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Cleveland Clinic Journal of Medicine

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Table of Contents

October 01, 2021; Volume 88,Issue 10

From the Editor

  • You have access
    We have a greater understanding of ‘cardiac syndrome X,’ but questions remain
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine October 2021, 88 (10) 532-533; DOI: https://doi.org/10.3949/ccjm.88b.10021

    A better understanding of angina due to ischemia and no obstructive coronary artery disease has led to recognition of coronary microvascular dysfunction in many of these patients.

The Clinical Picture

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    Revisiting the ‘great masquerader’
    Raihan Ashraf, MD, Rahul Mahajan, MD, Debajyoti Chatterjee, DM and Kollabathula Arpitha, MD
    Cleveland Clinic Journal of Medicine October 2021, 88 (10) 536-537; DOI: https://doi.org/10.3949/ccjm.88a.20203

    An HIV patient presents with scaly brown lesions on the palms and soles, mildly painful oral erosions, and a buzzing sound in the right ear for the past 20 days.

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    Chest pain: The importance of serial ECGs
    Rene Jansen van Rensburg, MBChB, MD, Jason Schutte, MBChB and Thomas de Beenhouwer, MD
    Cleveland Clinic Journal of Medicine October 2021, 88 (10) 538-540; DOI: https://doi.org/10.3949/ccjm.88a.20183

    Repeat electrocardiograms in a 44-year-old man who presented with severe hypertension revealed de Winter and Wellens patterns.

Editorial

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    Fungus among us: A poster child for diagnostic stewardship
    Sherif Beniameen Mossad, MD, FACP, FIDSA, FAST
    Cleveland Clinic Journal of Medicine October 2021, 88 (10) 541-542; DOI: https://doi.org/10.3949/ccjm.88a.21065

    When interpreting the significance of Aspergillus species in respiratory culture, first ask if the culture was clinically indicated, or if this was an incidental finding.

1-Minute Consult

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    Is Aspergillus isolated from respiratory cultures clinically significant?
    Firas El-Baba, MD, Donovan Watza, PhD and Ayman O. Soubani, MD
    Cleveland Clinic Journal of Medicine October 2021, 88 (10) 543-546; DOI: https://doi.org/10.3949/ccjm.88a.20188

    Aspergillus is ubiquitous, so the significance of the finding depends on the patient’s symptoms, underlying lung condition, immune status, and radiologic fi ndings.

Review

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    Ketogenic diets in the management of type 1 diabetes: Safe or safety concern?
    Lauren Anne Buehler, MD, MPH, Dawn Noe, RDN, LD, CDCES, Shannon Knapp, BSN, RN, CDCES, Diana Isaacs, Pharm D, CDCES and Kevin M. Pantalone, DO, ECNU, FACE
    Cleveland Clinic Journal of Medicine October 2021, 88 (10) 547-555; DOI: https://doi.org/10.3949/ccjm.88a.20121

    A review of the potential risks and benefits for managing type 1 diabetes based on available evidence.

Guidelines to Practice

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    Risk-based guidelines: Redefining management of abnormal cervical cancer screening results
    Amy Wiser, MD, FAAFP, Jeffrey D. Quinlan, MD, FAAFP and Pelin Batur, MD, FACP, NCMP
    Cleveland Clinic Journal of Medicine October 2021, 88 (10) 556-560; DOI: https://doi.org/10.3949/ccjm.88a.20193

    A shift from results-based to risk-based management, based on the patient’s immediate and 5-year risks of grade 3 or higher cervical intraepithelial neoplasia.

Review

  • Coronary microvascular dysfunction: Considerations for diagnosis and treatment
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    Coronary microvascular dysfunction: Considerations for diagnosis and treatment
    Benita Tjoe, MD, Lili Barsky, MD, Janet Wei, MD, Bruce Samuels, MD, Babak Azarbal, MD, C. Noel Bairey Merz, MD and Chrisandra Shufelt, MD, MS
    Cleveland Clinic Journal of Medicine October 2021, 88 (10) 561-571; DOI: https://doi.org/10.3949/ccjm.88a.20140

    A review of pathophysiology, considerations for invasive and noninvasive coronary function testing, management, and remaining knowledge gaps.

Symptoms to Diagnosis

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    Rapid cognitive decline and myoclonus in a 52-year-old woman
    William Gravley, MS, Caleb Murphy, MD, MBA, Chia-Dan Kang, MD and Badrunnisa Hanif, MD
    Cleveland Clinic Journal of Medicine October 2021, 88 (10) 572-583; DOI: https://doi.org/10.3949/ccjm.88a.20004

    Symptoms also included confusion, blank staring, blurred vision, incoordination of the extremities, decreased verbal communication, and holding her left hand in a fist.

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In this issue

Cleveland Clinic Journal of Medicine: 88 (10)
Cleveland Clinic Journal of Medicine
Vol. 88, Issue 10
1 Oct 2021
  • Table of Contents
  • Table of Contents (PDF)
  • Index by author
  • Complete Issue (PDF)

Issue highlights

  • We have a greater understanding of ‘cardiac syndrome X,’ but questions remain
  • Ketogenic diets in the management of type 1 diabetes: Safe or safety concern?
  • Risk-based guidelines: Redefining management of abnormal cervical cancer screening results
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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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