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Cleveland Clinic Journal of Medicine
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Cleveland Clinic Journal of Medicine

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    Anchors away
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine November 2023, 90 (11) 652-653; DOI: https://doi.org/10.3949/ccjm.90b.11023

    Before you read this, I recommend that you read the interesting article in this issue by Prakash et al, part of our Symptoms to Diagnosis series.

  • You have access
    A reticular eruption on the thighs
    Li-wen Zhang, MD, Juan Wu, MD, Tao Chen, MD, PhD and Rong-hua Xu, MD
    Cleveland Clinic Journal of Medicine November 2023, 90 (11) 659-660; DOI: https://doi.org/10.3949/ccjm.90a.23028

    During cold winter weather, the patient had been wearing an electric heating pad between the thighs.

  • You have access
    Is the MTHFR gene mutation associated with thrombosis?
    Andrew Dhawan, MD, DPhil and Charis Eng, MD, PhD
    Cleveland Clinic Journal of Medicine November 2023, 90 (11) 661-663; DOI: https://doi.org/10.3949/ccjm.90a.23044

    Clinicians should educate patients with this common polymorphism about the lack of evidence for associated thrombotic risk, and instead focus on modifiable risk factors for thrombosis.

  • You have access
    What is the role for terlipressin in hepatorenal syndrome?
    Stephanie N. Bass, PharmD, Aanchal Kapoor, MD and Christina C. Lindenmeyer, MD
    Cleveland Clinic Journal of Medicine November 2023, 90 (11) 664-667; DOI: https://doi.org/10.3949/ccjm.90a.23037

    The drug is recommended as a first-line treatment of hepatorenal syndrome-related acute kidney injury, but it is associated with respiratory failure, especially in the setting of albumin administration, and certain comorbidities may increase the risk.

  • You have access
    Elevated aminotransferases in a 62-year-old woman
    Shahana Prakash, MD, Steven Moore, MD, PhD, Anthony Snow, MD and Kyle E. Brown, MD, FAASLD
    Cleveland Clinic Journal of Medicine November 2023, 90 (11) 669-674; DOI: https://doi.org/10.3949/ccjm.90a.23011

    Her medical history included gastroesophageal reflux disease and Sjögren syndrome. She had recently returned from travel to Malaysia.

  • You have access
    COVID-19: A management update
    Kathryn Bash, MHSc, MSN, APRN-CNP, Gretchen Sacha, PharmD, BCCCP and Mani Latifi, MD
    Cleveland Clinic Journal of Medicine November 2023, 90 (11) 677-683; DOI: https://doi.org/10.3949/ccjm.90a.22102

    The authors examine current guidelines of the Infectious Diseases Society of America and the National Institutes of Health.

  • You have access
    The new GFR equations: How will eliminating the race coefficient affect Black patients?
    Paul Merchant, MD, Crystal Gadegbeku, MD, FAHA, FACP, FASN, Ali Mehdi, MD, Med, FACP, FASN, George Thomas, MD, FACP, Georges Nakhoul, MD, MEd and Jonathan Taliercio, DO, FASN
    Cleveland Clinic Journal of Medicine November 2023, 90 (11) 685-691; DOI: https://doi.org/10.3949/ccjm.90a.22061

    The authors discuss the history of equations for the glomerular filtration rate and potential clinical consequences of the new equations.

  • Cirrhosis: Primary care approaches to screening, immunization, and lifestyle modifications
    You have access
    Cirrhosis: Primary care approaches to screening, immunization, and lifestyle modifications
    Asim Kichloo, MD, Michael Aljadah, MD, Michael Albosta, MD, Zain El-Amir, MD, Ghazaleh Goldar, MD, Muhammed Zatmar Khan, MD, Dushyant Singh Dahiya, MD and Farah Wani, MD
    Cleveland Clinic Journal of Medicine November 2023, 90 (11) 693-701; DOI: https://doi.org/10.3949/ccjm.90a.21043

    The authors review management of cirrhosis and complications such as esophageal varices and hepatocellular carcinoma, as well as chemical and medication exposures.

  • You have access
    A useful gap
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine October 2023, 90 (10) 587-588; DOI: https://doi.org/10.3949/ccjm.90b.10023

    A very low anion gap can suggest a laboratory measurement error or provide a clue to clinically important protein abnormalities or ingestions that warrant specific investigation.

  • You have access
    A new paradigm for adult ADHD
    Uche Nkanginieme, Medical student
    Cleveland Clinic Journal of Medicine October 2023, 90 (10) 592-593; DOI: https://doi.org/10.3949/ccjm.90c.10002

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