Table of Contents
October 01, 2011; Volume 78, Issue 10-
From the Editor
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A discussion of dissection
Brian F. Mandell, MD, PhD- Cleveland Clinic Journal of Medicine October 2011, 78 (10) 644;
- DOI: https://doi.org/10.3949/ccjm.78b.11010
Few medical emergencies are as dramatic as an acutely rupturing aortic aneurysm. Advances in research offer potential for more alternatives to emergency surgery.
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The Clinical Picture
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Necrotic skin lesions after hemodialysis
Christopher R. Newey, DO, MS, Aarti Sarwal, MD, Jeffrey Uchin, MD and Guy Mulligan, MD- Cleveland Clinic Journal of Medicine October 2011, 78 (10) 646-648;
- DOI: https://doi.org/10.3949/ccjm.78a.10149
A 44-year-old woman with end-stage liver disease presents with a painful, ischemic, necrotic lesion on her thigh. What is the diagnosis?
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1-Minute Consult
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What is the best questionnaire to screen for alcohol use disorder in an office practice?
Keji Fagbemi, MD- Cleveland Clinic Journal of Medicine October 2011, 78 (10) 649-651;
- DOI: https://doi.org/10.3949/ccjm.78a.10186
A variety of questionnaires can be used. The important thing is to be proactive about screening for this very common yet underrecognized problem.
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Current Drug Therapy
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Dabigatran: Will it change clinical practice?
Siddharth A. Wartak, MD and John R. Bartholomew, MD, FACC- Cleveland Clinic Journal of Medicine October 2011, 78 (10) 657-664;
- DOI: https://doi.org/10.3949/ccjm.78a.11021
This new oral anticoagulant has advantages over warfarin (Coumadin), but it is more expensive, which may pose a barrier to its wider use.
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Review
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Update in intensive care medicine: Studies that challenged our practice in the last 5 years
Enrique Diaz-Guzman, MD, Juan Sanchez, MD and Alejandro C. Arroliga, MD, FCCP- Cleveland Clinic Journal of Medicine October 2011, 78 (10) 665-674;
- DOI: https://doi.org/10.3949/ccjm.78a.10188
Several once-established therapies have failed the test of time, as the result of evidence from clinical trials.
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Jet lag and shift work sleep disorders: How to help reset the internal clock
Bhanu P. Kolla, MBBS and R. Robert Auger, MD- Cleveland Clinic Journal of Medicine October 2011, 78 (10) 675-684;
- DOI: https://doi.org/10.3949/ccjm.78a.10083
Some relief is possible for the grogginess and disorientation that often ensue from travelling long distances or working the night shift.
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Aortic dissection: Prompt diagnosis and emergency treatment are critical
Alan C. Braverman, MD- Cleveland Clinic Journal of Medicine October 2011, 78 (10) 685-696;
- DOI: https://doi.org/10.3949/ccjm.78a.11053
Aortic dissection can be rapidly fatal, and it can mimic more common conditions. Suspicion is essential.
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Commentary
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A new ICU paradigm: Intensivists as primary critical care physicians
Marc J. Popovich, MD, Shahpour Esfandiari, MD and Azmy Boutros, MD, FRCA- Cleveland Clinic Journal of Medicine October 2011, 78 (10) 697-700;
- DOI: https://doi.org/10.3949/ccjm.78a.10162
The time has come for critical care medicine to end its identity crisis.
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