Table of Contents

November 01, 2023; Volume 90,Issue 11

From the Editor

You have access
Anchors away
Brian F. Mandell, MD, PhD

Cleveland Clinic Journal of Medicine November 2023, 90 (11) 652-653; DOI: https://doi.org/10.3949/ccjm.90b.11023

Before you read this, I recommend that you read the interesting article in this issue by Prakash et al, part of our Symptoms to Diagnosis series.

The Clinical Picture

You have access
A reticular eruption on the thighs
Li-wen Zhang, MD, Juan Wu, MD, Tao Chen, MD, PhD and Rong-hua Xu, MD

Cleveland Clinic Journal of Medicine November 2023, 90 (11) 659-660; DOI: https://doi.org/10.3949/ccjm.90a.23028

During cold winter weather, the patient had been wearing an electric heating pad between the thighs.

1-Minute Consult

You have access
Is the MTHFR gene mutation associated with thrombosis?
Andrew Dhawan, MD, DPhil and Charis Eng, MD, PhD

Cleveland Clinic Journal of Medicine November 2023, 90 (11) 661-663; DOI: https://doi.org/10.3949/ccjm.90a.23044

Clinicians should educate patients with this common polymorphism about the lack of evidence for associated thrombotic risk, and instead focus on modifiable risk factors for thrombosis.
You have access
What is the role for terlipressin in hepatorenal syndrome?
Stephanie N. Bass, PharmD, Aanchal Kapoor, MD and Christina C. Lindenmeyer, MD

Cleveland Clinic Journal of Medicine November 2023, 90 (11) 664-667; DOI: https://doi.org/10.3949/ccjm.90a.23037

The drug is recommended as a first-line treatment of hepatorenal syndrome-related acute kidney injury, but it is associated with respiratory failure, especially in the setting of albumin administration, and certain comorbidities may increase the risk.

Symptoms to Diagnosis

You have access
Elevated aminotransferases in a 62-year-old woman
Shahana Prakash, MD, Steven Moore, MD, PhD, Anthony Snow, MD and Kyle E. Brown, MD, FAASLD

Cleveland Clinic Journal of Medicine November 2023, 90 (11) 669-674; DOI: https://doi.org/10.3949/ccjm.90a.23011

Her medical history included gastroesophageal reflux disease and Sjögren syndrome. She had recently returned from travel to Malaysia.

Review

You have access
COVID-19: A management update
Kathryn Bash, MHSc, MSN, APRN-CNP, Gretchen Sacha, PharmD, BCCCP and Mani Latifi, MD

Cleveland Clinic Journal of Medicine November 2023, 90 (11) 677-683; DOI: https://doi.org/10.3949/ccjm.90a.22102

The authors examine current guidelines of the Infectious Diseases Society of America and the National Institutes of Health.

Commentary

You have access
The new GFR equations: How will eliminating the race coefficient affect Black patients?
Paul Merchant, MD, Crystal Gadegbeku, MD, FAHA, FACP, FASN, Ali Mehdi, MD, Med, FACP, FASN, George Thomas, MD, FACP, Georges Nakhoul, MD, MEd and Jonathan Taliercio, DO, FASN

Cleveland Clinic Journal of Medicine November 2023, 90 (11) 685-691; DOI: https://doi.org/10.3949/ccjm.90a.22061

The authors discuss the history of equations for the glomerular filtration rate and potential clinical consequences of the new equations.

Review

You have access
Cirrhosis: Primary care approaches to screening, immunization, and lifestyle modifications
Asim Kichloo, MD, Michael Aljadah, MD, Michael Albosta, MD, Zain El-Amir, MD, Ghazaleh Goldar, MD, Muhammed Zatmar Khan, MD, Dushyant Singh Dahiya, MD and Farah Wani, MD

Cleveland Clinic Journal of Medicine November 2023, 90 (11) 693-701; DOI: https://doi.org/10.3949/ccjm.90a.21043

The authors review management of cirrhosis and complications such as esophageal varices and hepatocellular carcinoma, as well as chemical and medication exposures.