Table of Contents

May 01, 2015; Volume 82, Issue 5
  • From the Editor

      • Pericarditis as a window into the mind of the internist

        Brian F. Mandell, MD, PhD
        • Cleveland Clinic Journal of Medicine May 2015, 82 (5) 266-267;
        • DOI: https://doi.org/10.3949/ccjm.82b.05015
        • In looking for an underlying cause, we need to be thorough but also contain costs and avoid harm from overtesting.

  • The Clinical Picture

      • A lump in the umbilicus

        Hadi Mirfazaelian, MD, Ahmad Mosalei, MD, Yahya Daneshbod, MD, Shahrzad Negahban, MD and Azita Aledavood, MD
        • Cleveland Clinic Journal of Medicine May 2015, 82 (5) 270;
        • DOI: https://doi.org/10.3949/ccjm.82a.13164
        • An estimated 1% to 3% of patients with cancer in the abdomen or pelvis present with a nodule in the umbilicus.

      • Light-headedness and bradycardia in a 72-year-old woman

        Brijesh Patel, DO, Charlotte Wiemann, MD and Dipak P. Shah, MD
        • Cleveland Clinic Journal of Medicine May 2015, 82 (5) 280-282;
        • DOI: https://doi.org/10.3949/ccjm.82a.14019
        • Complete heart block is a form of atrioventricular (AV) dissociation, but not all AV dissociation is complete heart block.

      • Morphea-like plaques, induration of the extremities, and eosinophilia

        César Magro-Checa, MD, Jacinto Orgaz-Molina, PhD, Sunna R. Lafèbre, MD, José L. Rosales-Alexander, PhD, Salvador Arias-Santiago, PhD and Enrique Raya, PhD
        • Cleveland Clinic Journal of Medicine May 2015, 82 (5) 283-284;
        • DOI: https://doi.org/10.3949/ccjm.82a.13126
        • Eosinophilic fasciitis is suspected in a patient with eosinophilia and characteristic cutaneous features.

  • Point and Counterpoint

      • Annual mammography starting at age 40: More talk, less action?

        Pelin Batur, MD, FACP, NCMP and Judith M. E. Walsh, MD, MPH
        • Cleveland Clinic Journal of Medicine May 2015, 82 (5) 272-275;
        • DOI: https://doi.org/10.3949/ccjm.82a.14156
        • In view of the potential harm, we question annual screening starting at age 40.

      • Screening mammography starting at age 40: Still relevant

        Karthik Ghosh, MD, Dietlind Wahner-Roedler, MD and Kathleen Brandt, MD
        • Cleveland Clinic Journal of Medicine May 2015, 82 (5) 276-279;
        • DOI: https://doi.org/10.3949/ccjm.82a.14155
        • In women in their 40s, the incidence of breast cancer is low but the risk of a tumor being aggressive is especially high.

  • 1-Minute Consult

  • Im Board Review

      • A 79-year-old with acute portal vein thrombosis

        Linda Zhu, MD, Heather Gornik, MD and J. Harry Isaacson, MD
        • Cleveland Clinic Journal of Medicine May 2015, 82 (5) 287-293;
        • DOI: https://doi.org/10.3949/ccjm.82a.14028
        • The patient, who had a history of polymyalgia rheumatica treated with corticosteroids, presented with chills and fever.

  • Review

      • Penicillin allergy: A practical guide for clinicians

        Alexei Gonzalez-Estrada, MD and Cristine Radojicic, MD
        • Cleveland Clinic Journal of Medicine May 2015, 82 (5) 295-300;
        • DOI: https://doi.org/10.3949/ccjm.82a.14111
        • Clinical presentation is key in classifying reactions as either mediated by immunoglobulin E or not.

      • Stand by me! Reducing the risk of injurious falls in older adults

        Leah Beegan, DO and Barbara J. Messinger-Rapport, MD, PhD
        • Cleveland Clinic Journal of Medicine May 2015, 82 (5) 301-307;
        • DOI: https://doi.org/10.3949/ccjm.82a.14041
        • Practitioners can reduce falls by yearly screening and evidence-based interventions.

  • Medical Grand Rounds

      • TOC Icon

        Dermatology update: The dawn of targeted treatment

        Anthony P. Fernandez, MD, PhD
        • Cleveland Clinic Journal of Medicine May 2015, 82 (5) 309-320;
        • DOI: https://doi.org/10.3949/ccjm.82gr.15002
        • New, targeted therapies are changing the way advanced basal cell carcinoma, psoriasis, and metastatic melanoma are treated.

  • Departments

      • Clinical utility of warfarin pharmacogenomics (August 2013)

        D. Max Smith, BSPS, Cari Cristiani, PharmD, BCPS, BCACP, Kathryn A. Teng, MD and J. Kevin Hicks, PharmD, PhD
        • Cleveland Clinic Journal of Medicine May 2015, 82 (5) 268-269;
        • DOI: https://doi.org/10.3949/ccjm.82c.05001
        • Readers comment on warfarin pharmacogenomics (August 2013).