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Cleveland Clinic Journal of Medicine

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Table of Contents

May 01, 2019; Volume 86,Issue 5

From the Editor

  • You have access
    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?

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.

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.

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.

Symptoms to Diagnosis

  • An obese 48-year-old man with progressive fatigue and decreased libido
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    An obese 48-year-old man with progressive fatigue and decreased libido
    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.

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.

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
  • You have access
    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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In this issue

Cleveland Clinic Journal of Medicine: 86 (5)
Cleveland Clinic Journal of Medicine
Vol. 86, Issue 5
1 May 2019
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Do all patients with primary pulmonary coccidioidomycosis need antifungal therapy?
The double-tongue sign
Is exercise restriction necessary in patients with pericarditis?
Which ICU patients need stress ulcer prophylaxis?
Dactylitis from Mycobacterium intracellulare infection
Mondor disease of the breast
Dyspnea and cough in a lung transplant recipient
Atypical erythema as a clinical presentation of tinea incognito
Pigmented lesion on nail bed: Pseudo-Hutchinson sign
Hampton hump in acute pulmonary embolism
A brownish erythematous patch in the nipple-areola complex
The underappreciated role of documentation in improving COPD care
Oral hyperpigmentation with weakness and salt-craving
Glycemic targets in the ICU: A look back, and ahead

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