Table of Contents

August 01, 2012; Volume 79,Issue 8

From the Editor

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Regularizing the approach to the irregularly irregular
Brian F. Mandell, MD, PhD

Cleveland Clinic Journal of Medicine August 2012, 79 (8) 522; DOI: https://doi.org/10.3949/ccjm.79b.12008

We have more choices, more data, and more management algorithms, but still no panacea for atrial fibrillation.

Commentary

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An argument for reviving the disappearing skill of cardiac auscultation
Donald Clark, MD, Mustafa I. Ahmed, MD, Louis J. Dell’italia, MD, Pohoey Fan, MD and David C. McGiffin, MD

Cleveland Clinic Journal of Medicine August 2012, 79 (8) 536-544; DOI: https://doi.org/10.3949/ccjm.79a.12001

Three case scenarios show how the clinical examination can complement echocardiography in the evaluation of valvular heart disease.

Editorial

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The stethoscope as metaphor
Salvatore Mangione, MD

Cleveland Clinic Journal of Medicine August 2012, 79 (8) 545-546; DOI: https://doi.org/10.3949/ccjm.79a.12075

The humanities—and bedside skills—ought to be a fundamental part of medical education. The alternative is a future full of technicians with tricorders, but sorely lacking in healers.

Review

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Distinguishing cellulitis from its mimics
Emily C. Keller, MD, Kenneth J. Tomecki, MD and M. Chadi Alraies, MD, FACP

Cleveland Clinic Journal of Medicine August 2012, 79 (8) 547-552; DOI: https://doi.org/10.3949/ccjm.79a.11121

Common imitators are stasis dermatitis, lipodermatosclerosis, contact dermatitis, lymphedema, eosinophilic cellulitis, and papular urticaria.

Medical Grand Rounds

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Atrial fibrillation: New drugs, devices, and procedures
Bruce D. Lindsay, MD

Cleveland Clinic Journal of Medicine August 2012, 79 (8) 553-559; DOI: https://doi.org/10.3949/ccjm.79gr.12004

An update on controversies in treating atrial fi brillation: new oral anticoagulants vs warfarin, rate control vs rhythm control, the safety of dronedarone, and the efficacy of ablation.

Personalizing Patient Care

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Genetic counselors: Your partners in clinical practice
Jessica L. Mester, MS, CGC, Allison H. Schreiber, MS, CGC and Rocio T. Moran, MD

Cleveland Clinic Journal of Medicine August 2012, 79 (8) 560-568; DOI: https://doi.org/10.3949/ccjm.79a.11091

As our understanding of the human genome has grown, so too has the need for health care providers to help patients and families understand the implications of these discoveries.

Review

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Autoinflammatory syndromes: Fever is not always a sign of infection
Andrew S. Zeft, MD, MPH and Steven J. Spalding, MD

Cleveland Clinic Journal of Medicine August 2012, 79 (8) 569-581; DOI: https://doi.org/10.3949/ccjm.79a.11184

Our growing understanding of genetics and the immune system has unearthed a number of syndromes characterized by recurrent fevers that mimic malignancy or infection.

Letters to the Editor

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Synthetic legal intoxicating drugs
Ravi N. Chandiramani, ND

Cleveland Clinic Journal of Medicine August 2012, 79 (8) 534; DOI: https://doi.org/10.3949/ccjm.79c.08001

Readers comment on synthetic legal intoxicating drugs (April 2012) and on the geriatric patient-centered medical home (May 2012).
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In reply: Synthetic legal intoxicating drugs
Jason M. Jerry, MD and Gregory B. Collins, MD

Cleveland Clinic Journal of Medicine August 2012, 79 (8) 534-535; DOI: https://doi.org/10.3949/ccjm.79c.08002

Readers comment on synthetic legal intoxicating drugs (April 2012) and on the geriatric patient-centered medical home (May 2012).
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Geriatric patient-centered medical home
David L. Keller, MD

Cleveland Clinic Journal of Medicine August 2012, 79 (8) 535; DOI: https://doi.org/10.3949/ccjm.79c.07003

Readers comment on synthetic legal intoxicating drugs (April 2012) and on the geriatric patient-centered medical home (May 2012).
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In reply: Geriatric patient-centered medical home
Amelia Gennari, MD, Kim Fedor, BSN, MBA, Eric Bakow, MA, MPM, RRT and Neil M. Resnick, MD

Cleveland Clinic Journal of Medicine August 2012, 79 (8) 535; DOI: https://doi.org/10.3949/ccjm.79c.08004

Readers comment on synthetic legal intoxicating drugs (April 2012) and on the geriatric patient-centered medical home (May 2012).