Nephrology

  • Severe hypercalcemia in a 54-year-old woman
    Michael A. Munoz, MD, Zeeshan Zafar, MD, MBA and Benson A. Babu, MD, MBA
    Cleveland Clinic Journal of Medicine November 2019, 86 (11) 719-723; DOI: https://doi.org/10.3949/ccjm.86a.18126

    Her calcium level was 18.4 mg/dL; 6 months earlier it had been 9.6. What was the cause?

  • A complication of enoxaparin injection
    Ahmad Muneer Sharayah, MD, Samrah Zaigham, MD, Noor Hajjaj, MD and Mihir Maniar, DO
    Cleveland Clinic Journal of Medicine October 2019, 86 (10) 648-649; DOI: https://doi.org/10.3949/ccjm.86a.19026

    Computed tomography revealed a hematoma measuring 15 by 15 cm compressing the bladder and causing hydronephrosis.

  • ACE inhibitors and ARBs: Managing potassium and renal function
    Tasnim Momoniat, MBCHB, MRCP (UK), Duha Ilyas, MBBS, MRCP (UK) and Sunil Bhandari, MBCHB, FRCP, PhD, M CLIN EDU, FHEA
    Cleveland Clinic Journal of Medicine September 2019, 86 (9) 601-607; DOI: https://doi.org/10.3949/ccjm.86a.18024

    Concern about hyperkalemia and a decline in renal function has led to underuse of these drugs.

  • ACE inhibitor and ARB therapy: Practical recommendations
    Hernan Rincon-Choles, MD, MS
    Cleveland Clinic Journal of Medicine September 2019, 86 (9) 608-611; DOI: https://doi.org/10.3949/ccjm.86a.19016

    Inhibitors of the renin-angiotensin-aldosterone system are cornerstones of therapy of cardiovascular disease.

  • Deciding when a picture is worth a thousand words and several thousand dollars
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine August 2019, 86 (8) 509-510; DOI: https://doi.org/10.3949/ccjm.86b.08019

    Physical examination is cheap but not highly reproducible. Imaging is expensive but may be more sensitive and specific.

  • When does acute pyelonephritis require imaging?
    Mary E. Lacy, MD, Navneet Sidhu, MD and Justin Miller, MD
    Cleveland Clinic Journal of Medicine August 2019, 86 (8) 515-517; DOI: https://doi.org/10.3949/ccjm.86a.18096

    Imaging is recommended for those at risk of complications.

  • Acute kidney injury after hip or knee replacement: Can we lower the risk?
    Edward J. Filippone, MD, FASN and Anju Yadav, MD
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 263-276; DOI: https://doi.org/10.3949/ccjm.86a.18044

    Various risk factors have been identified, and some are potentially modifiable.

  • A paraneoplastic potassium and acid-base disturbance
    Samuel P. Wiles, MD, Matthew Kiczek, DO and Gregory W. Rutecki, MD
    Cleveland Clinic Journal of Medicine March 2019, 86 (3) 187-197; DOI: https://doi.org/10.3949/ccjm.86a.18014

    A 55-year-old smoker with COPD presents with malaise, paresthesias, and severe hypertension. What is the cause?

  • Laboratory tests in rheumatology: A rational approach
    Ernest Suresh, MD, FRCP (LONDON)
    Cleveland Clinic Journal of Medicine March 2019, 86 (3) 198-210; DOI: https://doi.org/10.3949/ccjm.86a.18076

    Negative results are not always reassuring, and false-positive results pose risks.

  • Hypertension guidelines January 2019
    Cleveland Clinic Journal of Medicine March 2019, 86 (3) 210;

    The article Aleyadeh W, Hutt-Centeno E, Ahmed HM, Shah NP. Hypertension guidelines: treat patients, not numbers. Cleve Clin J Med 2019; 86(1):47–56. doi:10.3949/ccjm.86a.18027 contained an error.

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