Cleveland Clinic Journal of Medicine: 92 (2)
- ️Sat Feb 01 2025
Table of Contents
February 01, 2025; Volume 92,Issue 2
From the Editor
Treating the thyroid: Trust the feedback loop
Cleveland Clinic Journal of Medicine February 2025, 92 (2) 71-72; DOI: https://doi.org/10.3949/ccjm.92b.02025
Studies show that, when testing to detect or monitor thyroid dysfunction, we order more free T3 and T4 levels than are necessary. We apparently should trust the thyroid-stimulating hormone feedback loop more than we do.
The Clinical Picture
Xiaobei Liu, MD, PhD, Lizhi Ma, MD, Peimei Zhou, MD, PhD and Tao Chen, MD, PhD
Cleveland Clinic Journal of Medicine February 2025, 92 (2) 81-82; DOI: https://doi.org/10.3949/ccjm.92a.24004
A 37-year-old man presented with a 9-day history of disseminated pruritic rash on his trunk and extremities.
1-Minute Consult
Brittany Jackson, MD, Sabrina Billings, MD, Dana M. Harris, MD, Jane Hata, PhD and Mary S. Hedges, MD
Cleveland Clinic Journal of Medicine February 2025, 92 (2) 83-86; DOI: https://doi.org/10.3949/ccjm.92a.24084
Use of a gastrointestinal pathogen panel is warranted in certain individuals, such as those with fever, visible blood in the stool, sepsis, or a compromised immune system.
Symptoms to Diagnosis
Thyroid obstacle course: Many challenges from a single gland
Timothy W. Bodnar, MD and Sima Saberi, MD
Cleveland Clinic Journal of Medicine February 2025, 92 (2) 87-93; DOI: https://doi.org/10.3949/ccjm.92a.24076
The patient presented to his primary care clinician for new irritability, anxiety, and insomnia. Laboratory testing revealed a low thyroid-stimulating hormone level.
Review
Hypoglycemia after bariatric surgery: Management updates
CME article
Anira Iqbal, MD and Vinni Makin, MBBS, MD
Cleveland Clinic Journal of Medicine February 2025, 92 (2) 103-108; DOI: https://doi.org/10.3949/ccjm.92a.24033
The authors discuss how to differentiate post-bariatric surgery hypoglycemia from other causes of hypoglycemia, highlight the evolving role of continuous glucose monitors in detecting it, and summarize management options.
Don’t judge a book by its cover: Unusual presentations of pericardial disease
William A. Schiavone, DO and David S. Majdalany, MD
Cleveland Clinic Journal of Medicine February 2025, 92 (2) 109-116; DOI: https://doi.org/10.3949/ccjm.92a.24065
Taking a good history, performing a good physical examination, and properly reading an electrocardiogram and chest radiograph are the best starting points for diagnosing pericardial and mediastinal disease.
Wolff-Parkinson-White syndrome: Diagnostic and management strategies
Masihullah Barat, MD, David Torres Barba, MD, PhD and Gordon Ho, MD
Cleveland Clinic Journal of Medicine February 2025, 92 (2) 119-127; DOI: https://doi.org/10.3949/ccjm.92a.24059
The challenge lies in managing those with the Wolff-Parkinson-White pattern on electrocardiogram but no symptoms.