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.

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.

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.

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.

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, 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.

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.