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Cleveland Clinic Journal of Medicine

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Table of Contents

September 01, 2011; Volume 78,Issue 9

From the Editor

  • You have access
    When to stop treating the bones
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine September 2011, 78 (9) 563; DOI: https://doi.org/10.3949/ccjm.78b.11009

    Don’t let the argument about how long to treat osteoporosis with bisphosphonate drugs stand in the way of initiating therapy in patients at risk of fracture.

Medical Grand Rounds

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    Accountable care organizations, the patient-centered medical home, and health care reform: What does it all mean?
    David L. Longworth, MD
    Cleveland Clinic Journal of Medicine September 2011, 78 (9) 571-582; DOI: https://doi.org/10.3949/ccjm.78gr.11003

    Central to fixing the broken US health care system are two concepts: the patient-centered medical home and accountable care organizations.

Review

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    Allergy blood testing: A practical guide for clinicians
    Roxana I. Siles, MD and Fred H. Hsieh, MD
    Cleveland Clinic Journal of Medicine September 2011, 78 (9) 585-592; DOI: https://doi.org/10.3949/ccjm.78a.11023

    These tests can confirm the diagnosis of an allergic disorder, supplementing the clinical history. They are particularly useful when skin testing cannot or should not be done.

The Clinical Picture

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    Oral plaques and dysphagia in a young man
    Amber S. Tully, MD and Carol Dao, MD
    Cleveland Clinic Journal of Medicine September 2011, 78 (9) 594-596; DOI: https://doi.org/10.3949/ccjm.78a.10150

    A 23-year-old man presents with oral plaques, a sore throat, dysphagia, malaise, and weight loss. What is the most likely diagnosis?

Review

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    Hepatic encephalopathy: Suspect it early in patients with cirrhosis
    Jamilé Wakim-Fleming, MD, FACG
    Cleveland Clinic Journal of Medicine September 2011, 78 (9) 597-605; DOI: https://doi.org/10.3949/ccjm.78a10117

    Prompt identification and treatment are essential, since the prognosis worsens rapidly once overt encephalopathy develops.

The Clinical Picture

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    Unmasking gastric cancer
    Faysal Altahawi, Abdul Hamid Alraiyes, MD and M. Chadi Alraies, MD, FACP
    Cleveland Clinic Journal of Medicine September 2011, 78 (9) 606-608; DOI: https://doi.org/10.3949/ccjm.78a.10129

    Screening with diagnostic imaging may be justified in high-risk groups, although the issue is debatable.

Review

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    Venous thromboembolism: What to do after anticoagulation is started
    Scott Kaatz, DO, MSc, FACP, Waqas Qureshi, MD and Robert C. Lavender, MD, FACP
    Cleveland Clinic Journal of Medicine September 2011, 78 (9) 609-618; DOI: https://doi.org/10.3949/ccjm.78a.10175

    Three issues need to be addressed: the length of therapy, measures to prevent postthrombotic syndrome, and a basic workup for possible underlying malignancy.

Current Drug Therapy

  • What is the optimal duration of bisphosphonate therapy?
    You have access
    What is the optimal duration of bisphosphonate therapy?
    Susan M. Ott, MD
    Cleveland Clinic Journal of Medicine September 2011, 78 (9) 619-630; DOI: https://doi.org/10.3949/ccjm.78a.11022

    It is reasonable to stop bisphosphonates after 5 years of use and then to follow patients with markers of bone turnover.

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In this issue

Cleveland Clinic Journal of Medicine: 78 (9)
Cleveland Clinic Journal of Medicine
Vol. 78, Issue 9
1 Sep 2011
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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
Oral leukoplakia and oral cancer
A 50-year-old man presents with shortness of breath
Myasthenia gravis: Frequently asked questions
Central vision loss in a 44-year-old woman
Median rhomboid glossitis caused by tongue-brushing
Making best use of bone turnover markers to monitor oral bisphosphonate therapy
Asymptomatic granules on the buccal mucosa
Does my patient need to be screened or treated for a urinary tract infection?
Ignore e-cigarettes at your patient’s peril
Spontaneous oral hematoma diagnosed as angina bullosa hemorrhagica
Hypophosphatemia in a patient with an eating disorder

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