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LATEST FROM CLEVELAND CLINIC JOURNAL OF MEDICINE

Cleveland Clinic Journal of Medicine

THE CLINICAL PICTURE: THE DOUBLE-TONGUE SIGN

85-year-old woman with Hx of stage 3 chronic kidney disease New onset dyspnea
and intermittent mild fever Slight difficulty opening her mouth; no dental
caries or cervical lymphadenopathy Elevated CRP Elevated BUN Follow the case as
it develops.

Family Medicine/General Practice September 13th 2022

Tags: CASE STUDIES CHRONIC KIDNEY DISEASE (CKD) DYSPNEA GASTRO/HEP DISORDERS

Cleveland Clinic Journal of Medicine

ANTIBODY-MEDIATED AUTOIMMUNE ENCEPHALITIS (AE): A PRACTICAL APPROACH

With an emphasis on syndromes involving cell surface and synaptic proteins, the
authors discuss major aspects of AE in this work. In addition, they also present
a useful method for diagnosing and treating the condition, as well as potential
mistakes related to nonspecific antibody results.

Neurology September 12th 2022

Tags: ENCEPHALITIS MEDICAL PRACTICE MOVEMENT DISORDERS SEIZURES

Cleveland Clinic Journal of Medicine

THE 1-MINUTE CONSULT: IS EXERCISE RESTRICTION NECESSARY IN PATIENTS WITH
PERICARDITIS?

This review with case example explores pericarditis and myocarditis and
implications on limiting exercise. The authors summarize relevant guidelines and
provide their own conclusion and guidance. They offer a helpful algorithm
combining the ESC, ACC, and AHA guidelines and suggest an additional element
around limiting heart rate during an acute inflammatory episode.

Cardiology September 6th 2022

Tags: CARDIOVASCULAR DISEASE (CVD) CARDIOVASCULAR EVENTS CASE STUDIES
EXERCISE/WORKING OUT GUIDELINES MYOCARDITIS/PERICARDITIS

Cleveland Clinic Journal of Medicine

XANTHOMAS: DIFFERENTIATING ATHEROGENIC FROM NONATHEROGENIC

A 42-year-old woman with primary biliary cholangitis, presented with an
increasing number of yellow skin lesions and generalized pruritis. She had
plaques around both eyes, similar lesions on the palmar surfaces of the hands,
nodules on the dorsal joints of the hands, and pale pink lesions on the left
buttock as well as mild jaundice and scleral icterus. Walk through the
differential and treatment options in this case withaccompanying editorial.

Dermatology August 23rd 2022

Tags: CASE STUDIES LIVER DISEASE SKIN DISORDERS

Cleveland Clinic Journal of Medicine

FEVER, RASH, PRURITUS: SWEET SYNDROME

This case study describes an adult man with a history of diabetes and
hypertension presenting with painful lesions on his arms and legs. The
description covers the course of his workup for presumptive infectious
dermatitis through differential diagnosis when the infectious disease workup
revealed sterile lesions, to the final diagnosis of Sweet syndrome (acute
febrile neutrophilic dermatosis).

Dermatology August 4th 2022

Tags: INFECTIOUS DISEASES PAIN SKIN DISORDERS

Cleveland Clinic Journal of Medicine

SPOTTY SKIN PIGMENTATION IN CARNEY COMPLEX

Physicians commonly encounter patients with facial pigmented macules. In this
patient, the diagnosis was Carney complex.

Dermatology July 26th 2022

Tags: AUTOIMMUNE DISORDERS RARE DISEASES SKIN DISORDERS SOLID TUMORS
1 2 … 4 5 >>

The mission of Cleveland Clinic Journal of Medicine (CCJM) is to provide its
readers with up-to-date, practical, clinical information relevant to internal
medicine, cardiology, and related fields. Consistent with this mission, CCJM
focuses on timely review articles and other content that has a
continuing-education orientation rather than on original research or case
reports. CCJM authors, drawn from Cleveland Clinic and other top medical
institutions throughout the world, are asked to identify new findings that are
changing the practice of medicine and to advise readers how to apply them in
daily patient care. Authors are chosen for their experience, acquired through
caring for patients, teaching other physicians, and researching clinical
questions.

CCJM is a peer-reviewed medical journal circulated monthly to more than 123,000
physicians—internists (including hospitalists), cardiologists, endocrinologists,
diabetologists, and pulmonologists. CCJM is published by Cleveland Clinic.

Readers depend on CCJM for practical clinical information that is immediately
applicable to day-to-day practice. The contents are indexed for Index
Medicus and MEDLINE on PubMed and are therefore part of the referenced,
retrievable medical literature. CCJM’s website is free and open-access. Free
continuing medical education credit, offered for select articles in each issue,
is certified by Cleveland Clinic Center for Continuing Education.

For more information about CCJM’s editors and staff, please visit our About Us
page.

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