topic

  • Coronary artery calcium scoring: Its practicality and clinical utility in primary care
    Coronary artery calcium scoring: Its practicality and clinical utility in primary care
    Parth Parikh, MD, Nishant Shah, MD, Haitham Ahmed, MD, MPH, Paul Schoenhagen, MD and Maan Fares, MD
    Cleveland Clinic Journal of Medicine September 2018, 85 (9) 707-716; DOI: https://doi.org/10.3949/ccjm.85a.17097

    It outperforms other risk-stratifi cation tools. Drawbacks include the possibility of unnecessary testing and incidental fi ndings.

  • Coronary artery calcium scoring: A valuable tool in primary care
    Michael B. Rothberg, MD, MPH
    Cleveland Clinic Journal of Medicine September 2018, 85 (9) 717-719; DOI: https://doi.org/10.3949/ccjm.85a.18077

    Coronary calcium scoring is safe and accurate, but who should be tested?

  • The bias of word choice and the interpretation of laboratory tests
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine August 2018, 85 (8) 577-578; DOI: https://doi.org/10.3949/ccjm.85b.08018

    Words matter. Calling ALT and AST “liver function tests” can lead to premature diagnosis of liver disease.

  • Angular cheilitis induced by iron deficiency anemia
    Mahmoud Husni Ayesh, MD
    Cleveland Clinic Journal of Medicine August 2018, 85 (8) 581-582; DOI: https://doi.org/10.3949/ccjm.85a.17109

    Causes include nutritional deficiencies, local and systemic factors, and drug treatment.

  • Calcific uremic arteriolopathy
    Mrinali Shetty, MD, Yuvraj Chowdhury, MD and Balaji Yegneswaran, MD, FACP
    Cleveland Clinic Journal of Medicine August 2018, 85 (8) 584-585; DOI: https://doi.org/10.3949/ccjm.85a.18009

    A 51-year-old man with end-stage renal disease presented with extensive necrotic ulcers and eschar on both legs.

  • Palmoplantar exanthema and liver dysfunction
    Tatsuya Fujikawa, MD, PhD and Hiroki Matsuura, MD
    Cleveland Clinic Journal of Medicine August 2018, 85 (8) 591-593; DOI: https://doi.org/10.3949/ccjm.85a.17060

    The patient admitted to having had unprotected sex with a female sex worker.

  • Diagnosing and treating bipolar disorder in primary care
    Parashar Koirala, MD and Amit Anand, MD
    Cleveland Clinic Journal of Medicine August 2018, 85 (8) 601-608; DOI: https://doi.org/10.3949/ccjm.85gr.18003

    Many patients have undiagnosed bipolar depression, ie, depression with shifts to periods of mania.

  • Which patients with a parapneumonic effusion need a chest tube?
    Scott A. Helgeson, MD, Brett T. Hiroto, MD, Scott J. Billings, MD, Courtney L. Scott, DO and Michele D. Lewis, MD
    Cleveland Clinic Journal of Medicine August 2018, 85 (8) 609-611; DOI: https://doi.org/10.3949/ccjm.85a.17036

    Hospitalized patients with pneumonia who develop a complicated effusion or empyema need one.

  • Liver enzymes: No trivial elevations, even if asymptomatic
    Brian Agganis, MD, David Lee, MD and Thomas Sepe, MD
    Cleveland Clinic Journal of Medicine August 2018, 85 (8) 612-617; DOI: https://doi.org/10.3949/ccjm.85a.17103

    All persistent elevations of liver enzymes need a methodical evaluation and an appropriate working diagnosis.

  • Diabetes and pregnancy: Risks and opportunities
    Hannah Lewis, BA, MS, Robert Egerman, MD, Amir Kazory, MD and Maryam Sattari, MD, MS
    Cleveland Clinic Journal of Medicine August 2018, 85 (8) 619-628; DOI: https://doi.org/10.3949/ccjm.85a.16138

    Internists can reduce the risks by optimizing glycemic control before conception and providing effective counseling.

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