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