Table of Contents

March 01, 2019; Volume 86,Issue 3

From the Editor

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The tests that we order define us
Brian F. Mandell, MD, PhD

Cleveland Clinic Journal of Medicine March 2019, 86 (3) 150; DOI: https://doi.org/10.3949/ccjm.86b.03019

In practice we balance the inputs from Watson, “Dr. Google,” our experience, and the specific data from the patient.

Commentary

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Cancer screening: A modest proposal for prevention
Myung S. Kim, MD, Go Nishikawa, MD and Vinay Prasad, MD, MPH

Cleveland Clinic Journal of Medicine March 2019, 86 (3) 157-160; DOI: https://doi.org/10.3949/ccjm.86a.18092

Large-scale cancer screening programs have the unintended consequences of false-positive results and overdiagnosis.

The Clinical Picture

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Flu or strep? Rapid tests can mislead
Burke A. Cunha, MD, MACP and Nonso Osakwe, MD

Cleveland Clinic Journal of Medicine March 2019, 86 (3) 161-162; DOI: https://doi.org/10.3949/ccjm.86a.18094

Group A streptococci are common colonizers with viral pharyngitis.
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Norwegian scabies
Hiroki Matsuura, MD, Akemi Senoo, MD, PhD, Mari Saito, MD and Yuko Fujimoto, MD

Cleveland Clinic Journal of Medicine March 2019, 86 (3) 163-164; DOI: https://doi.org/10.3949/ccjm.86a.18081

Norwegian scabies is extremely contagious, and outbreaks can spread in institutions.

1-Minute Consult

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Does early repolarization on ECG increase the risk of cardiac death in healthy people?
Ziad Sayedahmad, MD, Fahed Darmoch, MD, Yasser Al-Khadra, MD, Amjad Kabach, MD and M. Chadi Alraies, MD

Cleveland Clinic Journal of Medicine March 2019, 86 (3) 165-166; DOI: https://doi.org/10.3949/ccjm.86a.17032

No. In patients without symptoms, early repolarization is nearly always a benign incidental finding.

Review

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Three neglected numbers in the CBC: The RDW, MPV, and NRBC count
Jori E. May, MD, Marisa B. Marques, MD, Vishnu V.B. Reddy, MD and Radhika Gangaraju, MD

Cleveland Clinic Journal of Medicine March 2019, 86 (3) 167-172; DOI: https://doi.org/10.3949/ccjm.86a.18072

These values have diagnostic utility and potential prognostic significance.
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Human papillomavirus in 2019: An update on cervical cancer prevention and screening guidelines
Salina Zhang, BS and Pelin Batur, MD, NCMP, CCD

Cleveland Clinic Journal of Medicine March 2019, 86 (3) 173-178; DOI: https://doi.org/10.3949/ccjm.86a.18018

Recommendations on counseling, vaccination, screening, and follow-up for abnormal screening results.
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Assessing liver fibrosis without biopsy in patients with HCV or NAFLD
Tavankit Singh, MD, Daniela S. Allende, MD and Arthur J. McCullough, MD

Cleveland Clinic Journal of Medicine March 2019, 86 (3) 179-186; DOI: https://doi.org/10.3949/ccjm.86a.17118

Biopsy is still the gold standard, but methods based on clinical information and on imaging are emerging.

Symptoms to Diagnosis

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A paraneoplastic potassium and acid-base disturbance
Samuel P. Wiles, MD, Matthew Kiczek, DO and Gregory W. Rutecki, MD

Cleveland Clinic Journal of Medicine March 2019, 86 (3) 187-197; DOI: https://doi.org/10.3949/ccjm.86a.18014

A 55-year-old smoker with COPD presents with malaise, paresthesias, and severe hypertension. What is the cause?

Review

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Laboratory tests in rheumatology: A rational approach
Ernest Suresh, MD, FRCP (LONDON)

Cleveland Clinic Journal of Medicine March 2019, 86 (3) 198-210; DOI: https://doi.org/10.3949/ccjm.86a.18076

Negative results are not always reassuring, and false-positive results pose risks.

Departments

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Hypertension guidelines January 2019
Cleveland Clinic Journal of Medicine March 2019, 86 (3) 210;

The article Aleyadeh W, Hutt-Centeno E, Ahmed HM, Shah NP. Hypertension guidelines: treat patients, not numbers. Cleve Clin J Med 2019; 86(1):47–56. doi:10.3949/ccjm.86a.18027 contained an error.