Table of Contents
From the Editor
- Smart testing: An old idea, a new series
We hope to change test-ordering behaviors in situations in which there is a smart—and a not-so-smart—way to pursue a diagnosis.
New Series: Smart Testing
- Series Introduction: Doing the right thing to control health care costs
Cleveland Clinic Journal of Medicine initiates its contribution to high-value care with a new series, “Smart Testing.”
Smart Testing
- Is cardiac stress testing appropriate in asymptomatic adults at low risk?
This test is most useful in patients who have chest pain and shortness of breath on exertion.
The Clinical Picture
- Double trouble: Simultaneous complications of therapeutic thoracentesis
A 51-year-old man with liver disease developed both pneumothorax and pulmonary edema.
Im Board Review
- Swelling and pain 2 weeks after a dog bite
At first the bite seemed to improve, but now it is worsening, with red streaks from wrist to elbow.
Review
Patent foramen ovale and cryptogenic stroke: Many unanswered questionsIf a stroke has no obvious cause, should you look for a patent foramen ovale? And what should you do if you find one?
- Promoting higher blood pressure targets for frail older adults: A consensus guideline from Canada
Consider the frailty of your elderly patients when prescribing antihypertensive treatment.
- Intimate partner violence: How you can help female survivors
The patient is more likely to disclose abuse if the physician asks. Counseling and referral improve safety and health.
Patient Information
Departments
- A serious complication of a common stress test (May 2014)
A reader comments on a serious complication of a cardiac stress test (May 2014).
- In Reply: A serious complication of a common stress test (May 2014)
A reader comments on a serious complication of a cardiac stress test (May 2014).
Commentary
When draining large effusions, take precautions to prevent pneumothorax and reexpansion pulmonary edema.
There is no longer any doubt that patent foramen ovale can be the culprit in stroke, and closure is safe and effective.