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

      • TOC Icon

        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