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Cleveland Clinic Journal of Medicine

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Table of Contents

August 01, 2022; Volume 89,Issue 8

From the Editor

  • You have access
    Circulating lipids are not all bad: An LDL mimic that may be only skin deep
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine August 2022, 89 (8) 422-423; DOI: https://doi.org/10.3949/ccjm.89b.08022

    Although lipoprotein-X separates out by density in the low-density lipoprotein (LDL) fraction and thus may appear as LDL in the laboratory report, it is biologically unique.

The Clinical Picture

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    Xanthomas: Differentiating atherogenic from nonatherogenic
    Vy Mai, MD and Hossein Akhondi, MD
    Cleveland Clinic Journal of Medicine August 2022, 89 (8) 429-431; DOI: https://doi.org/10.3949/ccjm.89a.21088

    The patient had tendinous xanthomas on the dorsal joints of the hand and eruptive xanthomas on the buttock, as well as xanthoma striatum palmare on the volar aspect of the hand.

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    The double-tongue sign
    Nami Yoshimura, MD, Takashi Watari, MD, MHQS, MCTM, PhD, Keisuke Misao, MD, Toshihiro Imada, MD and Junji Mashino, MD
    Cleveland Clinic Journal of Medicine August 2022, 89 (8) 435-436; DOI: https://doi.org/10.3949/ccjm.89a.21080

    Computed tomography showed enlarged mylohyoid and geniohyoid muscles, surrounding inflammatory findings, and small gas retentions.

1-Minute Consult

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    Is exercise restriction necessary in patients with pericarditis?
    Felix Berglund, MD and Allan L. Klein, MD
    Cleveland Clinic Journal of Medicine August 2022, 89 (8) 437-441; DOI: https://doi.org/10.3949/ccjm.89a.21120

    The authors review current recommendations and illustrate possible approaches through a case scenario.

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    What are the considerations in patient selection and timing of risk-reducing mastectomy?
    Holly J. Pederson, MD, Allison W. Kurian, MD, MSc and Zahraa Al Hilli, MD
    Cleveland Clinic Journal of Medicine August 2022, 89 (8) 442-444; DOI: https://doi.org/10.3949/ccjm.89a.21114

    The option of risk-reducing mastectomy is for those at highest risk, and multidisciplinary conversations setting patient expectations are critical for optimal patient outcomes.

Symptoms to Diagnosis

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    Altered mental status in a man with metabolic syndrome
    Bernie P. Wu, BS, Molly Wheeler, PharmD, Jennifer K. Hockings, PharmD, PhD, Andrew Coulter, MD and Leopoldo Pozuelo, MD
    Cleveland Clinic Journal of Medicine August 2022, 89 (8) 445-450; DOI: https://doi.org/10.3949/ccjm.89a.21050

    A 25-year-old man with bipolar I disorder, hypertension, posttraumatic stress disorder, and obesity was found unresponsive with shallow breathing and foaming at the mouth.

1-Minute Consult

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    Do all patients with primary pulmonary coccidioidomycosis need antifungal therapy?
    Simran Gupta, MD, Nikita Ashcherkin, MD and Janis E. Blair, MD
    Cleveland Clinic Journal of Medicine August 2022, 89 (8) 451-455; DOI: https://doi.org/10.3949/ccjm.89a.21125

    Patients diagnosed with this condition who have no symptoms or are mildly symptomatic do not require treatment and can be closely monitored.

Review

  • The role of GLP-1 receptor agonists in managing type 2 diabetes
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    The role of GLP-1 receptor agonists in managing type 2 diabetes
    CME article
    Noura Nachawi, MD, Pratibha PR Rao, MD, MPH and Vinni Makin, MBBS, MD, FACE
    Cleveland Clinic Journal of Medicine August 2022, 89 (8) 457-464; DOI: https://doi.org/10.3949/ccjm.89a.21110

    A review of the evidence regarding the benefits and adverse effects of GLP-1 receptor agonists in patients with type 2 diabetes mellitus or obesity.

Symptoms to Diagnosis

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    Unilateral atrophic kidney in a 45-year-old woman
    Mohammad A. Sohail, MD, John Sedor, MD, Lee Kirksey, MD, MBA, Steven C. Blaha, MD and Heather Hofmann, MD, FACP
    Cleveland Clinic Journal of Medicine August 2022, 89 (8) 465-471; DOI: https://doi.org/10.3949/ccjm.89a.21015

    The patient presented with 2 days of constant, sharp, nonradiating flank pain on the right side, worse with movement and coughing, and severe enough to limit ambulation.

Correction

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    An unexpected turn
    Cleveland Clinic Journal of Medicine August 2022, 89 (8) 455;

    The following article in the July 2022 issue contained an error: Ganeshan S, Kelemen B, Dhaliwal G, Zier L. An unexpected turn: A 71-year-old man with myocardial infarction. Cleve Clin J Med. 2022;89(7):401–407. doi:10.3949/ccjm.89a.21030

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In this issue

Cleveland Clinic Journal of Medicine: 89 (8)
Cleveland Clinic Journal of Medicine
Vol. 89, Issue 8
1 Aug 2022
  • Table of Contents
  • Table of Contents (PDF)
  • Index by author
  • Complete Issue (PDF)

Issue highlights

  • Unilateral atrophic kidney in a 45-year-old woman
  • Altered mental status in a man with metabolic syndrome
  • Circulating lipids are not all bad: An LDL mimic that may be only skin deep
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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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