Table of Contents
From the Editor
- Circulating lipids are not all bad: An LDL mimic that may be only skin deep
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
- Xanthomas: Differentiating atherogenic from nonatherogenic
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.
- The double-tongue sign
Computed tomography showed enlarged mylohyoid and geniohyoid muscles, surrounding inflammatory findings, and small gas retentions.
1-Minute Consult
- Is exercise restriction necessary in patients with pericarditis?
The authors review current recommendations and illustrate possible approaches through a case scenario.
- What are the considerations in patient selection and timing of risk-reducing mastectomy?
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
- Altered mental status in a man with metabolic syndrome
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
- Do all patients with primary pulmonary coccidioidomycosis need antifungal therapy?
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 diabetesA 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
- Unilateral atrophic kidney in a 45-year-old woman
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
- An unexpected turn
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
