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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.

  • You have access
    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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The beat goes on: Highlights from the new American and European A-fib guidelines
What diagnostic tests should be done after discovering clubbing in a patient without cardiopulmonary symptoms?
Tinea incognito
Prolonged venous filling time and dependent rubor in a patient with peripheral artery disease
Nociplastic pain: A practical guide to chronic pain management in the primary care setting
Sarcoidosis with diffuse purplish erythematous plaques on the hands
Cardiovascular disease in people living with HIV: Risk assessment and management
Heart to heart: Progress in cardiovascular disease prevention for people living with HIV
Don’t judge a book by its cover: Unusual presentations of pericardial disease
Hypoglycemia after bariatric surgery: Management updates
Risk-factor modification to prevent recurrent atrial fibrillation after catheter ablation
Common electrolyte imbalance, uncommon cause

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