Table of Contents
May 01, 2010; Volume 77, Issue 5-
From the Editor
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The complexities of vitamin D
Brian F. Mandell, MD, PhD- Cleveland Clinic Journal of Medicine May 2010, 77 (5) 288;
- DOI: https://doi.org/10.3949/ccjm/77a/05001
Patients with conditions as diverse as systemic lupus erythematosus and congestive heart failure seem to fare worse if they have lower vitamin D levels. But the seeming simplicity of this association belies several levels of complexity, with resultant clinical controversy.
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1-Minute Consult
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Does vitamin D deficiency play a role in the pathogenesis of chronic heart failure? Do supplements improve survival?
Victor Hajjar, MD, Jeremiah P. Depta, MD and Maria M. Mountis, DO- Cleveland Clinic Journal of Medicine May 2010, 77 (5) 290-293;
- DOI: https://doi.org/10.3949/ccjm.77a.08078
Vitamin D deficiency may play a role in the pathogenesis of chronic heart failure, but whether giving patients supplements improves their survival is not clear.
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The Clinical Picture
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A rash on the legs and palms
Joshua M. Berlin, MD and Sandra M. Goldberg, MMS, PA-C- Cleveland Clinic Journal of Medicine May 2010, 77 (5) 294-295;
- DOI: https://doi.org/10.3949/ccjm.77a.09082
The patient has been treated with topical and oral corticosteroids with no improvement. What is the most likely diagnosis?
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A rare complication of infective endocarditis
Megan J. DeKam, DO, Jeremiah P. Depta, MD and A. Michael Lincoff, MD- Cleveland Clinic Journal of Medicine May 2010, 77 (5) 296-297;
- DOI: https://doi.org/10.3949/ccjm.77a.09114
An 85-year-old woman presents with a 2-hour history of dyspnea, dizziness, generalized weakness, nausea, and diaphoresis. What is the cause?
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Review
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Preventing and treating orthostatic hypotension: As easy as A, B, C
Juan J. Figueroa, MD, Jeffrey R. Basford, MD, PhD and Phillip A. Low, MD- Cleveland Clinic Journal of Medicine May 2010, 77 (5) 298-306;
- DOI: https://doi.org/10.3949/ccjm.77a.09118
Easy-to-remember management recommendations, using a combination of effective drug and nondrug treatments.
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Noninvasive positive pressure ventilation: Increasing use in acute care
Loutfi S. Aboussouan, MD and Basma Ricaurte, MD- Cleveland Clinic Journal of Medicine May 2010, 77 (5) 307-316;
- DOI: https://doi.org/10.3949/ccjm.77a.09145
How this mode has evolved, and its indications and contraindications in specific acute care conditions.
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Making the most of currently available bowel preparations for colonoscopy
Ashish Atreja, MD, MPH, Sansrita Nepal, MD and Bret A. Lashner, MD, MPH- Cleveland Clinic Journal of Medicine May 2010, 77 (5) 317-326;
- DOI: https://doi.org/10.3949/ccjm.77a.09122
The authors review the available regimens, offer an algorithm for choosing an appropriate regimen, and provide instructions for patients.
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Laryngopharyngeal reflux: More questions than answers
David W. Barry, MD and Michael F. Vaezi, MD, PhD, MS(Epi)- Cleveland Clinic Journal of Medicine May 2010, 77 (5) 327-334;
- DOI: https://doi.org/10.3949/ccjm.77a.09121
Most patients with suspected laryngopharyngeal reflux are given a 2-month trial of a proton pump inhibitor. Yet we still have little or no solid evidence on which to base the diagnosis or the treatment.
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