Table of Contents
August 01, 2019; Volume 86, Issue 8-
From the Editor
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Deciding when a picture is worth a thousand words and several thousand dollars
Brian F. Mandell, MD, PhD- Cleveland Clinic Journal of Medicine August 2019, 86 (8) 509-510;
- DOI: https://doi.org/10.3949/ccjm.86b.08019
Physical examination is cheap but not highly reproducible. Imaging is expensive but may be more sensitive and specific.
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The Clinical Picture
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Osteonecrosis of the femoral head with subchondral collapse
Nicolas S. Piuzzi, MD, Hiba K. Anis, MD and George F. Muschler, MD- Cleveland Clinic Journal of Medicine August 2019, 86 (8) 511-512;
- DOI: https://doi.org/10.3949/ccjm.86a.19004
A 45-year-old woman had been taking corticosteroids long-term after organ transplant.
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Smart Testing
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When does acute pyelonephritis require imaging?
Mary E. Lacy, MD, Navneet Sidhu, MD and Justin Miller, MD- Cleveland Clinic Journal of Medicine August 2019, 86 (8) 515-517;
- DOI: https://doi.org/10.3949/ccjm.86a.18096
Imaging is recommended for those at risk of complications.
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1-Minute Consult
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Should we stop aspirin before noncardiac surgery?
Anbazhagan Prabhakaran, MD, MRCP (Edin), FACP and Christopher Whinney, MD, SFHM, FACP- Cleveland Clinic Journal of Medicine August 2019, 86 (8) 518-521;
- DOI: https://doi.org/10.3949/ccjm.86a.18075
It depends on the type of surgery and the reason the patient is taking aspirin.
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Editorial
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Aspirin: 4,000 years and still learning
Kenneth C. Cummings III, MD, MS, FASA- Cleveland Clinic Journal of Medicine August 2019, 86 (8) 522-524;
- DOI: https://doi.org/10.3949/ccjm.86a.19041
What we know about aspirin—and what we still need to learn.
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Commentary
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Primary care: Practice meets technology
Cristina I. Pravia, MD, FACP, MBA and Yvonne M. Diaz, MD, FACP- Cleveland Clinic Journal of Medicine August 2019, 86 (8) 525-528;
- DOI: https://doi.org/10.3949/ccjm.86a.18122
Technology has infiltrated all parts of our lives. Physicians need to adapt and adjust.
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Editorial
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Running in place: The uncertain future of primary care internal medicine
Craig Nielsen, MD, FACP and Pelin Batur, MD- Cleveland Clinic Journal of Medicine August 2019, 86 (8) 530-534;
- DOI: https://doi.org/10.3949/ccjm.86a.19075
If we don’t demand change, who will be there to take care of us when we grow old?
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Symptoms to Diagnosis
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An unusual cause of bruising
Gregory W. Rutecki, MD, Tahani Atieh, DO and Alan Lichtin, MD- Cleveland Clinic Journal of Medicine August 2019, 86 (8) 535-542;
- DOI: https://doi.org/10.3949/ccjm.86a.18119
The coagulation assay, particularly the prothrombin time and aPTT, is key in initially assessing a bleeding abnormality.
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Review
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Adults with autism spectrum disorder: Updated considerations for healthcare providers
Carol Swetlik, MD, MS, Sarah E. Earp, MD and Kathleen N. Franco, MD- Cleveland Clinic Journal of Medicine August 2019, 86 (8) 543-553;
- DOI: https://doi.org/10.3949/ccjm.86a.18100
Social support, community programs, and behavioral therapies can help. Caregivers may also need support.
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Editorial
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Where have all the children gone? Intentional communities for adults with autism
Carl R. Brass, LPCC-S, MA and Debra J. Mandell, OTR/L, MA- Cleveland Clinic Journal of Medicine August 2019, 86 (8) 554-558;
- DOI: https://doi.org/10.3949/ccjm.86a.19080
Children with ASD grow to be adults with ASD, with complex healthcare needs.
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Review
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Infective endocarditis: Beyond the usual tests
Nkemdilim Mgbojikwe, MD, Steven R. Jones, MD, Thorsten M. Leucker, MD, PhD and Daniel J. Brotman, MD- Cleveland Clinic Journal of Medicine August 2019, 86 (8) 559-567;
- DOI: https://doi.org/10.3949/ccjm.86a.18120
Newer imaging tests are increasingly used as alternatives or adjuncts to echocardiography for selected patients.
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Letters to the Editor
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Gastroparesis
Amos Lal, MD, Pantea Ebrahimpour, MD and Nitin Trivedi, MD, FACP, FACE- Cleveland Clinic Journal of Medicine August 2019, 86 (8) 514;
- DOI: https://doi.org/10.3949/ccjm.86c.08001
A reader raises questions about diabetic gastroparesis (April 2019).
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In reply: Gastroparesis
Ahmad Muneer Sharayah, MD, Noor Hajjaj, MD, Ramy Osman, MD and Douglas Livornese, MD- Cleveland Clinic Journal of Medicine August 2019, 86 (8) 514;
- DOI: https://doi.org/10.3949/ccjm.86c.08002
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