Table of Contents
November 01, 2019; Volume 86, Issue 11-
From the Editor
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A link between A-fib and sleep apnea is no surprise, but why?
Brian F. Mandell, MD, PhD- Cleveland Clinic Journal of Medicine November 2019, 86 (11) 706-707;
- DOI: https://doi.org/10.3949/ccjm.86b.11019
The two conditions commonly coexist, and treating the sleep apnea results in better rhythm-directed outcomes in the A-fib.
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1-Minute Consult
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Should I evaluate my patient with atrial fibrillation for sleep apnea?
Mirna B. Ayache, MD, MPH, Reena Mehra, MD, MS, FCCP, FAASM and Kenneth A. Mayuga, MD, FACC, FHRS- Cleveland Clinic Journal of Medicine November 2019, 86 (11) 709-712;
- DOI: https://doi.org/10.3949/ccjm.86a.19033
Yes. The prevalence of sleep apnea is high in patients with atrial fibrillation, and vice versa.
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The Clinical Picture
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Fissured tongue
Satvinder Singh Bakshi, MS, DNB- Cleveland Clinic Journal of Medicine November 2019, 86 (11) 714;
- DOI: https://doi.org/10.3949/ccjm.86a.19060
A 43-year-old man presented with halitosis and deep fissures on his tongue.
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Atraumatic splenic rupture in acute myeloid leukemia
Karthik Gnanapandithan, MD, MS- Cleveland Clinic Journal of Medicine November 2019, 86 (11) 715-716;
- DOI: https://doi.org/10.3949/ccjm.86a.19042
Atraumatic splenic rupture is rare but potentially life-threatening, especially if the diagnosis is delayed.
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Commentary
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Low-dose steroids for acute exacerbations of COPD in a non-ICU setting: Worth consideration
Asim Kichloo, MD, Michael M. Aljadah and Hassan H. Beiz, MD- Cleveland Clinic Journal of Medicine November 2019, 86 (11) 717-718;
- DOI: https://doi.org/10.3949/ccjm.86a.19027
Despite the guidelines, most patients still receive high intravenous doses for acute exacerbations.
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Symptoms to Diagnosis
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Severe hypercalcemia in a 54-year-old woman
Gregory W. Rutecki, MD, Michael A. Munoz, MD, Zeeshan Zafar, MD, MBA and Benson A. Babu, MD, MBA- Cleveland Clinic Journal of Medicine November 2019, 86 (11) 719-723;
- DOI: https://doi.org/10.3949/ccjm.86a.18126
Her calcium level was 18.4 mg/dL; 6 months earlier it had been 9.6. What was the cause?
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Review
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Current management of Barrett esophagus and esophageal adenocarcinoma
Tavankit Singh, MD, Vedha Sanghi, MD and Prashanthi N. Thota, MD, FACG- Cleveland Clinic Journal of Medicine November 2019, 86 (11) 724-732;
- DOI: https://doi.org/10.3949/ccjm.86a.18106
Risk factors: reflux symptoms > 5 years, male sex, age > 50, white race, central obesity, and smoking.
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STI update: Testing, treatment, and emerging threats
Matifadza Hlatshwayo, MD, MPH, Hilary E. L. Reno, MD, PhD and Melanie L. Yarbrough, PhD- Cleveland Clinic Journal of Medicine November 2019, 86 (11) 733-740;
- DOI: https://doi.org/10.3949/ccjm.86a.18098
Fast, sensitive molecular diagnostic tests that use self-collected samples may help bend the upward curve of STIs.
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SEEDS for success: Lifestyle management in migraine
Jennifer Robblee, MD, MSc and Amaal J. Starling, MD- Cleveland Clinic Journal of Medicine November 2019, 86 (11) 741-749;
- DOI: https://doi.org/10.3949/ccjm.86a.19009
Lifestyle counseling can be based on the mnemonic SEEDS: sleep, exercise, eat, diary, and stress.
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Appropriate laboratory testing in Lyme disease
Teny M. John, MD and Alan J. Taege, MD- Cleveland Clinic Journal of Medicine November 2019, 86 (11) 751-759;
- DOI: https://doi.org/10.3949/ccjm.86a.19029
Testing for Lyme disease is challenging and if done incorrectly can lead to unnecessary treatment.
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Correction
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Diabetes management
- Cleveland Clinic Journal of Medicine November 2019, 86 (11) 760;
Information was omitted from Table 1 on page
596 of the article, Makin V, Lansang MC. Diabetes management: Beyond hemoglobin A1c. Cleve Clin J Med 2019; 86(9):595–600. doi:10.3949/ccjm.86a.18031
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