Table of Contents
July 01, 2022; Volume 89, Issue 7-
From the Editor
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Nontuberculous mycobacterial musculoskeletal infections: Recognizable, when suspected
Brian F. Mandell, MD, PhD- Cleveland Clinic Journal of Medicine July 2022, 89 (7) 355-356;
- DOI: https://doi.org/10.3949/ccjm.89b.07022
Two articles in this issue offer valuable insight into when to suspect these infections in patients who present with swollen, indurated, peripheral soft-tissue structures.
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The Clinical Picture
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Dactylitis from Mycobacterium intracellulare infection
Hayato Shimizu, MD, Takumi Hashimura, MD and Hiroaki Nishioka, MD, PhD- Cleveland Clinic Journal of Medicine July 2022, 89 (7) 360-362;
- DOI: https://doi.org/10.3949/ccjm.89a.21067
A 69-year-old man presents with 6 months of progressive swelling of the right middle finger, with no systemic symptoms.
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Review
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Which ICU patients need stress ulcer prophylaxis?
Mariam Saeed, MD, Stephanie Bass, PharmD and Neal F. Chaisson, MD- Cleveland Clinic Journal of Medicine July 2022, 89 (7) 363-367;
- DOI: https://doi.org/10.3949/ccjm.89a.21085
An examination of the controversy surrounding stress ulcer prophylaxis in critically ill patients, with guidance for its appropriate use in this setting.
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The Clinical Picture
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Unraveling a challenging diagnosis: Role of a TNF inhibitor
Soumya Chatterjee, MD, MS, FRCP, FACP, FACR- Cleveland Clinic Journal of Medicine July 2022, 89 (7) 368-370;
- DOI: https://doi.org/10.3949/ccjm.89a.21128
Painful swelling of the dorsum of the right hand had been diagnosed as chronic cutaneous sarcoidosis with tenosynovitis, treated unsuccessfully with prednisone and methotrexate.
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Mondor disease of the breast
Toshiyuki Yamaguchi, MD- Cleveland Clinic Journal of Medicine July 2022, 89 (7) 371-372;
- DOI: https://doi.org/10.3949/ccjm.89a.21097
A 43-year-old woman had 2 weeks of pain and skin tightness over the right breast. Ultrasonography revealed a noncompressible, dilated, subcutaneous vein without flow.
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Review
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Women’s health update: A literature review impacting primary care
Brigid M. Dolan, MD, MEd, Sarah Merriam, MD, MS, Christine A. Prifti, MD and Judith M. Walsh, MD, MPH- Cleveland Clinic Journal of Medicine July 2022, 89 (7) 373-381;
- DOI: https://doi.org/10.3949/ccjm.89a.21123
The authors review cardiovascular disease, bone health, breast cancer risk, cervical cancer prevention, postpartum depression, pelvic pain, and emergency contraception.
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Symptoms to Diagnosis
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Acute anxiety and tachycardia in a hospitalized 59-year-old woman
Andres I. Applewhite, MD, Fernando F. Stancampiano, MD, Dana M. Harris, MD, Victor Bernet, MD, Joseph G. Cernigliaro, MD and Jose R. Valery, MD- Cleveland Clinic Journal of Medicine July 2022, 89 (7) 383-391;
- DOI: https://doi.org/10.3949/ccjm.89a.21002
The patient presented with neck pain, painful swallowing, headache, and fever. She had contracted lymphoproliferative disease after liver transplant. She had stage 3 chronic kidney disease.
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Review
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Metastatic bone disease: Early referral for multidisciplinary care
Amir Hossain Gahanbani Ardakani, BSc, MBBS, Martina Faimali, MBBS, FRCS (Tr&Orth), Lukas Nystrom, MD, Nathan Mesko, MD, Muntzer Mughal, MBChB, ChM, FRCS, Howard Ware, MBBS, FRCS (Tr&Orth) and Panagiotis Gikas, BSc, MBBS Hons, MD (Res), PhD, FRCS (Tr&Orth)- Cleveland Clinic Journal of Medicine July 2022, 89 (7) 393-399;
- DOI: https://doi.org/10.3949/ccjm.89a.21062
A lack of awareness and recognition of symptoms continues to delay referral to specialist teams. The authors provide guidance for early diagnosis and referral.
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Symptoms to Diagnosis
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An unexpected turn: A 71-year-old man with myocardial infarction
Smitha Ganeshan, MD, MBA, Benjamin Kelemen, MD, Gurpreet Dhaliwal, MD and Lucas Zier, MD, MS- Cleveland Clinic Journal of Medicine July 2022, 89 (7) 401-407;
- DOI: https://doi.org/10.3949/ccjm.89a.21030
The patient’s temperature was elevated, pulse rate 98 beats per minute, respiratory rate 16 breaths per minute, and blood pressure 100/60 mm Hg. Cardiac and pulmonary examinations were normal.
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