Table of Contents
From the Editor
- It’s time for a little history of medicine—introducing a new feature in CCJM
This month, we debut a feature focused on topics in the history of medicine, authored by Cleveland Clinic rheumatologist Adam Brown, MD.
The Clinical Picture
- Skin manifestations in a patient with acute bacterial infective endocarditis
During a dialysis session, the patient experienced the onset of rigors accompanied by the appearance of painless purpuric lesions, which developed into petechiae.
Editorial
- The history of blood cultures: From the research laboratory to the bedside
Efforts to prove that bacteria cause endocarditis paved the way for use of blood cultures in the clinic.
1-Minute Consult
- What are options for my patients with erectile dysfunction who have an unsatisfactory response to PDE5 inhibitors?
Alternative therapies include intracavernosal injection, vacuum erection devices, and penile prosthesis implantation.
Symptoms to Diagnosis
A man with chronic limb-threatening ischemia and no revascularization options: Can we save his foot?The patient’s right foot was edematous with extensive, dry-appearing gangrene of the big toe, and no pedal pulses were felt.
Review
- Cervical cancer screening in high-risk patients: Clinical challenges in primary care
The authors provide up-to-date guidance on cervical cancer screening, surveillance, and management for high-risk patients.
Commentary
The potentially transformative benefits of second-generation obesity medications have yet to be realized because many patients lack access to these medications.
Can a risk score identify individuals with chest pain who can safely forego testing?