topic

  • Is a detailed neurologic physical examination always necessary?
    Richard J. Lederman, MD, PhD
    Cleveland Clinic Journal of Medicine June 2018, 85 (6) 444-445; DOI: https://doi.org/10.3949/ccjm.85a.17110

    In medicine, we need all the help we can get.

  • Necrotizing fasciitis after a watercraft accident
    Natsu Fukui, MD, Mark Delman, MD, Tuyethoa N. Vinh, MD and Svetolik Djurkovic, MD, FACCP
    Cleveland Clinic Journal of Medicine June 2018, 85 (6) 448-449; DOI: https://doi.org/10.3949/ccjm.85a.17096

    Despite intravenous antibiotics and surgical debridement, the patient’s right leg had to be amputated.

  • Reverse T3 or perverse T3? Still puzzling after 40 years
    Cristiane Gomes-Lima, MD and Kenneth D. Burman, MD
    Cleveland Clinic Journal of Medicine June 2018, 85 (6) 450-455; DOI: https://doi.org/10.3949/ccjm.85a.17079

    Few situations require measuring reverse T3; diagnosis of euthyroid sick syndrome may be one of them.

  • Is Pap testing still needed after hysterectomy?
    Halle G. Sobel, MD, Elise Everett, MD and Laura D. Lipold, MD
    Cleveland Clinic Journal of Medicine June 2018, 85 (6) 456-458; DOI: https://doi.org/10.3949/ccjm.85a.17063

    There is no need to continue Pap testing after hysterectomy for a benign indication.

  • Hydroxychloroquine: An old drug with new relevance
    Eugen Alexander Shippey, MD, Vanya D. Wagler, DO, FACP, FACR and Angelique N. Collamer, MD, FACP, FACR
    Cleveland Clinic Journal of Medicine June 2018, 85 (6) 459-467; DOI: https://doi.org/10.3949/ccjm.85a.17034

    This antimalarial drug is now approved to treat discoid lupus, systemic lupus erythematosus, and rheumatoid arthritis.

  • Evaluating suspected pulmonary hypertension: A structured approach
    Akshay Bhatnagar, MD, Jonathan Wiesen, MD, Raed Dweik, MD and Neal F. Chaisson, MD
    Cleveland Clinic Journal of Medicine June 2018, 85 (6) 468-480; DOI: https://doi.org/10.3949/ccjm.85a.17065

    With a myriad of causes and nonspecifi c symptoms, pulmonary hypertension needs a methodic diagnostic approach.

  • Thoracic aortic aneurysm: How to counsel, when to refer
    Thoracic aortic aneurysm: How to counsel, when to refer
    Frank Cikach, MD, Milind Y. Desai, MD, FACC, FAHA, FESC, Eric E. Roselli, MD, FACS and Vidyasagar Kalahasti, MD
    Cleveland Clinic Journal of Medicine June 2018, 85 (6) 481-492; DOI: https://doi.org/10.3949/ccjm.85a.17039

    Be alert for clues on chest imaging, and consider screening fi rst-degree relatives of patients known to have aortic disease.

  • The algorithm less traveled
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine May 2018, 85 (5) 346-347; DOI: https://doi.org/10.3949/ccjm.85b.05018

    At Bellevue, the RPR was a routine test; at the University of Pennsylvania not so much—it all depends on context.

  • An unusual complication of peritoneal dialysis
    Mohamad Hanouneh, MD, Pranav Damera, Mehrdad Fetrat, MBBS, MD and Duvuru Geetha, MD
    Cleveland Clinic Journal of Medicine May 2018, 85 (5) 352-354; DOI: https://doi.org/10.3949/ccjm.85a.17090

    A 45-year-old man, on peritoneal dialysis for 15 years, presented with abdominal pain, nausea, vomiting, and fever.

  • Eyes of the mimicker
    Tamara A. Sussman, MD, Nabin K. Shrestha, MD and Maria Miklowski, MD
    Cleveland Clinic Journal of Medicine May 2018, 85 (5) 356-357; DOI: https://doi.org/10.3949/ccjm.85a.17074

    A 42-year-old man presented with intermittent fevers, rigors, headache, and myalgia, and now, one-sided vision loss.

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