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Cleveland Clinic Journal of Medicine

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Table of Contents

June 01, 2018; Volume 85,Issue 6

From the Editor

  • You have access
    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

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    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.

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    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

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    Is a detailed neurologic physical examination always necessary?
    Richard J. Lederman, MD, PhD
    Cleveland Clinic Journal of Medicine June 2018, 85 (6) 444-445; DOI: https://doi.org/10.3949/ccjm.85a.17110

    In medicine, we need all the help we can get.

The Clinical Picture

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    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

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    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

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    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

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    Hydroxychloroquine: An old drug with new relevance
    Eugen Alexander Shippey, 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

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    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.

  • Thoracic aortic aneurysm: How to counsel, when to refer
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    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

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    ‘Non-criteria’ antiphospholipid antibodies and thrombosis (February 2018)
    Satish Maharaj, MBBS, Simone Chang, MBBS and Marwan Shaikh, MD
    Cleveland Clinic Journal of Medicine June 2018, 85 (6) 431-432; DOI: https://doi.org/10.3949/ccjm.85c.06001

    Readers comment on antiphospholipid antibody syndrome (February 2018).

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    In reply: ‘Non-criteria’ antiphospholipid antibodies and thrombosis (February 2018)
    Maya Serhal, MD, Heather Gornik, MD, RVT, RPVI and Natalie Evans, MD, RPVI
    Cleveland Clinic Journal of Medicine June 2018, 85 (6) 432; DOI: https://doi.org/10.3949/ccjm.85c.06002
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In this issue

Cleveland Clinic Journal of Medicine: 85 (6)
Cleveland Clinic Journal of Medicine
Vol. 85, Issue 6
1 Jun 2018
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Dyspnea and cough in a lung transplant recipient
Atypical erythema as a clinical presentation of tinea incognito
Pigmented lesion on nail bed: Pseudo-Hutchinson sign
Hampton hump in acute pulmonary embolism
A brownish erythematous patch in the nipple-areola complex
The underappreciated role of documentation in improving COPD care
Oral hyperpigmentation with weakness and salt-craving
Glycemic targets in the ICU: A look back, and ahead
Unilateral pulmonary edema
Does my patient need an allergy evaluation for penicillin allergy?
Hypertrichosis and topical corticosteroid use
Recurrent anemia in a patient with chronic lymphocytic leukemia

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