Emergency Medicine

  • Acute monocular vision loss: Don’t lose sight of the differential
    Acute monocular vision loss: Don’t lose sight of the differential
    Justin R. Abbatemarco, MD, Rushad Patell, MD, Janet Buccola, MD and Mary Alissa Willis, MD
    Cleveland Clinic Journal of Medicine October 2017, 84 (10) 779-787; DOI: https://doi.org/10.3949/ccjm.84a.16096

    An 83-year-old man woke up one morning unable to see out of his left eye; 6 hours earlier it had been normal.

  • Ring-enhancing cerebral lesions
    Aram Barbaryan, MD, Jignesh Modi, MD, Wajih Raqeem, MD, Michael I. Choi, MD, Alan Frigy, MD and Aibek E. Mirrakhimov, MD
    Cleveland Clinic Journal of Medicine February 2017, 84 (2) 104-110; DOI: https://doi.org/10.3949/ccjm.84a.16037

    The patient has poorly controlled HIV, seizures, and brain lesions. Is Histoplasma or Toxoplasma the cause of the lesions?

  • When should brain imaging precede lumbar puncture in cases of suspected bacterial meningitis?
    Aibek E. Mirrakhimov, MD, Adam Gray, MD and Taha Ayach, MD
    Cleveland Clinic Journal of Medicine February 2017, 84 (2) 111-113; DOI: https://doi.org/10.3949/ccjm.84a.16028

    Few patients need it. Empiric antibiotic and corticosteroid therapy must not be delayed.

  • Man’s best friend, fatal in the end
    Evelyn Ling, MD, Stacey Howell, MD, Mai Vang, BS and Paul Aronowitz, MD
    Cleveland Clinic Journal of Medicine February 2017, 84 (2) 146-150; DOI: https://doi.org/10.3949/ccjm.84a.16061

    A dog bite in a patient without a spleen can have serious consequences.

  • In Reply: Acid-base disturbances January 2017
    Gregory W. Rutecki, MD and Shylaja Mani, MD
    Cleveland Clinic Journal of Medicine March 2017, 84 (3) 181; DOI: https://doi.org/10.3949/ccjm.84c.03004

    Readers comment on caring for international patients (November 2016) and on acid-base disorders (January 2017).

  • Acid-base disturbances January 2017
    Michael Emmett, MD, MACP
    Cleveland Clinic Journal of Medicine March 2017, 84 (3) 181; DOI: https://doi.org/10.3949/ccjm.84c.03003

    Readers comment on caring for international patients (November 2016) and on acid-base disorders (January 2017).

  • Bleeding esophageal varices: Who should receive a shunt?
    Ghassoub Rifai, MD, Zade Akras and Ibrahim A. Hanouneh, MD
    Cleveland Clinic Journal of Medicine March 2017, 84 (3) 199-201; DOI: https://doi.org/10.3949/ccjm.84a.15149

    A transjugular intrahepatic portosystemic shunt can prevent repeated variceal bleeding and control refractory ascites.

  • Altered mental status and an acid-base disturbance January 2017
    Cleveland Clinic Journal of Medicine March 2017, 84 (3) 214;

    Errors occurred in: Mani S, Rutecki GW. A patient with altered mental status and an acid-base disturbance. Cleve Clin J Med 2017; 84:27–34.

  • Imaging suggestive, but symptoms atypical
    Mohammad Afzalimoghaddam, MD, Maryam Edalatifard, MD, Shervin Farahmand, MD, Shahram Bagheri-Hariri, MD and Hadi Mirfazaelian, MD
    Cleveland Clinic Journal of Medicine January 2017, 84 (1) 25-26; DOI: https://doi.org/10.3949/ccjm.84a.15144

    Pseudosubarachnoid hemorrhage is an artifact of CT imaging.

  • A patient with altered mental status and an acid-base disturbance
    Shylaja Mani, MD and Gregory W. Rutecki, MD
    Cleveland Clinic Journal of Medicine January 2017, 84 (1) 27-34; DOI: https://doi.org/10.3949/ccjm.84a.16042

    Acid-base disorders can be diagnosed and characterized using a systematic, fi ve-step approach.

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