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Cleveland Clinic Journal of Medicine

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Table of Contents

August 01, 2019; Volume 86,Issue 8

From the Editor

  • You have access
    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.

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.

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.

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.

Editorial

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    Aspirin: 4,000 years and still learning
    Kenneth C. Cummings, 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.

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.

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?

Symptoms to Diagnosis

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    An unusual cause of bruising
    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.

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.

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.

Review

  • Infective endocarditis: Beyond the usual tests
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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.

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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In this issue

Cleveland Clinic Journal of Medicine: 86 (8)
Cleveland Clinic Journal of Medicine
Vol. 86, Issue 8
1 Aug 2019
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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
Unilateral pulmonary edema
Does my patient need an allergy evaluation for penicillin allergy?
Hypertrichosis and topical corticosteroid use
Recurrent anemia in a patient with chronic lymphocytic leukemia
Megaloblastic anemia due to severe vitamin B12 deficiency
Discontinuing antidepressants: Pearls and pitfalls

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