topic

  • Flu or strep? Rapid tests can mislead
    Burke A. Cunha, MD, MACP and Nonso Osakwe, MD
    Cleveland Clinic Journal of Medicine March 2019, 86 (3) 161-162; DOI: https://doi.org/10.3949/ccjm.86a.18094

    Group A streptococci are common colonizers with viral pharyngitis.

  • Norwegian scabies
    Hiroki Matsuura, MD, Akemi Senoo, MD, PhD, Mari Saito, MD and Yuko Fujimoto, MD
    Cleveland Clinic Journal of Medicine March 2019, 86 (3) 163-164; DOI: https://doi.org/10.3949/ccjm.86a.18081

    Norwegian scabies is extremely contagious, and outbreaks can spread in institutions.

  • Does early repolarization on ECG increase the risk of cardiac death in healthy people?
    Ziad Sayedahmad, MD, Fahed Darmoch, MD, Yasser Al-Khadra, MD, Amjad Kabach, MD and M. Chadi Alraies, MD
    Cleveland Clinic Journal of Medicine March 2019, 86 (3) 165-166; DOI: https://doi.org/10.3949/ccjm.86a.17032

    No. In patients without symptoms, early repolarization is nearly always a benign incidental finding.

  • Three neglected numbers in the CBC: The RDW, MPV, and NRBC count
    Jori E. May, MD, Marisa B. Marques, MD, Vishnu V.B. Reddy, MD and Radhika Gangaraju, MD
    Cleveland Clinic Journal of Medicine March 2019, 86 (3) 167-172; DOI: https://doi.org/10.3949/ccjm.86a.18072

    These values have diagnostic utility and potential prognostic significance.

  • Human papillomavirus in 2019: An update on cervical cancer prevention and screening guidelines
    Human papillomavirus in 2019: An update on cervical cancer prevention and screening guidelines
    Salina Zhang, BS and Pelin Batur, MD, NCMP, CCD
    Cleveland Clinic Journal of Medicine March 2019, 86 (3) 173-178; DOI: https://doi.org/10.3949/ccjm.86a.18018

    Recommendations on counseling, vaccination, screening, and follow-up for abnormal screening results.

  • Assessing liver fibrosis without biopsy in patients with HCV or NAFLD
    Tavankit Singh, MD, Daniela S. Allende, MD and Arthur J. McCullough, MD
    Cleveland Clinic Journal of Medicine March 2019, 86 (3) 179-186; DOI: https://doi.org/10.3949/ccjm.86a.17118

    Biopsy is still the gold standard, but methods based on clinical information and on imaging are emerging.

  • 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?

  • Laboratory tests in rheumatology: A rational approach
    Ernest Suresh, MD, FRCP (LONDON)
    Cleveland Clinic Journal of Medicine March 2019, 86 (3) 198-210; DOI: https://doi.org/10.3949/ccjm.86a.18076

    Negative results are not always reassuring, and false-positive results pose risks.

  • Hypertension guidelines January 2019
    Cleveland Clinic Journal of Medicine March 2019, 86 (3) 210;

    The article Aleyadeh W, Hutt-Centeno E, Ahmed HM, Shah NP. Hypertension guidelines: treat patients, not numbers. Cleve Clin J Med 2019; 86(1):47–56. doi:10.3949/ccjm.86a.18027 contained an error.

  • Subclinical hypothyroidism: When to treat
    Sidra Azim, MD and Christian Nasr, MD
    Cleveland Clinic Journal of Medicine February 2019, 86 (2) 101-110; DOI: https://doi.org/10.3949/ccjm.86a.17053

    The decision remains controversial and depends on the degree of TSH elevation, thyroid antibodies, and comorbidities.

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