Table of Contents

September 01, 2015; Volume 82,Issue 9

From the Editor

  • Perioperative MI: Data, practice, and questions
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine September 2015, 82 (9) 552-554; DOI: https://doi.org/10.3949/ccjm.82b.09015

    What should be done when an elevated troponin is detected in a postoperative patient who is otherwise doing perfectly well?

Medical Grand Rounds

  • 2015 Update on Parkinson disease
    Hubert H. Fernandez, MD, FAAN, FANA
    Cleveland Clinic Journal of Medicine September 2015, 82 (9) 563-568; DOI: https://doi.org/10.3949/ccjm.82gr.15004

    An improved understanding of the disease is leading to new diagnostic tools and treatments.

1-Minute Consult

  • What is the difference between palliative care and hospice care?
    Mellar P. Davis, MD, FCCP, FAAHPM, Terence Gutgsell, MD and Pamela Gamier, RN, BSN, CHPN
    Cleveland Clinic Journal of Medicine September 2015, 82 (9) 569-571; DOI: https://doi.org/10.3949/ccjm.82a.14145

    The two have different indications and goals and are often provided in different settings.

The Clinical Picture

  • Occult satellite metastasis of an auricular melanoma
    Petros Koltsidopoulos, MD, PhD and Charalambos Skoulakis, MD, PhD
    Cleveland Clinic Journal of Medicine September 2015, 82 (9) 577-578; DOI: https://doi.org/10.3949/ccjm.82a.14132

    Satellite lesions are a sign of aggressive disease and require a thorough evaluation for metastases.

  • Herpes zoster triplex
    Shota Takashima, MD and Mitsuhito Ota, MD, PhD
    Cleveland Clinic Journal of Medicine September 2015, 82 (9) 579; DOI: https://doi.org/10.3949/ccjm.82a.14173

    A 77-year-old man presented with painful eruptions on the left chest, right lower groin, and left thigh.

Review

  • Middle East respiratory syndrome: SARS redux?
    Middle East respiratory syndrome: SARS redux?
    Glenn Wortmann, MD, FIDSA, FACP
    Cleveland Clinic Journal of Medicine September 2015, 82 (9) 584-588; DOI: https://doi.org/10.3949/ccjm.82a.15097

    Prompt identification and isolation of infected patients is critical to limiting the spread of infection.

  • Troponin elevation after noncardiac surgery: Significance and management
    Samuel Horr, MD, Grant Reed, MD and Venu Menon, MD
    Cleveland Clinic Journal of Medicine September 2015, 82 (9) 595-602; DOI: https://doi.org/10.3949/ccjm.82a.15076

    Patients with elevations are at higher risk of morbidity and death, but current guidelines provide few recommendations.

  • Lactic acidosis: Clinical implications and management strategies
    Anita J. Reddy, MD, Simon W. Lam, PharmD, FCCM, Seth R. Bauer, PharmD, FCCM and Jorge A. Guzman, MD
    Cleveland Clinic Journal of Medicine September 2015, 82 (9) 615-624; DOI: https://doi.org/10.3949/ccjm.82a.14098

    In hospitalized patients, elevated lactate is both a marker of risk and a target of therapy.

Editorial

  • Postoperative troponin surveillance: A diagnostic dilemma
    Steven L. Cohn, MD, FACP, SFHM
    Cleveland Clinic Journal of Medicine September 2015, 82 (9) 603-605; DOI: https://doi.org/10.3949/ccjm.82a.15113

    Postoperative troponin elevations are linked to bad outcomes. But does screening for troponin elevations improve outcomes?

Im Board Review

  • Ankle pain in a young woman with Gaucher disease
    Ajoe John Kattoor, MD, Thomas W. Bauer, MD, PhD, Mark Berkowitz, MD, Joshua M. Polster, MD and Alan E. Lichtin, MD
    Cleveland Clinic Journal of Medicine September 2015, 82 (9) 607-613; DOI: https://doi.org/10.3949/ccjm.82a.14108

    Gaucher disease causes hepatomegaly, splenomegaly, bone marrow disease, bone pain, bone infarcts, and lytic lesions.

Departments

  • Sleep apnea ABCs (August 2014)
    Maher Abouda, MD
    Cleveland Clinic Journal of Medicine September 2015, 82 (9) 555; DOI: https://doi.org/10.3949/ccjm.82c.09001

    Readers comment on obstructive sleep apnea (August 2014) and on writing better consult notes (January 2015).

  • In Reply: Sleep apnea ABCs (August 2014)
    Reena Mehra, MD, MS, FCCP, FAASM and Anna M. May, MD
    Cleveland Clinic Journal of Medicine September 2015, 82 (9) 556-562; DOI: https://doi.org/10.3949/ccjm.82c.090002

    Readers comment on obstructive sleep apnea (August 2014) and on writing better consult notes (January 2015).

  • EMR notes should communicate and educate (January 2015)
    Christine A. Sinsky, MD
    Cleveland Clinic Journal of Medicine September 2015, 82 (9) 562; DOI: https://doi.org/10.3949/ccjm.82c.090003

    Readers comment on obstructive sleep apnea (August 2014) and on writing better consult notes (January 2015).

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