Table of Contents

October 01, 2019; Volume 86,Issue 10

From The Editor

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A few pearls can help prepare the mind
Brian F. Mandell, MD, PhD

Cleveland Clinic Journal of Medicine October 2019, 86 (10) 638-639; DOI: https://doi.org/10.3949/ccjm.86b.10019

The caregiver with a prepared mind is more likely to experience the diagnostic epiphany.

The Clinical Picture

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Vulvar and gluteal manifestations of Crohn disease
Anna Camille Moreno, DO, NCMP, Oluwatosin Goje, MD, MSCR, FACOG, Melissa Peck Piliang, MD, FAAD and Pelin Batur, MD, NCMP, CCD

Cleveland Clinic Journal of Medicine October 2019, 86 (10) 645-646; DOI: https://doi.org/10.3949/ccjm.86a.19062

Crohn disease is associated with extraintestinal manifestations in up to 45% of patients.
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A complication of enoxaparin injection
Ahmad Muneer Sharayah, MD, Samrah Zaigham, MD, Noor Hajjaj, MD and Mihir Maniar, DO

Cleveland Clinic Journal of Medicine October 2019, 86 (10) 648-649; DOI: https://doi.org/10.3949/ccjm.86a.19026

Computed tomography revealed a hematoma measuring 15 by 15 cm compressing the bladder and causing hydronephrosis.

1-Minute Consult

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What are the risks to inpatients during hospital construction or renovation?
Amjad Kanj, MD, Yuqing Gao, MD and Ayman O. Soubani, MD

Cleveland Clinic Journal of Medicine October 2019, 86 (10) 650-652; DOI: https://doi.org/10.3949/ccjm.86a.19008

Risks include mold infection, Legionnaires disease, sleep deprivation, exacerbation of lung disease, and physical injury.
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Does my patient need maintenance fluids?
Jorge Sanchez, MD and Robert Lichtenberg, MD

Cleveland Clinic Journal of Medicine October 2019, 86 (10) 653-655; DOI: https://doi.org/10.3949/ccjm.86a.19018

The question seems like it should have an easy answer. However, there is no consensus.

Medical Grand Rounds

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Myopathy for the general internist: Statins and much more
Chester V. Oddis, MD

Cleveland Clinic Journal of Medicine October 2019, 86 (10) 656-664; DOI: https://doi.org/10.3949/ccjm.86gr.19001

How to evaluate and manage muscle complaints in patients taking a statin, interpret creatine kinase test results, and recognize common as well as potentially dangerous myopathies.

Symptoms to Diagnosis

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A 66-year-old man with abnormal thyroid function tests
CME article

Yazan N. Alhalaseh, MD, Zaid A. Abdulelah, MD, Ahmad O. Armouti, MD and Ayman A. Zayed, MD, MSc, FACE, FACP

Cleveland Clinic Journal of Medicine October 2019, 86 (10) 666-675; DOI: https://doi.org/10.3949/ccjm.86a.19024

A 66-year-old man presents with an acute exacerbation of COPD requiring hospitalization.

Review

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2019 Update in perioperative cardiovascular medicine
CME article

Steven L. Cohn, MD, MACP, SFHM, Paul J. Grant, MD, SFHM, FACP and Barbara Slawski, MD, MS, SFHM

Cleveland Clinic Journal of Medicine October 2019, 86 (10) 677-683; DOI: https://doi.org/10.3949/ccjm.86a.19077

Studies of preoperative cardiac risk assessment, perioperative medication management, and postoperative complications.
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Cardiovascular complications of systemic sclerosis: What to look for
CME article

Preethi Mani, MD, Danny Gonzalez, MD, Soumya Chatterjee, MD, MS, FRCP and Michael D. Faulx, MD

Cleveland Clinic Journal of Medicine October 2019, 86 (10) 685-695; DOI: https://doi.org/10.3949/ccjm.86a.18109

Pulmonary arterial hypertension, atherosclerosis, heart failure, arrhythmias, pericardial disease, and valvular heart disease.
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An overview of endoscopy in neurologic surgery
Luigi Rigante, MD, Hamid Borghei-Razavi, MD, Pablo F. Recinos, MD, Faans and Florian Roser, MD, PhD

Cleveland Clinic Journal of Medicine October 2019, 86 (10) 16ME-24ME; DOI: https://doi.org/10.3949/ccjm.86.me.18142