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Cleveland Clinic Journal of Medicine

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Nephrology

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    An abnormal peripheral blood smear and altered mental status
    Supakanya Wongrakpanich, MD, Moiz Salahuddin, MD and Priyanka Mittar, DO
    Cleveland Clinic Journal of Medicine September 2016, 83 (9) 643-644; DOI: https://doi.org/10.3949/ccjm.83a.15152

    Therapeutic plasma exchange has greatly increased the survival rate in thrombotic thrombocytopenic purpura.

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    Advanced-stage calciphylaxis: Think before you punch
    Arsha Sreedhar, MD, Hina A. Sheikh, MD, Charles J. Scagliotti, MD, FACS and Ranjit Nair, MD
    Cleveland Clinic Journal of Medicine August 2016, 83 (8) 562-564; DOI: https://doi.org/10.3949/ccjm.83a.15103

    Biopsy can cause or worsen ulceration at the incision site, increasing the risk of infection and sepsis.

  • You have access
    Renal failure in HCV cirrhosis
    Chitra Deepak Punjabi, MD, Yu Kuang Lai, MD, Manjula Balasubramanian, MD and Imara Dissanayake, MD, FACP
    Cleveland Clinic Journal of Medicine August 2016, 83 (8) 583-588; DOI: https://doi.org/10.3949/ccjm.83a.15106

    The patient was diagnosed with hepatitis C 15 years ago; now, his kidneys are failing.

  • You have access
    Thrombotic thrombocytopenic purpura: The role of ADAMTS13
    Heesun J. Rogers, MD, PhD, Charles Allen, DO and Alan E. Lichtin, MD
    Cleveland Clinic Journal of Medicine August 2016, 83 (8) 597-603; DOI: https://doi.org/10.3949/ccjm.83a.15009

    ADAMTS13 testing is useful in diagnosing this disease, guiding therapy, and predicting relapse.

  • Anemia of chronic kidney disease: Treat it, but not too aggressively
    You have access
    Anemia of chronic kidney disease: Treat it, but not too aggressively
    Georges Nakhoul, MD and James F. Simon, MD
    Cleveland Clinic Journal of Medicine August 2016, 83 (8) 613-624; DOI: https://doi.org/10.3949/ccjm.83a.15065

    Renal anemia is associated with bad outcomes, but attempting to normalize hemoglobin levels can be harmful.

  • You have access
    Blood pressure targets (March 2016)
    Jonathan Lee Edwards, MD
    Cleveland Clinic Journal of Medicine July 2016, 83 (7) 487-488; DOI: https://doi.org/10.3949/ccjm.83c.07002
  • You have access
    Blood pressure targets (March 2016)
    Özgür Yilmaz, MD
    Cleveland Clinic Journal of Medicine July 2016, 83 (7) 487; DOI: https://doi.org/10.3949/ccjm.83c.07001

    Readers comment on the Systolic Blood Pressure Intervention Trial (March 2016).

  • You have access
    In reply: Blood pressure targets (March 2016)
    George Thomas, MD, FACP, FASN, Joseph V. Nally, MD and Marc A. Pohl, MD
    Cleveland Clinic Journal of Medicine July 2016, 83 (7) 488-489; DOI: https://doi.org/10.3949/ccjm.83c.07003
  • You have access
    Should I suspect obstructive sleep apnea if a patient has hard-to-control hypertension?
    Harneet K. Walia, MD
    Cleveland Clinic Journal of Medicine June 2016, 83 (6) 419-421; DOI: https://doi.org/10.3949/ccjm.83a.15112

    Yes. Obstructive sleep apnea is common and is associated with hypertension and resistant hypertension.

  • You have access
    When does chest CT require contrast enhancement?
    Camila Piza Purysko, MD, Rahul Renapurkar, MD and Michael A. Bolen, MD
    Cleveland Clinic Journal of Medicine June 2016, 83 (6) 423-426; DOI: https://doi.org/10.3949/ccjm.83a.15037

    It may be needed in cases of suspected cancer or thoracovascular disease.

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