Table of Contents

February 01, 2010; Volume 77,Issue 2

From the Editor

  • Important changes to our CME program
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine February 2010, 77 (2) 71; DOI: https://doi.org/10.3949/ccjm/77a/02001

    Starting this month, readers can earn CME credit on a per-article basis. Each article that bears the CME logo is a separate CME test, each worth 1 credit.

Commentary

  • Sorting through the recent controversies in breast cancer screening
    Halle C.F. Moore, MD, G. Thomas Budd, MD, Andrea Sikon, MD, Alice Rim, MD, Melanie Chellman-Jeffers, MD and Joseph Crowe, MD
    Cleveland Clinic Journal of Medicine February 2010, 77 (2) 76-79; DOI: https://doi.org/10.3949/ccjm.77a.09177

    Despite the new US recommendations, we continue to recommend yearly mammograms for most women, starting at age 40.

The Clinical Picture

  • Thick skin on the back
    Guha Ashrith, MD, MPH and Rajpreet Arora, MD
    Cleveland Clinic Journal of Medicine February 2010, 77 (2) 90-91; DOI: https://doi.org/10.3949/ccjm.77a.09004

    An obese woman with long-standing uncontrolled type 2 diabetes mellitus presents with indurated thickening of the skin on her back. What is the diagnosis?

  • Calcified cysts in the upper abdomen
    Ming-Ju Tsai, MD and Hung-Chun Chen, MD, PhD
    Cleveland Clinic Journal of Medicine February 2010, 77 (2) 96-97; DOI: https://doi.org/10.3949/ccjm.77a.09050

    A plain chest radiograph reveals multiple calcified cysts in the upper abdomen of a man who has been on dialysis for 15 years. What is the most plausible diagnosis?

Medical Grand Rounds

Current Drug Therapy

  • Omeprazole and clopidogrel: Should clinicians be worried?
    Jeremiah P. Depta, MD and Deepak L. Bhatt, MD, MPH
    Cleveland Clinic Journal of Medicine February 2010, 77 (2) 113-116; DOI: https://doi.org/10.3949/ccjm.77a.09173

    The FDA has warned of a possible interaction between omeprazole (Prilosec) and clopidogrel (Plavix), but for the time being we should not change the way we manage patients.

Im Board Review

  • A 40-year-old man with spells of generalized weakness and paresthesias
    Douglas L. Nguyen, MD, Sherezade Khambatta, DO, MHA, Joshua B. Eickstaedt, MD and Darlene R. Nelson, MD
    Cleveland Clinic Journal of Medicine February 2010, 77 (2) 117-122; DOI: https://doi.org/10.3949/ccjm.77a.09068

    A 40-year-old man who works as a roofer has begun to experience episodes of generalized weakness, perioral numbness, and diffuse paresthesias. What is the cause?

Review

  • Preventing venous thromboembolism in long-term care residents: Cautious advice based on limited data
    Menaka Pai, MD, FRCP(C) and James D. Douketis, MD, FRCP(C), FACP, FCCP
    Cleveland Clinic Journal of Medicine February 2010, 77 (2) 123-130; DOI: https://doi.org/10.3949/ccjm.77a.09096

    More research is needed to ascertain which long-term care residents would benefit most from anticoagulant prophylaxis. In the absence of evidence-based guidelines, we advocate a selective approach.

  • Managing acute upper GI bleeding, preventing recurrences
    Managing acute upper GI bleeding, preventing recurrences
    Mazen Albeldawi, MD, Mohammed A. Qadeer, MD, MPH and John J. Vargo, MD, MPH
    Cleveland Clinic Journal of Medicine February 2010, 77 (2) 131-142; DOI: https://doi.org/10.3949/ccjm.77a.09035

    Acute upper gastrointestinal bleeding is common and potentially life-threatening. It needs prompt assessment and aggressive medical management.

Letters to the Editor

  • Kidney stones (October 2009)
    David L. Keller, MD
    Cleveland Clinic Journal of Medicine February 2010, 77 (2) 74; DOI: https://doi.org/10.3949/ccjm/77c.02001

    Readers comment on kidney stones (October 2009) and on fragility fractures in patients with chronic kidney disease (December 2009).

  • In Reply: Kidney stones (October 2009)
    Phillip M. Hall, MD
    Cleveland Clinic Journal of Medicine February 2010, 77 (2) 74; DOI: https://doi.org/10.3949/ccjm/77c.02002

    Readers comment on kidney stones (October 2009) and on fragility fractures in patients with chronic kidney disease (December 2009).

  • Fragility fractures in chronic kidney disease: A clarification of views (December 2009)
    Paul D. Miller, MD
    Cleveland Clinic Journal of Medicine February 2010, 77 (2) 75; DOI: https://doi.org/10.3949/ccjm/77c:02003

    Readers comment on kidney stones (October 2009) and on fragility fractures in patients with chronic kidney disease (December 2009).

  • In Reply: Fragility fractures in chronic kidney disease: A clarification of views (December 2009)
    Maria Coco, MD
    Cleveland Clinic Journal of Medicine February 2010, 77 (2) 75; DOI: https://doi.org/10.3949/ccjm/77c:02004

    Readers comment on kidney stones (October 2009) and on fragility fractures in patients with chronic kidney disease (December 2009).

Reviewers 2009

  • Reviewers 2009
    Cleveland Clinic Journal of Medicine February 2010, 77 (2) 83;
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