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Cleveland Clinic Journal of Medicine

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Table of Contents

April 01, 2010; Volume 77,Issue 4

From the Editor

  • You have access
    The pretravel visit: A ‘teaching moment’
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine April 2010, 77 (4) 224; DOI: https://doi.org/10.3949/ccjm/77a/04001

    Often, a pretravel visit is also a good time to introduce concepts of preventive health to patients who might not otherwise be accessible or amenable.

The Clinical Picture

  • You have access
    Giant nodules on the hands
    Salvador Arias-Santiago, MD, José Aneiros-Fernández, MD, Husein Husein-El-Ahmed, MD, María-Sierra Girón-Prieto, MD, María Antonia Fernández-Pugnaire, PhD and Ramón Naranjo-Sintes, PhD
    Cleveland Clinic Journal of Medicine April 2010, 77 (4) 225-229; DOI: https://doi.org/10.3949/ccjm.77a.09072

    A 78-year-old man with hyperuricemia treated with allopurinol presents with asymptomatic nodules on both hands. What is the most likely diagnosis?

1-Minute Consult

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    When should serum amylase and lipase levels be repeated in a patient with acute pancreatitis?
    Balaji Yegneswaran, MD and C. S. Pitchumoni, MD, MPH
    Cleveland Clinic Journal of Medicine April 2010, 77 (4) 230-231; DOI: https://doi.org/10.3949/ccjm.77a.09083

    In general, repeating these measurements has no value once the diagnosis of acute pancreatitis is made.

The Clinical Picture

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    Bony bridge of a bifid rib
    Elif Kupeli, MD and Gaye Ulubay
    Cleveland Clinic Journal of Medicine April 2010, 77 (4) 232-233; DOI: https://doi.org/10.3949/ccjm.76a.09066

    A 21-year-old man presents with 3 days of cough and hemoptysis. A chest x-ray reveals a congenital anomaly.

Review

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    Breaking the cycle of medication overuse headache
    Stewart J. Tepper, MD and Deborah E. Tepper, MD
    Cleveland Clinic Journal of Medicine April 2010, 77 (4) 236-242; DOI: https://doi.org/10.3949/ccjm.77a.09147

    Some migraine patients fall into a trap by overusing their headache medications. Fortunately, we can break the cycle.

  • Risks of travel, benefits of a specialist consult
    You have access
    Risks of travel, benefits of a specialist consult
    Brenda Powell, MD and Charles Ford, PhD
    Cleveland Clinic Journal of Medicine April 2010, 77 (4) 246-254; DOI: https://doi.org/10.3949/ccjm.77a.09097

    Before going abroad to risky areas, most people ought to visit their primary care physicians, and many should be referred to a specialist in travel medicine.

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    Vaccine update 2010: Keeping up with the changes
    Doug Campos-Outcalt, MD, MPA
    Cleveland Clinic Journal of Medicine April 2010, 77 (4) 255-263; DOI: https://doi.org/10.3949/ccjm.77a.09109

    Changes and additions to the vaccination schedule for children, adolescents, and adults.

The Clinical Picture

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    The Courvoisier sign
    Mansour A. Parsi, MD
    Cleveland Clinic Journal of Medicine April 2010, 77 (4) 265; DOI: https://doi.org/10.3949/ccjm.77a.09099

    A 60-year-old woman has had jaundice, dark-colored urine, and light-colored stools for the past several days. On examination, her gallbladder is palpable.

Review

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    New tools for detecting occult monoclonal gammopathy, a cause of secondary osteoporosis
    Beth Faiman, MSN, CNP and Angelo A. Licata, MD, PhD
    Cleveland Clinic Journal of Medicine April 2010, 77 (4) 273-278; DOI: https://doi.org/10.3949/ccjm.77a.09091

    Osteoporosis can be the presenting sign of a monoclonal gammopathy, which in some people may precede a diagnosis of multiple myeloma.

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In this issue

Cleveland Clinic Journal of Medicine: 77 (4)
Cleveland Clinic Journal of Medicine
Vol. 77, Issue 4
1 Apr 2010
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Should I consider metformin therapy for weight loss in patients with obesity but without diabetes?
Persistent rectal pain leading to diffuse pustules
Cutaneous metastasis from gastric carcinoma
‘Kissing tonsils’ and splenic infarction from infectious mononucleosis
Hoarseness: When to observe and when to refer
A new paradigm for adult ADHD: A focused strategy to monitor treatment
Asymptomatic oral plaques and erosion
Guidelines for the management of trigeminal neuralgia
Measuring exhaled nitric oxide when diagnosing and managing asthma
Reincarnating autoimmunity: Immune-related adverse events as new diseases
What is the optimal approach to infiltration and extravasation of nonchemotherapy medications?
Cholesteatoma
Reproductive issues and multiple sclerosis: 20 questions
Central sensitization, chronic pain, and other symptoms: Better understanding, better management
Brodie abscess in an 87-year-old man
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

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