Emergency Medicine

  • COVID-19 and flu: Dual threat, dual opportunity
    Sherif Beniameen Mossad, MD, FACP, FIDSA, FAST
    Cleveland Clinic Journal of Medicine November 2020, 87 (11) 651-655; DOI: https://doi.org/10.3949/ccjm.87a.20161

    Measures to combat COVID-19 can minimize the impact of flu, and vice versa.

  • Should we monitor troponin up to peak value when evaluating for acute coronary syndrome?
    Nolan Anderson, MD, Samuel T. Ives, MD, Michelle D. Carlson, MD and Fred Apple, PhD, DABCC
    Cleveland Clinic Journal of Medicine August 2020, 87 (8) 480-482; DOI: https://doi.org/10.3949/ccjm.87a.18125

    No. Once troponin is over the 99th percentile, finding the peak value does not aid in diagnosis.

  • Cardiac troponin testing: Goodbye, ‘troponinemia’
    Anirudh Kumar, MD, Divyang R. Patel, MD and Venugopal Menon, MD
    Cleveland Clinic Journal of Medicine August 2020, 87 (8) 483-484; DOI: https://doi.org/10.3949/ccjm.87a.20013

    Any troponin elevation is prognostically important; dismissing it as “troponinemia” is no longer a viable strategy.

  • COVID-19 serologic testing: FAQs and caveats
    Kamran Kadkhoda, PhD, D(ABMM), D(ABMLI)
    Cleveland Clinic Journal of Medicine June 2020, 87 (6) 329-333; DOI: https://doi.org/10.3949/ccjm.87a.20054

    Is serology a possible alternative to direct testing?

  • What mask should I wear to protect against transmissible acute respiratory infections?
    Amir Laktineh, MD, Asil Daoud, MD, Sorabh Dhar, MD, Lisa Engles and Ayman O. Soubani, MD
    Cleveland Clinic Journal of Medicine May 2020, 87 (5) 262-265; DOI: https://doi.org/10.3949/ccjm.87a.19057

    Clinical trials have not shown a direct advantage for N95 respirators vs surgical masks for many acute respiratory infections.

  • 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.

  • An unending ode to pneumonia
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine March 2020, 87 (3) 127-128; DOI: https://doi.org/10.3949/ccjm.87b.03020

    The examination, history, and sometimes, sputum Gram stain and culture results still inform our clinical judgment.

  • Acute lymphangitis
    Yasuhiro Kano, MD and Takashi Momose, MD
    Cleveland Clinic Journal of Medicine March 2020, 87 (3) 129-130; DOI: https://doi.org/10.3949/ccjm.87a.19095

    Linear erythematous streaks sometimes spread with remarkable speed—within a few hours.

  • Posterior reversible encephalopathy syndrome
    Balaj Rai, MD, Robert M. Black, MD and Vinit Gilvaz, MD
    Cleveland Clinic Journal of Medicine March 2020, 87 (3) 131-132; DOI: https://doi.org/10.3949/ccjm.87a.18139

    On day 4, his blood pressure was 209/93 mm Hg, and CT showed new vasogenic edema in both occipital lobes.

  • Mitral valve prolapse and sudden cardiac death: A perspective on risk-stratification
    Aaron A. H. Smith, MD and Omer J. Iqbal, MD, FHRS
    Cleveland Clinic Journal of Medicine March 2020, 87 (3) 136-138; DOI: https://doi.org/10.3949/ccjm.87a.19096

    Mitral valve prolapse is common, but sudden cardiac death is rare. How can we stratify risk?

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