Table of Contents

December 01, 2015; Volume 82,Issue 12

From the Editor

  • It’s not the noise, it’s what you do with it
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine December 2015, 82 (12) 792-798; DOI: https://doi.org/10.3949/ccjm.82b.12015

    Auscultation for a carotid bruit is an unreliable test, but the real action takes place between the stethoscope’s earpieces.

The Clinical Picture

  • Brown tumor of the pelvis
    Tetiana Glushko, MD, Shorooq S. A. Banjar, MD, Ayoub Nahal, MD and Inés Colmegna, MD
    Cleveland Clinic Journal of Medicine December 2015, 82 (12) 799-800; DOI: https://doi.org/10.3949/ccjm.82a.14146

    Hyperparathyroidism increases the number and activity of osteoclasts, causing lytic lesions.

  • An alerting sign: Enlarged cardiac silhouette
    Uri Hamiel, MD, Shay Yeganeh, MD, Shemy Carrasso, MD and Soboh Soboh, MD
    Cleveland Clinic Journal of Medicine December 2015, 82 (12) 801-803; DOI: https://doi.org/10.3949/ccjm.82a.14185

    Suspect pericardial effusion in patients with symptoms of impaired cardiac function and new symmetric cardiomegaly.

1-Minute Consult

  • Does allergic conjunctivitis always require prescription eyedrops?
    Alexei Gonzalez-Estrada, MD and Lisanne P. Newton, MD
    Cleveland Clinic Journal of Medicine December 2015, 82 (12) 810-813; DOI: https://doi.org/10.3949/ccjm.82a.14162

    We reserve prescription drops for patients with persistent, bothersome symptoms despite using over-the-counter drops.

Im Board Review

  • A young man with an unusual cause of palpitations
    A young man with an unusual cause of palpitations
    Yu Xie, MD, Anna M. McDivit, MD and Luis R. Castellanos, MD, MPH
    Cleveland Clinic Journal of Medicine December 2015, 82 (12) 820-827; DOI: https://doi.org/10.3949/ccjm.82a.14171

    His heart rate is 260, with wide QRS complexes. Is his tachycardia ventricular or supraventricular?

Review

  • Catheter-based transarterial therapies for hepatocellular cancer
    Sandeep T. Laroia, MD, Steven A. Morales, MD and Archana T. Laroia, MD
    Cleveland Clinic Journal of Medicine December 2015, 82 (12) 828-834; DOI: https://doi.org/10.3949/ccjm.82a.14085

    A discussion of these procedures, their complications, and postprocedural care.

  • Insulin pumps: Beyond basal-bolus
    Richard Millstein, DO, Nancy Mora Becerra, MD and Jay H. Shubrook, DO
    Cleveland Clinic Journal of Medicine December 2015, 82 (12) 835-842; DOI: https://doi.org/10.3949/ccjm.82a.14127

    Pumps allow for more accurate dosing than multiple daily injections, resulting in less drastic blood sugar extremes.

  • The new oral anticoagulants: Reasonable alternatives to warfarin
    Bernardino Roca, MD, PhD and Manuel Roca, MD
    Cleveland Clinic Journal of Medicine December 2015, 82 (12) 847-854; DOI: https://doi.org/10.3949/ccjm.82a.14052

    The clinically relevant characteristics of the new agents and guidance on their use.

  • Asymptomatic carotid artery disease: A personalized approach to management
    Aldo L. Schenone, MD, Aaron Cohen, DO and Mehdi H. Shishehbor, DO, MPH, PhD
    Cleveland Clinic Journal of Medicine December 2015, 82 (12) 855-863; DOI: https://doi.org/10.3949/ccjm.82a.14144

    Should the patient undergo surgery or just medical care? The decision can be based on age, sex, and life expectancy.

Commentary

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