Table of Contents
August 01, 2018; Volume 85, Issue 8-
From the Editor
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The bias of word choice and the interpretation of laboratory tests
Brian F. Mandell, MD, PhD- Cleveland Clinic Journal of Medicine August 2018, 85 (8) 577-578;
- DOI: https://doi.org/10.3949/ccjm.85b.08018
Words matter. Calling ALT and AST “liver function tests” can lead to premature diagnosis of liver disease.
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The Clinical Picture
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Angular cheilitis induced by iron deficiency anemia
Mahmoud Husni Ayesh, MD- Cleveland Clinic Journal of Medicine August 2018, 85 (8) 581-582;
- DOI: https://doi.org/10.3949/ccjm.85a.17109
Causes include nutritional deficiencies, local and systemic factors, and drug treatment.
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Calcific uremic arteriolopathy
Mrinali Shetty, MD, Yuvraj Chowdhury, MD and Balaji Yegneswaran, MD, FACP- Cleveland Clinic Journal of Medicine August 2018, 85 (8) 584-585;
- DOI: https://doi.org/10.3949/ccjm.85a.18009
A 51-year-old man with end-stage renal disease presented with extensive necrotic ulcers and eschar on both legs.
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Palmoplantar exanthema and liver dysfunction
Tatsuya Fujikawa, MD, PhD and Hiroki Matsuura, MD- Cleveland Clinic Journal of Medicine August 2018, 85 (8) 591-593;
- DOI: https://doi.org/10.3949/ccjm.85a.17060
The patient admitted to having had unprotected sex with a female sex worker.
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Medical Grand Rounds
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Diagnosing and treating bipolar disorder in primary care
Parashar Koirala, MD and Amit Anand, MD- Cleveland Clinic Journal of Medicine August 2018, 85 (8) 601-608;
- DOI: https://doi.org/10.3949/ccjm.85gr.18003
Many patients have undiagnosed bipolar depression, ie, depression with shifts to periods of mania.
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1-Minute Consult
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Which patients with a parapneumonic effusion need a chest tube?
Scott A. Helgeson, MD, Brett T. Hiroto, MD, Scott J. Billings, MD, Courtney L. Scott, DO and Michele D. Lewis, MD- Cleveland Clinic Journal of Medicine August 2018, 85 (8) 609-611;
- DOI: https://doi.org/10.3949/ccjm.85a.17036
Hospitalized patients with pneumonia who develop a complicated effusion or empyema need one.
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Review
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Liver enzymes: No trivial elevations, even if asymptomatic
Brian Agganis, MD, David Lee, MD and Thomas Sepe, MD- Cleveland Clinic Journal of Medicine August 2018, 85 (8) 612-617;
- DOI: https://doi.org/10.3949/ccjm.85a.17103
All persistent elevations of liver enzymes need a methodical evaluation and an appropriate working diagnosis.
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Diabetes and pregnancy: Risks and opportunities
Hannah Lewis, BA, MS, Robert Egerman, MD, Amir Kazory, MD and Maryam Sattari, MD, MS- Cleveland Clinic Journal of Medicine August 2018, 85 (8) 619-628;
- DOI: https://doi.org/10.3949/ccjm.85a.16138
Internists can reduce the risks by optimizing glycemic control before conception and providing effective counseling.
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Phosphorus binders: The new and the old, and how to choose
Arjun Sekar, MD, Taranpreet Kaur, MD, Joseph V. Nally Jr., MD, Hernan Rincon-Choles, MD, Stacey Jolly, MD, MAS, FACP and Georges N. Nakhoul, MD- Cleveland Clinic Journal of Medicine August 2018, 85 (8) 629-638;
- DOI: https://doi.org/10.3949/ccjm.85a.17054
The pathophysiology and control of hyperphosphatemia in kidney disease, focusing on phosphorus binders.
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Editorial
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Phosphorus in kidney disease: Culprit or bystander?
Malvinder S. Parmar, MB, MS, FRCPC, FASN- Cleveland Clinic Journal of Medicine August 2018, 85 (8) 639-642;
- DOI: https://doi.org/10.3949/ccjm.85a.18013
As kidney function declines, phosphorus accumulates, but the process is complex.
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