Table of Contents
September 01, 2021; Volume 88, Issue 9-
From the Editor
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The initial viral infection may be only part of the story
Brian F. Mandell, MD, PhD- Cleveland Clinic Journal of Medicine September 2021, 88 (9) 476-477;
- DOI: https://doi.org/10.3949/ccjm.88b.09021
We clearly see that the coronavirus elicits syndromes far afield from respiratory tissues. But a virus eliciting effects seemingly distinct from the primary infection is nothing new.
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The Clinical Picture
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Abdominal pseudohernia due to herpes zoster
Junki Mizumoto, MD- Cleveland Clinic Journal of Medicine September 2021, 88 (9) 480-481;
- DOI: https://doi.org/10.3949/ccjm.88a.20178
A 66-year-old man presents with bulging and persistent burning pain in the right abdominal side for 4 days.
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Leriche syndrome
Hiroki Matsuura, MD and Hiroyuki Honda, MD, PhD- Cleveland Clinic Journal of Medicine September 2021, 88 (9) 482-483;
- DOI: https://doi.org/10.3949/ccjm.88a.20179
Physical examination revealed pallor of the toes, cold extremities, dry skin, and absence of bilateral femoral pulses. The patient also disclosed erectile dysfunction.
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Dermatomyositis-related interstitial lung disease mimicking COVID-19 pneumonia
Satoshi Hayano, MD, Kenichiro Tokunaga, MD, Yusuke Imamura, MD and Hideto Oshikawa, MD- Cleveland Clinic Journal of Medicine September 2021, 88 (9) 484-486;
- DOI: https://doi.org/10.3949/ccjm.88a.20204
A subtype of myositis with characteristic skin rashes and ulcers, amyopathic or hypomyopathic symptoms, and rapidly progressive ILD.
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An uncommon cause of chest pain
Salman Salahuddin, MD, DM, MRCP (UK)- Cleveland Clinic Journal of Medicine September 2021, 88 (9) 487-488;
- DOI: https://doi.org/10.3949/ccjm.88a.20160
Re-review of a “normal” chest radiograph provided valuable clues.
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Commentary
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Teriparatide: Label changes and identifying patients for long-term use
Paul D. Miller, MD, HDSc (HON), E. Michael Lewiecki, MD, Kelly Krohn, MD and Elliott Schwartz, MD- Cleveland Clinic Journal of Medicine September 2021, 88 (9) 489-493;
- DOI: https://doi.org/10.3949/ccjm.88a.21011
The changes leave clinicians with the challenge of identifying appropriate patients.
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Symptoms to Diagnosis
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An 86-year-old man with unexplained right-sided headache and vision loss
Marc Ohlhausen, BS, Eden Bernstein, MD and Craig D. Nielsen, MD, FACP- Cleveland Clinic Journal of Medicine September 2021, 88 (9) 494-501;
- DOI: https://doi.org/10.3949/ccjm.88a.20077
Steroid treatment for suspected giant cell arteritis brought no improvement in vision or headache severity.
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Review
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Stress testing and noninvasive coronary imaging: What’s the best test for my patient?
Milad Matta, MD, Serge C. Harb, MD, Paul Cremer, MD, Rory Hachamovitch, MD, MSc and Chadi Ayoub, MD, PhD, FACC, FASE, FSCCT- Cleveland Clinic Journal of Medicine September 2021, 88 (9) 502-515;
- DOI: https://doi.org/10.3949/ccjm.88a.20068
A review of current tests, what they measure, their diagnostic and prognostic value, and their limitations.
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Medical, ethical, and legal aspects of end-of-life dilemmas in the intensive care unit
Jonathan Wiesen, MD, Christopher Donatelli, MD, Martin L. Smith, STD, Laurel Hyle, JD, MPH and Eduardo Mireles-Cabodevila, MD- Cleveland Clinic Journal of Medicine September 2021, 88 (9) 516-527;
- DOI: https://doi.org/10.3949/ccjm.88a.14126
Three hypothetical cases elucidate medical, ethical, and legal considerations in common end-of-life situations encountered in the ICU.
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