 85 (6) 438-440;
        • DOI: https://doi.org/10.3949/ccjm.85a.17122
        • With surgical repair and blood pressure control, the patient recovered and left the hospital 1 week later.

      • Central nervous system lymphoma mimicking Bell palsy

        Kiyoshi Shikino, MD, PhD, Shingo Suzuki, MD, PhD, Takanori Uehara, MD, PhD and Masatomi Ikusaka, MD, PhD
        • Cleveland Clinic Journal of Medicine June 2018, 85 (6) 442-443;
        • DOI: https://doi.org/10.3949/ccjm.85a.17061
        • Failure of presumed Bell palsy to improve should prompt an evaluation for an underlying condition.

  • Editorial

  • The Clinical Picture

      • Necrotizing fasciitis after a watercraft accident

        Natsu Fukui, MD, Mark Delman, MD, Tuyethoa N. Vinh, MD and Svetolik Djurkovic, MD, FACCP
        • Cleveland Clinic Journal of Medicine June 2018, 85 (6) 448-449;
        • DOI: https://doi.org/10.3949/ccjm.85a.17096
        • Despite intravenous antibiotics and surgical debridement, the patient’s right leg had to be amputated.

  • Commentary

      • Reverse T3 or perverse T3? Still puzzling after 40 years

        Cristiane Gomes-Lima, MD and Kenneth D. Burman, MD
        • Cleveland Clinic Journal of Medicine June 2018, 85 (6) 450-455;
        • DOI: https://doi.org/10.3949/ccjm.85a.17079
        • Few situations require measuring reverse T3; diagnosis of euthyroid sick syndrome may be one of them.

  • Smart Testing

      • Is Pap testing still needed after hysterectomy?

        Halle G. Sobel, MD, Elise Everett, MD and Laura D. Lipold, MD
        • Cleveland Clinic Journal of Medicine June 2018, 85 (6) 456-458;
        • DOI: https://doi.org/10.3949/ccjm.85a.17063
        • There is no need to continue Pap testing after hysterectomy for a benign indication.

  • Current Drug Therapy

      • Hydroxychloroquine: An old drug with new relevance

        Eugen Alexander Shippey III, MD, Vanya D. Wagler, DO, FACP, FACR and Angelique N. Collamer, MD, FACP, FACR
        • Cleveland Clinic Journal of Medicine June 2018, 85 (6) 459-467;
        • DOI: https://doi.org/10.3949/ccjm.85a.17034
        • This antimalarial drug is now approved to treat discoid lupus, systemic lupus erythematosus, and rheumatoid arthritis.

  • Review

      • Evaluating suspected pulmonary hypertension: A structured approach

        Akshay Bhatnagar, MD, Jonathan Wiesen, MD, Raed Dweik, MD and Neal F. Chaisson, MD
        • Cleveland Clinic Journal of Medicine June 2018, 85 (6) 468-480;
        • DOI: https://doi.org/10.3949/ccjm.85a.17065
        • With a myriad of causes and nonspecifi c symptoms, pulmonary hypertension needs a methodic diagnostic approach.

      • TOC Icon

        Thoracic aortic aneurysm: How to counsel, when to refer

        Frank Cikach, MD, Milind Y. Desai, MD, FACC, FAHA, FESC, Eric E. Roselli, MD, FACS and Vidyasagar Kalahasti, MD
        • Cleveland Clinic Journal of Medicine June 2018, 85 (6) 481-492;
        • DOI: https://doi.org/10.3949/ccjm.85a.17039
        • Be alert for clues on chest imaging, and consider screening fi rst-degree relatives of patients known to have aortic disease.

  • Departments