Table of Contents
February 01, 2019; Volume 86, Issue 2-
From the Editor
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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.
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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.
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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.
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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.
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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.
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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.
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Departments
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Our Peer-Reviewers for 2018
- Cleveland Clinic Journal of Medicine February 2019, 86 (2) 140;
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