Table of Contents

July 01, 2015; Volume 82,Issue 7

From the Editor

The Clinical Picture

  • Electrocardiographic changes in amitriptyline overdose
    Farayi Mbuvah, MD, Frunze Petrosyan, MD, Nirosshan Thiruchelvam, MD and Gaurav Kistangari, MD
    Cleveland Clinic Journal of Medicine July 2015, 82 (7) 396-398; DOI: https://doi.org/10.3949/ccjm.82a.13135

    A 49-year-old woman was unresponsive after taking an unknown quantity of amitriptyline.

  • Umbilical hernia in a patient with cirrhosis
    Pieter Martens, MD and Wim Laleman, MD, PhD
    Cleveland Clinic Journal of Medicine July 2015, 82 (7) 404-405; DOI: https://doi.org/10.3949/ccjm.82a.14012

    Ascites is the major predisposing factor, since it causes muscle wasting and increases intra-abdominal pressure.

  • An unusual cause of vitamin B12 and iron deficiency
    Shelley Maithel, BA, Alex K. Duong, Jonathan Zhang, MD and Douglas L. Nguyen, MD
    Cleveland Clinic Journal of Medicine July 2015, 82 (7) 406-408; DOI: https://doi.org/10.3949/ccjm.82a.14151

    Testing for ova and parasites was negative, but video capsule endoscopy revealed a tapeworm in the distal duodenum.

1-Minute Consult

Cardiovascular Board Review

  • A continuous cardiac murmur
    Rebecca Napier, MD, Jonathan D. Gardner, MD, Susan Noe, MD, FACC, FACP and Joe B. Calkins, MD, FACC, FACP, FASE
    Cleveland Clinic Journal of Medicine July 2015, 82 (7) 414-418; DOI: https://doi.org/10.3949/ccjm.82a.14068

    A 45-year-old woman presents with progressive shortness of breath and a continuous murmur over the entire precordium.

Review

  • Bell palsy: Clinical examination and management
    Bell palsy: Clinical examination and management
    Donika K. Patel, DO and Kerry H. Levin, MD
    Cleveland Clinic Journal of Medicine July 2015, 82 (7) 419-426; DOI: https://doi.org/10.3949/ccjm.82a.14101

    Bell palsy is characterized by acute facial mononeuropathy of unclear cause presenting with unilateral facial weakness.

  • Marijuana is both antiemetic and proemetic
    Marvin Louis Roy Y. Lu, MD and Markus D. Agito, MD
    Cleveland Clinic Journal of Medicine July 2015, 82 (7) 429-434; DOI: https://doi.org/10.3949/ccjm.82a.14023

    Chronic marijuana use can have an emetic effect. Patients shower or bathe in extremely hot water to relieve the symptoms.

  • Care of the aging HIV patient
    Jason M. Blaylock, MD and Glenn W. Wortmann, MD
    Cleveland Clinic Journal of Medicine July 2015, 82 (7) 445-455; DOI: https://doi.org/10.3949/ccjm.82a.14094

    Today, more than 50% of all HIV-infected people in the United States are over age 50.

  • Urologic applications of botulinum toxin
    Ashley King, MD, Adrienne Quirouet, MD and Courtenay K. Moore, MD
    Cleveland Clinic Journal of Medicine July 2015, 82 (7) 456-464; DOI: https://doi.org/10.3949/ccjm.82a.13166

    Botulinum toxin is approved for neurogenic detrusor overactivity and overactive bladder refractory to drug therapy.

Current Drug Therapy

  • Ceftaroline fosamil: A super-cephalosporin?
    Riane J. Ghamrawi, PharmD, BCPS, Elizabeth Neuner, PharmD and Susan J. Rehm, MD
    Cleveland Clinic Journal of Medicine July 2015, 82 (7) 437-444; DOI: https://doi.org/10.3949/ccjm.82a.14105

    Ceftaroline fosamil is the first beta-lactam with clinically useful activity against methicillin-resistant Staphylococcus aureus.

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