Emergency Medicine

  • 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.

  • Infection or not infection, that is the question—Is procalcitonin the answer?
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine May 2019, 86 (5) 297-298; DOI: https://doi.org/10.3949/ccjm.86b.05019

    What is different about procalcitonin that allows it to succeed as a biomarker where CRP and the ESR have failed?

  • Pyoderma gangrenosum mistaken for diabetic ulcer
    Michael A. Munoz, MD and Benson A. Babu, MD, MBA, FACP
    Cleveland Clinic Journal of Medicine May 2019, 86 (5) 319-320; DOI: https://doi.org/10.3949/ccjm.86a.19015

    A man with type 2 diabetes, hypertension, anemia, and ulcerative colitis presented with an ulcer on his leg.

  • Rapidly progressive pleural effusion January 2019
    Scott Davidson, MD
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 236; DOI: https://doi.org/10.3949/ccjm.86c.04001

    Readers comment about deviation from guidelines during treatment of a patient with rapidly progressive pleural effusion (January 2019) and the effect of metformin on vitamin B12 levels (January 2019).

  • In reply: Rapidly progressive pleural effusion January 2019
    Zaid Zoumot, MBSS, Samar Farha, MD and Ali Wahla, MBSS
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 236; DOI: https://doi.org/10.3949/ccjm.86c.04002
  • Gastroparesis in a patient with diabetic ketoacidosis
    Ahmad Muneer Sharayah, MD, Noor Hajjaj, MD, Ramy Osman, MD and Douglas Livornese, MD
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 238-239; DOI: https://doi.org/10.3949/ccjm.86a.18116

    Computed tomography showed new, severe gastric distention. A scan 11 months previously had been normal.

  • How should I treat acute agitation in pregnancy?
    Joshua D. Niforatos, MTS, Jonathon W. Wanta, MD, Anna P. Shapiro, MD, Justin A. Yax, Do, DTMH and Adele C. Viguera, MD, MPH
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 243-247; DOI: https://doi.org/10.3949/ccjm.86a.18041

    This is an obstetric emergency. Intervention should progress in a stepwise manner.

  • Spontaneous coronary artery dissection: An often unrecognized cause of acute coronary syndrome
    Spontaneous coronary artery dissection: An often unrecognized cause of acute coronary syndrome
    Nureddin K. Almaddah, MD, Mohamed S. Morsy, MD, Dwight Dishmon, MD and Rami N. Khouzam, MD, FACC, FACP, FASNC, FASE, FSCAI
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 252-256; DOI: https://doi.org/10.3949/ccjm.86a.18078

    SCAD accounts for up to 35% of acute myocardial infarctions in women 50 or younger, and even more in pregnant women.

  • Flu or strep? Rapid tests can mislead
    Burke A. Cunha, MD, MACP and Nonso Osakwe, MD
    Cleveland Clinic Journal of Medicine March 2019, 86 (3) 161-162; DOI: https://doi.org/10.3949/ccjm.86a.18094

    Group A streptococci are common colonizers with viral pharyngitis.

  • Norwegian scabies
    Hiroki Matsuura, MD, Akemi Senoo, MD, PhD, Mari Saito, MD and Yuko Fujimoto, MD
    Cleveland Clinic Journal of Medicine March 2019, 86 (3) 163-164; DOI: https://doi.org/10.3949/ccjm.86a.18081

    Norwegian scabies is extremely contagious, and outbreaks can spread in institutions.

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