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Cleveland Clinic Journal of Medicine
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Cleveland Clinic Journal of Medicine

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    Are daily chest radiographs and arterial blood gas tests required in ICU patients on mechanical ventilation?
    Shyam Ganti, MD, Ravinder D. Bhanot, MD, Jasleen Kaur, MD, Cassondra Cramer-Bour, MD and Ayman O. Soubani, MD
    Cleveland Clinic Journal of Medicine September 2019, 86 (9) 582-585; DOI: https://doi.org/10.3949/ccjm.86a.18141

    Although routine testing is common, it has low diagnostic yield and is unlikely to alter patient management.

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    A young man with acute chest pain
    Amir Farid, MD, Neil Beri, MD, David Torres-Barba, MD, PhD and Charles Whitcomb, MD
    Cleveland Clinic Journal of Medicine September 2019, 86 (9) 586-594; DOI: https://doi.org/10.3949/ccjm.86a.19025

    A young man presents with severe, pressure-like, midsternal, nonradiating pain, rated 10 on a scale of 10.

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    Diabetes management: Beyond hemoglobin A1c
    Vinni Makin, MBBS, MD, FACE and M. Cecilia Lansang, MD, MPH
    Cleveland Clinic Journal of Medicine September 2019, 86 (9) 595-600; DOI: https://doi.org/10.3949/ccjm.86a.18031

    Other factors include cardiovascular benefit, weight control, hypoglycemia risk, and cost.

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    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.

  • You have access
    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.

  • Hemorrhoids: A range of treatments
    You have access
    Hemorrhoids: A range of treatments
    Turgut Bora Cengiz, MD and Emre Gorgun, MD, FACS, FASCRS
    Cleveland Clinic Journal of Medicine September 2019, 86 (9) 612-620; DOI: https://doi.org/10.3949/ccjm.86a.18079

    Each patient is unique, and with the range of options available, treatment can be individualized.

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    Disparities in cardiovascular care: Past, present, and solutions
    Quentin R. Youmans, MD, Lindsey Hastings-Spaine, MD, Oluseyi Princewill, MD, MPH, Titilayo Shobayo, BS and Ike S. Okwuosa, MD
    Cleveland Clinic Journal of Medicine September 2019, 86 (9) 621-632; DOI: https://doi.org/10.3949/ccjm.86a.18088

    Cardiovascular disease makes no distinction in race, sex, age, or socioeconomic status, and neither should clinicians.

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    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.

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    Osteonecrosis of the femoral head with subchondral collapse
    Nicolas S. Piuzzi, MD, Hiba K. Anis, MD and George F. Muschler, MD
    Cleveland Clinic Journal of Medicine August 2019, 86 (8) 511-512; DOI: https://doi.org/10.3949/ccjm.86a.19004

    A 45-year-old woman had been taking corticosteroids long-term after organ transplant.

  • You have access
    In reply: Gastroparesis
    Ahmad Muneer Sharayah, MD, Noor Hajjaj, MD, Ramy Osman, MD and Douglas Livornese, MD
    Cleveland Clinic Journal of Medicine August 2019, 86 (8) 514; DOI: https://doi.org/10.3949/ccjm.86c.08002

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