Table of Contents
From the Editor
- The Journal, the Internet, and you
At ccjm.org you can find all of our articles, free CME credit, and now the proceedings of the second annual Cleveland Clinic Perioperative Medicine Summit.
1-Minute Consult
- When should prophylactic anticoagulation begin after a hip fracture?
The short answer is immediately, but several issues need consideration before starting.
Review
- Migraine prophylaxis: Who, why, and how
If a patient has frequent, severely debilitating migraine headaches, prophylactic treatment may help. But only about half of patients obtain a 50% or greater reduction in attacks.
Current Drug Therapy
Is digoxin a drug of the past?This old drug is still useful, with some caveats. It is no longer the cornerstone of heart-failure treatment, but it can be beneficial as an adjunct. Serum levels should probably be kept lower than in the past.
Review
- Tending to the musculoskeletal problems of obesity
Obese patients often hear that any ache or pain they have is due to their excess weight and will resolve with weight loss. The truth is more subtle, but weight loss can make a substantial difference.
Current Drug Therapy
- Newer antibiotics for serious gram-positive infections
We use two case scenarios to discuss when and how to use these agents and how to monitor and respond to their adverse effects.
Imaging in Practice
- Imaging’s roles in acute pancreatitis
A 50-year-old man presents with severe upper-abdominal pain radiating to the back with nausea and vomiting. His serum amylase and lipase levels are markedly elevated. Should he have any imaging tests, and if so, which ones?
Medical Grand Rounds
- A Perspective on the Women’s Health Study
This 10-year trial found that aspirin prevented stroke but not myocardial infarction in women. Vitamin E had no effect.
