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Cleveland Clinic Journal of Medicine
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Cleveland Clinic Journal of Medicine

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    Clinical trials: More to learn than the results
    Brian F. Mandell, MD
    Cleveland Clinic Journal of Medicine July 2019, 86 (7) 437-438; DOI: https://doi.org/10.3949/ccjm.86b.07019

    The details of the GIACTA trial challenge and reaffirm some of our clinical impressions about giant cell arteritis.

  • You have access
    Thinker’s sign
    Renée Grandjean, MD and Lars C. Huber, MD
    Cleveland Clinic Journal of Medicine July 2019, 86 (7) 439; DOI: https://doi.org/10.3949/ccjm.86a.19036

    In a patient with orthopnea, pressure of the elbows on the thighs can cause hyperpigmentation and skin thickening.

  • You have access
    You can observe a lot by watching
    Salvatore Mangione, MD
    Cleveland Clinic Journal of Medicine July 2019, 86 (7) 440-442; DOI: https://doi.org/10.3949/ccjm.86a.19056

    Learning to see is a personal, lifelong effort.

  • You have access
    If a picture is worth a thousand words, a patient is worth ten thousand
    Paul Aronowitz, MD, MACP
    Cleveland Clinic Journal of Medicine July 2019, 86 (7) 443-444; DOI: https://doi.org/10.3949/ccjm.86a.19070

    Images portray real patients with stories to tell, sometimes mundane, sometimes profound, but always worth hearing.

  • You have access
    A right atrial mass
    Zeel Shah, MD, M. Chadi Alraies, MD, Ameer Harp, MD, Salam Khalil, MD, Amir Kaki, MD and Mahir Elder, MD
    Cleveland Clinic Journal of Medicine July 2019, 86 (7) 445-447; DOI: https://doi.org/10.3949/ccjm.86a.18131

    A woman with a history of endometrial adenocarcinoma presented with occasional shortness of breath and dizziness.

  • You have access
    Do patients on biologic drugs for rheumatic disease need PCP prophylaxis?
    Joy-Ann Tabanor, MBBS and Santhanam Lakshminarayanan, MBBS
    Cleveland Clinic Journal of Medicine July 2019, 86 (7) 449-453; DOI: https://doi.org/10.3949/ccjm.86a.18084

    Consider it in those with granulomatosis with polyangiitis or pulmonary disease, or those on high-dose steroids.

  • Pediatric cholestatic liver disease: Successful transition of care
    You have access
    Pediatric cholestatic liver disease: Successful transition of care
    Praveen Kumar Conjeevaram Selvakumar, MD, Vera Hupertz, MD, Naveen Mittal, MD, Kris V. Kowdley, MD and Naim Alkhouri, MD
    Cleveland Clinic Journal of Medicine July 2019, 86 (7) 454-464; DOI: https://doi.org/10.3949/ccjm.86a.18140

    Many more children with liver disease are surviving into adulthood and transitioning to adult care.

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    Giant cell arteritis: An updated review of an old disease
    Timothy Rinden, DO, Eric Miller, MD and Rawad Nasr, MD
    Cleveland Clinic Journal of Medicine July 2019, 86 (7) 465-472; DOI: https://doi.org/10.3949/ccjm.86a.18103

    Glucocorticoids, the mainstay of treatment, should be started as soon as the disease is suspected.

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    Infertility: A practical framework
    Rebecca Flyckt, MD and Tommaso Falcone, MD, FRCSC, FACOG
    Cleveland Clinic Journal of Medicine July 2019, 86 (7) 473-482; DOI: https://doi.org/10.3949/ccjm.86a.18068

    Frequently asked questions and a practical framework for approaching the infertile couple.

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    Ambulatory ECG monitoring in the age of smartphones
    David Sanders, MD, Leo Ungar, MD, Michael A. Eskander, MD and Arnold H. Seto, MD, MPA
    Cleveland Clinic Journal of Medicine July 2019, 86 (7) 483-493; DOI: https://doi.org/10.3949/ccjm.86a.18123

    Many devices are available; the best one to use depends on the specific clinical context.

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