Table of Contents
May 01, 2019; Volume 86, Issue 5-
From the Editor
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Infection or not infection, that is the question—Is procalcitonin the answer?
Brian F. Mandell, MD, PhD- Cleveland Clinic Journal of Medicine May 2019, 86 (5) 297-298;
- DOI: https://doi.org/10.3949/ccjm.86b.05019
What is different about procalcitonin that allows it to succeed as a biomarker where CRP and the ESR have failed?
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The Clinical Picture
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Dabigatran-induced esophagitis
Yusaku Kajihara, MD, FACP- Cleveland Clinic Journal of Medicine May 2019, 86 (5) 303;
- DOI: https://doi.org/10.3949/ccjm.86a.18117
The tablets contain tartaric acid, and if they get stuck in the esophagus, the acid leaching out can damage the mucosa.
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1-Minute Consult
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Can procalcitonin guide decisions about antibiotic management?
Robert J. Fakheri, MD- Cleveland Clinic Journal of Medicine May 2019, 86 (5) 307-311;
- DOI: https://doi.org/10.3949/ccjm.86a.18074
Yes, but clinical judgment must still be exercised.
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The Clinical Picture
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Pyoderma gangrenosum mistaken for diabetic ulcer
Michael A. Munoz, MD and Benson A. Babu, MD, MBA, FACP- Cleveland Clinic Journal of Medicine May 2019, 86 (5) 319-320;
- DOI: https://doi.org/10.3949/ccjm.86a.19015
A man with type 2 diabetes, hypertension, anemia, and ulcerative colitis presented with an ulcer on his leg.
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Symptoms to Diagnosis
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An obese 48-year-old man with progressive fatigue and decreased libido
Gregory W. Rutecki, MD, Ala’a N. Farkouh and Ayman A. Zayed, MD, MSc, FACE, FACP- Cleveland Clinic Journal of Medicine May 2019, 86 (5) 321-331;
- DOI: https://doi.org/10.3949/ccjm.86a.18097
Men with hypogonadism usually present with nonspecifi c symptoms.
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Review
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Evaluating and managing postural tachycardia syndrome
Lucy Y. Lei, Derek S. Chew, MD, Robert S. Sheldon, MD, PhD and Satish R. Raj, MD, MSCI, FRCPC- Cleveland Clinic Journal of Medicine May 2019, 86 (5) 333-344;
- DOI: https://doi.org/10.3949/ccjm.86a.18002
Therapy rarely cures it, but a multifaceted approach can substantially improve quality of life.
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Gastric outlet obstruction: A red flag, potentially manageable
Andree H. Koop, MD, William C. Palmer, MD and Fernando F. Stancampiano, MD- Cleveland Clinic Journal of Medicine May 2019, 86 (5) 345-353;
- DOI: https://doi.org/10.3949/ccjm.86a.18035
Presume the cause to be a malignant tumor untill proven otherwise.
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Departments
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Human papillomavirus March 2019
Robert Lichtenberg, MD- Cleveland Clinic Journal of Medicine May 2019, 86 (5) 300;
- DOI: https://doi.org/10.3949/ccjm.86c.05001
Readers comment on aleukemic leukemia cutis (February 2019) and on human papillomavirus vaccination (March 2019).
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In reply: Human papillomavirus March 2019
Salina Zhang, BS and Pelin Batur, MD- Cleveland Clinic Journal of Medicine May 2019, 86 (5) 300-301;
- DOI: https://doi.org/10.3949/ccjm.86c.05002
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Aleukemic leukemia cutis February 2019
Etan Marks, DO- Cleveland Clinic Journal of Medicine May 2019, 86 (5) 302;
- DOI: https://doi.org/10.3949/ccjm.86c.05003
Readers comment on aleukemic leukemia cutis (February 2019) and on human papillomavirus vaccination (March 2019).
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In reply: Aleukemic leukemia cutis February 2019
Tuyet Abraham, MD, Peter Morawiecki, MD, Amy Flischel, MD and Bharata Agrawal, MD- Cleveland Clinic Journal of Medicine May 2019, 86 (5) 302;
- DOI: https://doi.org/10.3949/ccjm.86c.05004
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