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Cleveland Clinic Journal of Medicine

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Table of Contents

December 01, 2009; Volume 76,Issue 12

From the Editor

  • You have access
    Low bone density is not always bisphosphonate deficiency
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine December 2009, 76 (12) 683; DOI: https://doi.org/10.3949/ccjm/76a.12001

    Low bone density is not a one-size-fits-all disorder. We need to carefully consider the diagnostic and therapeutic options before assuming that low bone density is osteoporosis.

Editorial

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    Treating the renal patient who has a fracture: Opinion vs evidence
    Maria Coco, MD, MS
    Cleveland Clinic Journal of Medicine December 2009, 76 (12) 684-688; DOI: https://doi.org/10.3949/ccjm.76a.09075

    The patient with chronic renal disease who has a fracture remains a unique management challenge. Opinions on treatment abound, but without adequate evidence to back them up.

1-Minute Consult

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    Is an ACE inhibitor plus an ARB more effective than either drug alone?
    Franz H. Messerli, MD and Melana Yuzefpolskaya, MD
    Cleveland Clinic Journal of Medicine December 2009, 76 (12) 693-696; DOI: https://doi.org/10.3949/ccjm.76a.09052

    No. Dual renin-angiotensin system blockade has never been shown to reduce the rates of morbidity or death from any cause.

Review

  • Acute pancreatitis: Problems in adherence to guidelines
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    Acute pancreatitis: Problems in adherence to guidelines
    Tyler Stevens, MD, Mansour A. Parsi, MD and R. Matthew Walsh, MD
    Cleveland Clinic Journal of Medicine December 2009, 76 (12) 697-704; DOI: https://doi.org/10.3949/ccjm.76a.09060

    Evidence-based guidelines on managing acute pancreatitis are available, but many physicians are not following them.

Current Drug Therapy

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    Prasugrel for acute coronary syndromes: Faster, more potent, but higher bleeding risk
    Lawrence D. Lazar, MD and A. Michael Lincoff, MD
    Cleveland Clinic Journal of Medicine December 2009, 76 (12) 707-714; DOI: https://doi.org/10.3949/ccjm.76a.09116

    Prasugrel (Effient) is faster and more consistent in its effects, but patients at high bleeding risk should still receive clopidogrel (Plavix).

Review

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    Fragility fractures in chronic kidney disease: An opinion-based approach
    Paul D. Miller, MD
    Cleveland Clinic Journal of Medicine December 2009, 76 (12) 715-723; DOI: https://doi.org/10.3949/ccjm.76a.08108

    When a patient with chronic kidney disease suffers a fragility fracture, a key question is whether the patient has osteoporosis or, instead, renal osteodystrophy. Bone densitometry does not help in this distinction.

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    An algorithm for managing warfarin resistance
    Olusegun Osinbowale, MD, MBA, RPVI, Monzr Al Malki, MD, Andrew Schade, MD, PhD and John R. Bartholomew, MD
    Cleveland Clinic Journal of Medicine December 2009, 76 (12) 724-730; DOI: https://doi.org/10.3949/ccjm.76a.09062

    Some patients need higher-than-expected doses of warfarin to reach their target INR. The cause can be acquired (poor compliance, drug interactions) or hereditary.

Departments

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    Index to volume 76
    Cleveland Clinic Journal of Medicine December 2009, 76 (12) 731-734;
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In this issue

Cleveland Clinic Journal of Medicine: 76 (12)
Cleveland Clinic Journal of Medicine
Vol. 76, Issue 12
1 Dec 2009
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Mass under the lip
Fundic gland polyps: Should my patient stop taking PPIs?
Colovesical fistula in men with chronic urinary tract infection: A diagnostic challenge
Oral leukoplakia and oral cancer
A 50-year-old man presents with shortness of breath
Myasthenia gravis: Frequently asked questions
Central vision loss in a 44-year-old woman
Median rhomboid glossitis caused by tongue-brushing
Making best use of bone turnover markers to monitor oral bisphosphonate therapy
Asymptomatic granules on the buccal mucosa
Does my patient need to be screened or treated for a urinary tract infection?
Ignore e-cigarettes at your patient’s peril
Spontaneous oral hematoma diagnosed as angina bullosa hemorrhagica
Hypophosphatemia in a patient with an eating disorder

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