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Cleveland Clinic Journal of Medicine

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Table of Contents

February 01, 2019; Volume 86,Issue 2

From the Editor

  • You have access
    There is more to the TSH than a number
    Brian F. Mandell, MD, PHD
    Cleveland Clinic Journal of Medicine February 2019, 86 (2) 77-78; DOI: https://doi.org/10.3949/ccjm.86b.02019

    Management of subclinical hypothyroidism should be nuanced and based on clinical and laboratory parameters.

The Clinical Picture

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    Aleukemic leukemia cutis
    Tuyet Nguyen Abraham, MD, MSC, Peter Morawiecki, MD, Amy Flischel, MD and Bharata Agrawal, MD
    Cleveland Clinic Journal of Medicine February 2019, 86 (2) 85-86; DOI: https://doi.org/10.3949/ccjm.86a.18057

    An 85-year-old man presented with rapidly progressive nodules on the scalp, neck, trunk, and extremities.

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    Dancing sternal wires: A radiologic sign of sternal dehiscence
    Mohamed M. Gad, MD and Amit Gupta, MD
    Cleveland Clinic Journal of Medicine February 2019, 86 (2) 87-88; DOI: https://doi.org/10.3949/ccjm.86a.18091

    Loose fragments of bone and wire pose a danger of puncturing the heart, making sternal dehiscence a surgical emergency.

1-Minute Consult

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    Repeating blood cultures after initial bacteremia: When and how often?
    Ammara Mushtaq, MD, Bryce X. Bredell, MS and Ayman O. Soubani, MD
    Cleveland Clinic Journal of Medicine February 2019, 86 (2) 89-92; DOI: https://doi.org/10.3949/ccjm.86a.18001

    Repeating blood cultures after an initial positive result is superfluous except in certain situations.

Editorial

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    Follow-up blood cultures are often needed after bacteremia
    Marisa Tungsiripat, MD
    Cleveland Clinic Journal of Medicine February 2019, 86 (2) 93-94; DOI: https://doi.org/10.3949/ccjm.86a.18114

    Without follow-up cultures, the adequacy of treatment can be difficult to assess.

Review

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    Managing malignant pleural effusion
    Ali Saeed Wahla, MBBS, Mateen Uzbeck, MBBS, Yaser Abu El Sameed, MBBS and Zaid Zoumot, MBBS, MRCP, MSC, PHD
    Cleveland Clinic Journal of Medicine February 2019, 86 (2) 95-99; DOI: https://doi.org/10.3949/ccjm.86a.17095

    Depending on the circumstances, options are observation, thoracentesis, an indwelling catheter, and chemical pleurodesis.

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    Subclinical hypothyroidism: When to treat
    Sidra Azim, MD and Christian Nasr, MD
    Cleveland Clinic Journal of Medicine February 2019, 86 (2) 101-110; DOI: https://doi.org/10.3949/ccjm.86a.17053

    The decision remains controversial and depends on the degree of TSH elevation, thyroid antibodies, and comorbidities.

  • Breast augmentation surgery: Clinical considerations
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    Breast augmentation surgery: Clinical considerations
    Demetrius M. Coombs, MD, Ritwik Grover, MD, Alexandre Prassinos, MD and Raffi Gurunluoglu, MD, PhD
    Cleveland Clinic Journal of Medicine February 2019, 86 (2) 111-122; DOI: https://doi.org/10.3949/ccjm.86a.18017

    The evolution of breast implants, their complications, and key considerations with regard to aesthetic breast surgery.

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    Heart failure guidelines: What you need to know about the 2017 focused update
    Lee Rodney Haselhuhn, MD, Daniel J. Brotman, MD and Ilan Shor Wittstein, MD
    Cleveland Clinic Journal of Medicine February 2019, 86 (2) 123-139; DOI: https://doi.org/10.3949/ccjm.86a.18022

    Prevention, preserved ejection fraction, hypertension, iron, sleep apnea, and acute decompensation.

Departments

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    Our Peer-Reviewers for 2018
    Cleveland Clinic Journal of Medicine February 2019, 86 (2) 140;
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In this issue

Cleveland Clinic Journal of Medicine: 86 (2)
Cleveland Clinic Journal of Medicine
Vol. 86, Issue 2
1 Feb 2019
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Oral leukoplakia and oral cancer
A 50-year-old man presents with shortness of breath
Myasthenia gravis: Frequently asked questions
Central vision loss in a 44-year-old woman
Median rhomboid glossitis caused by tongue-brushing
Making best use of bone turnover markers to monitor oral bisphosphonate therapy
Asymptomatic granules on the buccal mucosa
Does my patient need to be screened or treated for a urinary tract infection?
Ignore e-cigarettes at your patient’s peril
Spontaneous oral hematoma diagnosed as angina bullosa hemorrhagica
Hypophosphatemia in a patient with an eating disorder
Scaly plaques in a malnourished patient
Confusion in a 22-year-old woman, and diagnostic uncertainty
How do we maximize diuresis in acute decompensated heart failure?

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