Imaging

  • Bicuspid aortic valve: Basics and beyond
    Shailee Y. Shah, MD, Andrew Higgins, MD and Milind Y. Desai, MD
    Cleveland Clinic Journal of Medicine October 2018, 85 (10) 779-784; DOI: https://doi.org/10.3949/ccjm.85a.17069

    What further testing does this 34-year-old patient need? Can he play sports? Does his newborn son need evaluation?

  • Ablation of atrial fibrillation: Facts for the referring physician
    Ablation of atrial fibrillation: Facts for the referring physician
    Arun R. Mahankali Sridhar, MD, MPH, Oussama Wazni, MD and Ayman A. Hussein, MD
    Cleveland Clinic Journal of Medicine October 2018, 85 (10) 789-799; DOI: https://doi.org/10.3949/ccjm.85a.17092

    The procedure has evolved to become a safe and effective treatment for atrial fi brillation.

  • Brain abscesses in a 60-year-old man
    Stella Pak, MD, Shawn Marein, DO, Victor Valencia, Damian Valencia, MD, Jessica Uhler, BS and Adam Fershko, MD, FACP
    Cleveland Clinic Journal of Medicine September 2018, 85 (9) 672-674; DOI: https://doi.org/10.3949/ccjm.85a.17130

    The lesions were not from compromised immunity, but from septic hematogenous spread of an odontogenic infection.

  • Coronary artery calcium scoring: Its practicality and clinical utility in primary care
    Coronary artery calcium scoring: Its practicality and clinical utility in primary care
    Parth Parikh, MD, Nishant Shah, MD, Haitham Ahmed, MD, MPH, Paul Schoenhagen, MD and Maan Fares, MD
    Cleveland Clinic Journal of Medicine September 2018, 85 (9) 707-716; DOI: https://doi.org/10.3949/ccjm.85a.17097

    It outperforms other risk-stratifi cation tools. Drawbacks include the possibility of unnecessary testing and incidental fi ndings.

  • Coronary artery calcium scoring: A valuable tool in primary care
    Michael B. Rothberg, MD, MPH
    Cleveland Clinic Journal of Medicine September 2018, 85 (9) 717-719; DOI: https://doi.org/10.3949/ccjm.85a.18077

    Coronary calcium scoring is safe and accurate, but who should be tested?

  • Osmotic demyelination syndrome due to hyperosmolar hyperglycemia
    Takanobu Hirosawa, MD and Taro Shimizu, MD, MPH, MBA
    Cleveland Clinic Journal of Medicine July 2018, 85 (7) 511-513; DOI: https://doi.org/10.3949/ccjm.85a.17020

    Rapid correction of chronic hyponatremia can trigger this rare but life-threatening disorder.

  • When does S aureus bacteremia require transesophageal echocardiography?
    Aibek E. Mirrakhimov, MD, Michael E. Jesinger, MD, Taha Ayach, MD and Adam Gray, MD
    Cleveland Clinic Journal of Medicine July 2018, 85 (7) 517-520; DOI: https://doi.org/10.3949/ccjm.85a.16095

    TTE is a good starting point, but TEE is indicated in patients with a high pretest probability of endocarditis.

  • S aureus bacteremia: TEE and infectious disease consultation
    Susan J. Rehm, MD, FIDSA, FACP
    Cleveland Clinic Journal of Medicine July 2018, 85 (7) 521-522; DOI: https://doi.org/10.3949/ccjm.85a.18061

    Staphylococcus aureus bacteremia demands further evaluation, as up to 25% of people who have it may have endocarditis.

  • Aortic dissection presenting as ischemic limb
    Faiza Khalid, MD and Shikha Gupta, MD
    Cleveland Clinic Journal of Medicine June 2018, 85 (6) 438-440; DOI: https://doi.org/10.3949/ccjm.85a.17122

    With surgical repair and blood pressure control, the patient recovered and left the hospital 1 week later.

  • Central nervous system lymphoma mimicking Bell palsy
    Kiyoshi Shikino, MD, PhD, Shingo Suzuki, MD, PhD, Takanori Uehara, MD, PhD and Masatomi Ikusaka, MD, PhD
    Cleveland Clinic Journal of Medicine June 2018, 85 (6) 442-443; DOI: https://doi.org/10.3949/ccjm.85a.17061

    Failure of presumed Bell palsy to improve should prompt an evaluation for an underlying condition.

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