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- Matter of the heart: Prioritizing harm reduction in managing infective endocarditis associated with injection drug use
Despite specialty society recommendations, many patients do not receive treatment for substance use disorder in conjunction with heart disease treatment.
- Managing urogenital tract disorders: 10 urology pearls for primary care physicians
These pearls offer evidence-based guidance on issues that physicians are likely to encounter in practice with some frequency.
- The causes of vascular insufficiency and Hickam vs Ockham
Is our reflexive search for a single explanatory diagnosis always reasonable and warranted—or is it truly “just” an academic intellectual exercise?
- The diagnostic dilemma of myocardial infarction without obstructive coronary artery disease: Advanced imaging to the rescue!
Advances in cardiac and coronary imaging and physiologic assessment now allow for a thorough, accurate workup of this condition that accounts for up to 15% of all myocardial infarctions.
- A 74-year-old woman with purple toes
While the patient was undergoing treatment for livedoid vasculopathy, her toes started to become purple and she experienced persistent “stinging” pain in her feet.
- Oral condylomata lata
The patient had a 3-month history of painless oral lumps and intermittent sore throat.
- How do I manage my patients with thyrotoxicosis until they see the endocrinologist?
Primary care physicians can start beta-blockers promptly for symptomatic relief, obtain radioactive iodine uptake and scan, and start methimazole if high uptake is noted.
- Myocardial infarction with nonobstructive coronary arteries: Current management strategies
Intracoronary imaging and cardiac magnetic resonance imaging are key tests in the diagnosis.
Cleveland Clinic Journal of Medicine, published by Cleveland Clinic, provides busy clinicians with practical information to promote better patient care.