Pulmonology

  • A sleeping beast: Obstructive sleep apnea and stroke
    Zachary McKee, BS and Dennis H. Auckley, MD
    Cleveland Clinic Journal of Medicine June 2019, 86 (6) 407-415; DOI: https://doi.org/10.3949/ccjm.86a.18033

    Up to two-thirds of patients who have had a stroke have obstructive sleep apnea afterward, with worse outcomes.

  • Anti-Xa assays: What is their role today in antithrombotic therapy?
    Erika Hutt Centeno, MD, Michael Militello, PharmD, RPH, BCPS and Marcelo P. Gomes, MD
    Cleveland Clinic Journal of Medicine June 2019, 86 (6) 417-425; DOI: https://doi.org/10.3949/ccjm.86a.18029

    Should clinicians abandon the aPTT for monitoring heparin therapy in favor of anti-Xa assays?

  • Can procalcitonin guide decisions about antibiotic management?
    Robert J. Fakheri, MD
    Cleveland Clinic Journal of Medicine May 2019, 86 (5) 307-311; DOI: https://doi.org/10.3949/ccjm.86a.18074

    Yes, but clinical judgment must still be exercised.

  • Rapidly progressive pleural effusion January 2019
    Scott Davidson, MD
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 236; DOI: https://doi.org/10.3949/ccjm.86c.04001

    Readers comment about deviation from guidelines during treatment of a patient with rapidly progressive pleural effusion (January 2019) and the effect of metformin on vitamin B12 levels (January 2019).

  • In reply: Rapidly progressive pleural effusion January 2019
    Zaid Zoumot, MBSS, Samar Farha, MD and Ali Wahla, MBSS
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 236; DOI: https://doi.org/10.3949/ccjm.86c.04002
  • 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?

  • Managing malignant pleural effusion
    Ali Saeed Wahla, MBBS, Mateen Uzbeck, MBBS, Yaser Abu El Sameed, MBBS and Zaid Zoumot, MBBS, MRCP, MSC, PHD
    Cleveland Clinic Journal of Medicine February 2019, 86 (2) 95-99; DOI: https://doi.org/10.3949/ccjm.86a.17095

    Depending on the circumstances, options are observation, thoracentesis, an indwelling catheter, and chemical pleurodesis.

  • Rapidly progressive pleural effusion
    Zaid Zoumot, MBBS, Ali S. Wahla, MBBS and Samar Farha, MD
    Cleveland Clinic Journal of Medicine January 2019, 86 (1) 21-27; DOI: https://doi.org/10.3949/ccjm.86a.18067

    A 33-year-old nonsmoker presents with severe pleuritic chest pain; the differential diagnosis is broad.

  • Lung complications of prescription drug abuse
    Josiah D. McCain, MD, Monia E. Werlang, MD, Andras Khoor, MD, PhD and Isabel Mira-Avendano, MD
    Cleveland Clinic Journal of Medicine December 2018, 85 (12) 910-911; DOI: https://doi.org/10.3949/ccjm.85a.18050

    Opioid tablets crushed, then injected intravenously.

  • Which patients with pulmonary embolism need echocardiography?
    Rama Hritani, MD, Abdulah Alrifai, MD, Mohamad Soud, MD, Homam Moussa Pacha, MD and M. Chadi Alraies, MD
    Cleveland Clinic Journal of Medicine November 2018, 85 (11) 826-828; DOI: https://doi.org/10.3949/ccjm.85a.17094

    The decision should be based on clinical presentation, burden of pulmonary embolism, and other imaging fi ndings.

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