Table of Contents

March 01, 2011; Volume 78,Issue 3

From the Editor

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The urge to know: What does iron have to do with infection?
Brian F. Mandell, MD, PhD

Cleveland Clinic Journal of Medicine March 2011, 78 (3) 144; DOI: https://doi.org/10.3949/ccjm.78b.11003

Why might iron supplementation be harmful in the setting of infection?

The Clinical Picture

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Genital lesions and acute urinary retention
Nezam AlTorok, MD, Ahmad Abugiazia, MD, Nehaya Abu Shanab, MD and Anita Conway, MD

Cleveland Clinic Journal of Medicine March 2011, 78 (3) 151-152; DOI: https://doi.org/10.3949/ccjm.78a.10071

A 36-year-old patient has not voided in 48 hours. Catheterization yields 1,250 mL. What is the next step?

Review

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Can a bowel preparation exacerbate heart failure?
Kalindi Parikh, MD and Howard Weitz, MD

Cleveland Clinic Journal of Medicine March 2011, 78 (3) 157-160; DOI: https://doi.org/10.3949/ccjm.77a.10025

A 73-year-old man with a history of heart failure develops shortness of breath after consuming about 1 L of a polyethylene glycol solution in preparation for colonoscopy the next day.

The Clinical Picture

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A 40-year-old woman with excoriated skin lesions
M. Chadi Alraies, MD, Emily Keller, MD, Khaldoon Shaheen, MD and Abdul Hamid Alraiyes, MD

Cleveland Clinic Journal of Medicine March 2011, 78 (3) 161-163; DOI: https://doi.org/10.3949/ccjm.78a.10042

The lesions have been present for many years; a few show signs of recent bleeding. What is the diagnosis?

1-Minute Consult

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Is iron therapy for anemia harmful in the setting of infection?
Ehab Daoud, MD, Engi Nakhla, PharmD and Reecha Sharma, MD

Cleveland Clinic Journal of Medicine March 2011, 78 (3) 168-170; DOI: https://doi.org/10.3949/ccjm.78a.10156

The harmful effects are more theoretical than observed. On the other hand, there are also no convincing data to support the benefit of this therapy.

Im Board Review

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Recurrent abdominal pain after laparoscopic cholecystectomy
Carole Macaron, MD, Mohammed A. Qadeer, MD, MPH and John J. Vargo, MD, MPH

Cleveland Clinic Journal of Medicine March 2011, 78 (3) 171-178; DOI: https://doi.org/10.3949/ccjm.77a.09171

Four months after gallbladder surgery, her pain is back. Why?

Current Drug Therapy

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Dronedarone for atrial fibrillation: How does it compare with amiodarone?
Neelima Penugonda, MD, Adam Mohmand-Borkowski, MD and James F. Burke, MD

Cleveland Clinic Journal of Medicine March 2011, 78 (3) 179-185; DOI: https://doi.org/10.3949/ccjm.78a.10049

Dronedarone’s precise role is yet to be defined, but if it is as well tolerated as hoped, it may help clinicians pursue a rhythm control strategy more often.

Editorial

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The estimated glomerular filtration rate as a test for chronic kidney disease: Problems and solutions
Andrew D. Rule, MD and John C. Lieske, MD

Cleveland Clinic Journal of Medicine March 2011, 78 (3) 186-188; DOI: https://doi.org/10.3949/ccjm.78a.11004

Creatinine-based testing is not perfect. Perhaps a two-step approach would be better.

Review

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Interpreting the estimated glomerular filtration rate in primary care: Benefits and pitfalls
James Simon, MD, Milen Amde, MD and Emilio D. Poggio, MD

Cleveland Clinic Journal of Medicine March 2011, 78 (3) 189-195; DOI: https://doi.org/10.3949/ccjm.78a.10057

Many laboratories are now reporting the glomerular filtration rate automatically, and primary care providers are left trying to interpret the results.

Cancer Diagnosis and Management

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Malignant bowel obstruction: Individualized treatment near the end of life
Aileen Soriano, MD and Mellar P. Davis, MD

Cleveland Clinic Journal of Medicine March 2011, 78 (3) 197-206; DOI: https://doi.org/10.3949/ccjm.78a.10052

Surgery should not be routinely done. Less-invasive approaches such as gastric and colonic stenting are useful.

Departments

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Menstrual manipulation (July 2010)
Chris Kahlenborn, MD and Walter B. Severs, PhD, FCP

Cleveland Clinic Journal of Medicine March 2011, 78 (3) 145; DOI: https://doi.org/10.3949/ccjm.78c.03001

A reader comments on oral contraceptives and menstrual manipulation (July 2010).
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In reply: Menstrual manipulation (July 2010)
Ellen S. Rome, MD, MPH and Caitlin W. Hicks, BA

Cleveland Clinic Journal of Medicine March 2011, 78 (3) 145-150; DOI: https://doi.org/10.3949/ccjm.78c.03002