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- Classic diabetic ketoacidosis and the euglycemic variant: Something old, something new
The authors review differences in the pathophysiology and management of classic diabetic ketoacidosis and the euglycemic variant, the latter of which has become more common with the increasing use of sodium-glucose cotransporter 2 inhibitors.
- How can I better recognize and manage delirium in my hospitalized patients?
By knowing common precipitants and mimickers of delirium and considerations for workup, clinicians can implement nonpharmacologic preventive strategies, better identify patients experiencing delirium, and optimize symptom management.
- Sleep is like Rodney Dangerfield
Sleep quantity (and, in some cases, quality) has been shown to impact memory and learning, mood, appetite, and pain, yet many patients and clinicians do not give sleep the respect it deserves.
- Shortness of breath in a 52-year-old man with HIV and severe mitral regurgitation
The patient presented with 3 weeks of acute on chronic dyspnea on exertion with progression to dyspnea at rest and associated orthopnea.
- Common electrolyte imbalance, uncommon cause
A 47-year-old woman presented with 10 days of weakness, wide purple striae on the abdomen, and hyperpigmentation on the knuckles.
- Insomnia in older adults: A review of treatment options
Cognitive behavioral therapy for insomnia is the gold standard in all age groups, but it is time-intensive and does not offer immediate results.
Risk-factor modification to prevent recurrent atrial fibrillation after catheter ablationThe authors review the evidence supporting periprocedural modification of risk factors such as hypertension, diabetes mellitus, and obesity to reduce atrial fibrillation recurrence after catheter ablation.
- 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.
Cleveland Clinic Journal of Medicine, published by Cleveland Clinic, provides busy clinicians with practical information to promote better patient care.