Vascular Medicine

  • Constitutional symptoms, pathologic PET-CT
    Julia L. Riera, MD, Jorge L. Musuruana, MD, Fernando Faccio, MD and Javier A. Cavallasca, MD
    Cleveland Clinic Journal of Medicine April 2020, 87 (4) 195-197; DOI: https://doi.org/10.3949/ccjm.87a.19053

    PET-CT showed diffuse hypermetabolism of the great vessel walls, compatible with large-vessel giant cell arteritis.

  • Trousseau syndrome
    Satish Maharaj, MBBS, Michael Omar, MBBS, Karan Seegobin, MBBS and Simone Chang, MBBS
    Cleveland Clinic Journal of Medicine April 2020, 87 (4) 199-200; DOI: https://doi.org/10.3949/ccjm.87a.19086

    Examination revealed multiple bluish macules and 2 palpable thrombosed superficial veins in the right popliteal fossa.

  • Can I use direct oral anticoagulants to treat cancer-associated venous thromboembolism?
    Oluwadunni Emiloju, MD, Sorab Gupta, MD and Claudia Dourado, MD
    Cleveland Clinic Journal of Medicine April 2020, 87 (4) 201-203; DOI: https://doi.org/10.3949/ccjm.87a.19100

    DOACs are increasingly replacing low-molecular-weight heparins for this purpose.

  • A young man with hypertension and hypokalemia
    Zainah Chiko, BSHS, Mohamad Hanouneh, MD and C. John Sperati, MD, MHS
    Cleveland Clinic Journal of Medicine February 2020, 87 (2) 77-79; DOI: https://doi.org/10.3949/ccjm.87a.19111

    At presentation, his blood pressure was 184/154 mm Hg, and his serum potassium level was 3.1 mmol/L.

  • Sickle cell disease: A primary care update
    Grace Onimoe, MD and Seth Rotz, MD
    Cleveland Clinic Journal of Medicine January 2020, 87 (1) 19-27; DOI: https://doi.org/10.3949/ccjm.87a.18051

    Survival has improved, but patients still face multiorgan damage, chronic anemia, and debilitating pain crises.

  • Atraumatic splenic rupture in acute myeloid leukemia
    Karthik Gnanapandithan, MD, MS
    Cleveland Clinic Journal of Medicine November 2019, 86 (11) 715-716; DOI: https://doi.org/10.3949/ccjm.86a.19042

    Atraumatic splenic rupture is rare but potentially life-threatening, especially if the diagnosis is delayed.

  • Pseudo-Ludwig angina
    Andrew Tiu, MD and Kamolyut Lapumnuaypol, MD
    Cleveland Clinic Journal of Medicine September 2019, 86 (9) 577-578; DOI: https://doi.org/10.3949/ccjm.86a.19014

    A woman on heparin developed a hematoma on the floor of her mouth that threatened to block her airway.

  • Infective endocarditis: Beyond the usual tests
    Infective endocarditis: Beyond the usual tests
    Nkemdilim Mgbojikwe, MD, Steven R. Jones, MD, Thorsten M. Leucker, MD, PhD and Daniel J. Brotman, MD
    Cleveland Clinic Journal of Medicine August 2019, 86 (8) 559-567; DOI: https://doi.org/10.3949/ccjm.86a.18120

    Newer imaging tests are increasingly used as alternatives or adjuncts to echocardiography for selected patients.

  • 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.

  • Anti-Xa assays: What is their role today in antithrombotic therapy?
    Erika Hutt Centeno, MD, Michael Militello, PharmD, RPH, BCPS and Marcelo P. Gomes, MD
    Cleveland Clinic Journal of Medicine June 2019, 86 (6) 417-425; DOI: https://doi.org/10.3949/ccjm.86a.18029

    Should clinicians abandon the aPTT for monitoring heparin therapy in favor of anti-Xa assays?

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