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Cleveland Clinic Journal of Medicine

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Table of Contents

February 01, 2017; Volume 84,Issue 2

From the Editor

  • You have access
    Evidence helps, but some decisions remain within the art of medicine
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine February 2017, 84 (2) 88-90; DOI: https://doi.org/10.3949/ccjm.84b.02017

    In bacterial meningitis, precise diagnosis by lumbar puncture both offers benefit and poses risk.

The Clinical Picture

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    Ring-enhancing cerebral lesions
    Aram Barbaryan, MD, Jignesh Modi, MD, Wajih Raqeem, MD, Michael I. Choi, MD, Alan Frigy, MD and Aibek E. Mirrakhimov, MD
    Cleveland Clinic Journal of Medicine February 2017, 84 (2) 104-110; DOI: https://doi.org/10.3949/ccjm.84a.16037

    The patient has poorly controlled HIV, seizures, and brain lesions. Is Histoplasma or Toxoplasma the cause of the lesions?

1-Minute Consult

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    When should brain imaging precede lumbar puncture in cases of suspected bacterial meningitis?
    Aibek E. Mirrakhimov, MD, Adam Gray, MD and Taha Ayach, MD
    Cleveland Clinic Journal of Medicine February 2017, 84 (2) 111-113; DOI: https://doi.org/10.3949/ccjm.84a.16028

    Few patients need it. Empiric antibiotic and corticosteroid therapy must not be delayed.

Medical Grand Rounds

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    Thrombotic microangiopathies: Similar presentations, different therapies
    Gerald B. Appel, MD
    Cleveland Clinic Journal of Medicine February 2017, 84 (2) 114-130; DOI: https://doi.org/10.3949/ccjm.84gr.17001

    Effective management depends on prompt diagnosis and targeted therapy.

Review

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    Severely frail elderly patients do not need lipid-lowering drugs
    Laurie Herzig Mallery, MD, FRCPC, MSM, Paige Moorhouse, MD, MPH, FRCPC, MSM, Pam McLean Veysey, BSc (Pharm), Michael Allen, MD, MSc and Isobel Fleming, BScPharm, ACPR
    Cleveland Clinic Journal of Medicine February 2017, 84 (2) 131-142; DOI: https://doi.org/10.3949/ccjm.84a.15114

    Statins have no role as primary prevention in this population, and a minor role as secondary prevention.

Editorial

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    Statin therapy in the frail elderly: A nuanced decision
    Donald Clark, MD and Leslie S. Cho, MD
    Cleveland Clinic Journal of Medicine February 2017, 84 (2) 143-145; DOI: https://doi.org/10.3949/ccjm.84a.16036

    Clinicians—and patients—may reasonably feel there is value in statin therapy—even in advanced frailty.

Im Board Review

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    Man’s best friend, fatal in the end
    Evelyn Ling, MD, Stacey Howell, MD, Mai Vang, BS and Paul Aronowitz, MD
    Cleveland Clinic Journal of Medicine February 2017, 84 (2) 146-150; DOI: https://doi.org/10.3949/ccjm.84a.16061

    A dog bite in a patient without a spleen can have serious consequences.

Review

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    Medical management of urinary incontinence in women
    Elim Shih, MD, Heather Hirsch, MD and Holly L. Thacker, MD, FACP, NCMP, CCD
    Cleveland Clinic Journal of Medicine February 2017, 84 (2) 151-158; DOI: https://doi.org/10.3949/ccjm.84a.16054

    It is common, underreported, and undertreated. Primary care physicians can offer conservative management.

Information for Patients

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    Urinary leakage: What are the treatment options?
    Cleveland Clinic Journal of Medicine February 2017, 84 (2) 159; DOI: https://doi.org/10.3949/ccjm.84pe.02001

Review

  • Cardiopulmonary exercise testing: A contemporary and versatile clinical tool
    You have access
    Cardiopulmonary exercise testing: A contemporary and versatile clinical tool
    Kenneth Leclerc, MD, FACC, FACSM
    Cleveland Clinic Journal of Medicine February 2017, 84 (2) 161-168; DOI: https://doi.org/10.3949/ccjm.84a.15013

    It has a class I recommendation for evaluating dyspnea of uncertain cause and in candidates for heart transplant.

Departments

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    Opioid therapy and sleep apnea (June 2016)
    Aaron S. Geller, MD
    Cleveland Clinic Journal of Medicine February 2017, 84 (2) 91-94; DOI: https://doi.org/10.3949/ccjm.84c.02001

    Readers comment on opioids and sleep apnea (June 2016).

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    In reply: Opioid therapy and sleep apnea (June 2016)
    Marissa C. Galicia-Castillo, MD
    Cleveland Clinic Journal of Medicine February 2017, 84 (2) 94; DOI: https://doi.org/10.3949/ccjm.84c.02002
  • You have access
    Submassive pulmonary embolism (December 2016)
    Anup Katyal, MD
    Cleveland Clinic Journal of Medicine February 2017, 84 (2) 94; DOI: https://doi.org/10.3949/ccjm.84c.02003

    Readers comment on submassive pulmonary embolism (December 2016).

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    In reply: Submassive pulmonary embolism (December 2016)
    Ali Ataya, MD, Jessica Cope, PharmD, Abbas Shahmohammadi, MD and Hassan Alnuaimat, MD
    Cleveland Clinic Journal of Medicine February 2017, 84 (2) 94-95; DOI: https://doi.org/10.3949/ccjm.84c.02004
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In this issue

Cleveland Clinic Journal of Medicine: 84 (2)
Cleveland Clinic Journal of Medicine
Vol. 84, Issue 2
1 Feb 2017
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  • From the Editor
  • The Clinical Picture
  • 1-Minute Consult
  • Medical Grand Rounds
  • Review
  • Editorial
  • Im Board Review
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Should I consider metformin therapy for weight loss in patients with obesity but without diabetes?
Persistent rectal pain leading to diffuse pustules
Cutaneous metastasis from gastric carcinoma
‘Kissing tonsils’ and splenic infarction from infectious mononucleosis
Hoarseness: When to observe and when to refer
A new paradigm for adult ADHD: A focused strategy to monitor treatment
Asymptomatic oral plaques and erosion
Guidelines for the management of trigeminal neuralgia
Measuring exhaled nitric oxide when diagnosing and managing asthma
Reincarnating autoimmunity: Immune-related adverse events as new diseases
What is the optimal approach to infiltration and extravasation of nonchemotherapy medications?
Cholesteatoma
Reproductive issues and multiple sclerosis: 20 questions
Central sensitization, chronic pain, and other symptoms: Better understanding, better management
Brodie abscess in an 87-year-old man
Mass under the lip
Fundic gland polyps: Should my patient stop taking PPIs?
Colovesical fistula in men with chronic urinary tract infection: A diagnostic challenge

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