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Cleveland Clinic Journal of Medicine

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Table of Contents

September 01, 2019; Volume 86,Issue 9

From The Editor

  • You have access
    Clinical outcomes in diabetes: It’s not just the glucose (and it’s not so simple)
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine September 2019, 86 (9) 573-574; DOI: https://doi.org/10.3949/ccjm.86b.09019

    As we dig deeper into the reduction in cardiovascular deaths seen with some newer drugs, several questions arise.

The Clinical Picture

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    Diabetic dyslipidemia with eruptive xanthoma
    Yu-Chun Hsueh, MD, Chuan-Liang Chou, MD and Ting-I. Lee, MD, PhD
    Cleveland Clinic Journal of Medicine September 2019, 86 (9) 575-576; DOI: https://doi.org/10.3949/ccjm.86a.18104

    Off medications for 1 year, her triglyceride level was 10,250 mg/dL, hemoglobin A1c 12.4%.

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    Pseudo-Ludwig angina
    Andrew Tiu, MD and Kamolyut Lapumnuaypol, MD
    Cleveland Clinic Journal of Medicine September 2019, 86 (9) 577-578; DOI: https://doi.org/10.3949/ccjm.86a.19014

    A woman on heparin developed a hematoma on the floor of her mouth that threatened to block her airway.

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    Mediastinal granuloma due to histoplasmosis in a patient on infliximab
    Takaaki Kobayashi, MD and Christine Cho, MD
    Cleveland Clinic Journal of Medicine September 2019, 86 (9) 579-581; DOI: https://doi.org/10.3949/ccjm.86a.18138

    Immunosuppressive drugs can predispose to invasive fungal infection.

1-Minute Consult

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    Are daily chest radiographs and arterial blood gas tests required in ICU patients on mechanical ventilation?
    Shyam Ganti, MD, Ravinder D. Bhanot, MD, Jasleen Kaur, MD, Cassondra Cramer-Bour, MD and Ayman O. Soubani, MD
    Cleveland Clinic Journal of Medicine September 2019, 86 (9) 582-585; DOI: https://doi.org/10.3949/ccjm.86a.18141

    Although routine testing is common, it has low diagnostic yield and is unlikely to alter patient management.

Symptoms to Diagnosis

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    A young man with acute chest pain
    Amir Farid, MD, Neil Beri, MD, David Torres-Barba, MD, PhD and Charles Whitcomb, MD
    Cleveland Clinic Journal of Medicine September 2019, 86 (9) 586-594; DOI: https://doi.org/10.3949/ccjm.86a.19025

    A young man presents with severe, pressure-like, midsternal, nonradiating pain, rated 10 on a scale of 10.

Current Drug Therapy

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    Diabetes management: Beyond hemoglobin A1c
    Vinni Makin, MBBS, MD, FACE and M. Cecilia Lansang, MD, MPH
    Cleveland Clinic Journal of Medicine September 2019, 86 (9) 595-600; DOI: https://doi.org/10.3949/ccjm.86a.18031

    Other factors include cardiovascular benefit, weight control, hypoglycemia risk, and cost.

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    ACE inhibitors and ARBs: Managing potassium and renal function
    Tasnim Momoniat, MBCHB, MRCP (UK), Duha Ilyas, MBBS, MRCP (UK) and Sunil Bhandari, MBCHB, FRCP, PhD, M CLIN EDU, FHEA
    Cleveland Clinic Journal of Medicine September 2019, 86 (9) 601-607; DOI: https://doi.org/10.3949/ccjm.86a.18024

    Concern about hyperkalemia and a decline in renal function has led to underuse of these drugs.

Editorial

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    ACE inhibitor and ARB therapy: Practical recommendations
    Hernan Rincon-Choles, MD, MS
    Cleveland Clinic Journal of Medicine September 2019, 86 (9) 608-611; DOI: https://doi.org/10.3949/ccjm.86a.19016

    Inhibitors of the renin-angiotensin-aldosterone system are cornerstones of therapy of cardiovascular disease.

Review

  • Hemorrhoids: A range of treatments
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    Hemorrhoids: A range of treatments
    Turgut Bora Cengiz, MD and Emre Gorgun, MD, FACS, FASCRS
    Cleveland Clinic Journal of Medicine September 2019, 86 (9) 612-620; DOI: https://doi.org/10.3949/ccjm.86a.18079

    Each patient is unique, and with the range of options available, treatment can be individualized.

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    Disparities in cardiovascular care: Past, present, and solutions
    Quentin R. Youmans, MD, Lindsey Hastings-Spaine, MD, Oluseyi Princewill, MD, MPH, Titilayo Shobayo, BS and Ike S. Okwuosa, MD
    Cleveland Clinic Journal of Medicine September 2019, 86 (9) 621-632; DOI: https://doi.org/10.3949/ccjm.86a.18088

    Cardiovascular disease makes no distinction in race, sex, age, or socioeconomic status, and neither should clinicians.

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In this issue

Cleveland Clinic Journal of Medicine: 86 (9)
Cleveland Clinic Journal of Medicine
Vol. 86, Issue 9
1 Sep 2019
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Oral leukoplakia and oral cancer
A 50-year-old man presents with shortness of breath
Myasthenia gravis: Frequently asked questions
Central vision loss in a 44-year-old woman
Median rhomboid glossitis caused by tongue-brushing
Making best use of bone turnover markers to monitor oral bisphosphonate therapy
Asymptomatic granules on the buccal mucosa
Does my patient need to be screened or treated for a urinary tract infection?
Ignore e-cigarettes at your patient’s peril
Spontaneous oral hematoma diagnosed as angina bullosa hemorrhagica
Hypophosphatemia in a patient with an eating disorder
Scaly plaques in a malnourished patient
Confusion in a 22-year-old woman, and diagnostic uncertainty
How do we maximize diuresis in acute decompensated heart failure?

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