Table of Contents
November 01, 2018; Volume 85, Issue 11-
From the Editor
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A physician’s response to observational studies of opioid prescribing
Brian F. Mandell, MD, PhD- Cleveland Clinic Journal of Medicine November 2018, 85 (11) 824-825;
- DOI: https://doi.org/10.3949/ccjm.85b.11018
Not long ago, we were told we needed to do better at relieving pain.
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1-Minute Consult
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Which patients with pulmonary embolism need echocardiography?
Rama Hritani, MD, Abdulah Alrifai, MD, Mohamad Soud, MD, Homam Moussa Pacha, MD and M. Chadi Alraies, MD- Cleveland Clinic Journal of Medicine November 2018, 85 (11) 826-828;
- DOI: https://doi.org/10.3949/ccjm.85a.17094
The decision should be based on clinical presentation, burden of pulmonary embolism, and other imaging fi ndings.
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The Clinical Picture
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Renal vein thrombosis and pulmonary embolism
Alice Chedid, MD, Mohamad Hanouneh, MD and C. John Sperati, MD, MHS- Cleveland Clinic Journal of Medicine November 2018, 85 (11) 833-834;
- DOI: https://doi.org/10.3949/ccjm.85a.18064
A man with membranous nephropathy presents with dyspnea, cough, and epigastric discomfort.
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Back pain as a sign of inferior vena cava filter complications
Michael Lause, BS, Alisha Kamboj, BS, Ryan Schwieterman, MD and Vijay Duggirala, MD- Cleveland Clinic Journal of Medicine November 2018, 85 (11) 835-836;
- DOI: https://doi.org/10.3949/ccjm.85a.18046
Complications can include filter movement, fracture, occlusion, and penetration.
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Studies That Changed My Practice
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How acute pain leads to chronic opioid use
Charles Reznikoff, MD, FACP- Cleveland Clinic Journal of Medicine November 2018, 85 (11) 837-841;
- DOI: https://doi.org/10.3949/ccjm.85a.18038
Several recent studies suggest how doctors can better treat acute pain to prevent chronic opioid use.
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Symptoms to Diagnosis
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Pulmonary infarction due to pulmonary embolism
Gregory W. Rutecki, MD, Melda Sonmez, MD, Loutfi S. Aboussouan, MD, Carol Farver, MD, Sudish C. Murthy, MD, PhD and Roop Kaw, MD- Cleveland Clinic Journal of Medicine November 2018, 85 (11) 848-852;
- DOI: https://doi.org/10.3949/ccjm.85a.17132
A 76-year-old man is admitted with pleuritic chest pain and shortness of breath 48 hours after undergoing surgery.
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Review
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Perioperative cardiovascular medicine: 5 questions for 2018
Kunjam Modha, MD, FACP, Kay M. Johnson, MD, MPH, Ethan Kuperman, MD, FHM, Paul J. Grant, MD, SFHM, FACP, Barbara Slawski, MD, MS, SFHM, Kurt Pfeifer, MD, FACP, SFHM and Steven L. Cohn, MD, FACP, SFHM- Cleveland Clinic Journal of Medicine November 2018, 85 (11) 853-859;
- DOI: https://doi.org/10.3949/ccjm.85a.18066
Findings of recent studies regarding aspirin, troponin T, hypotension, patent foramen ovale, and recurrent stroke.
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Influenza update 2018–2019: 100 years after the great pandemic
Sherif Beniameen Mossad, MD, FACP, FIDSA, FAST- Cleveland Clinic Journal of Medicine November 2018, 85 (11) 861-869;
- DOI: https://doi.org/10.3949/ccjm.85a.18095
A centennial year update on immunization, epidemiology, transmission, and treatment of influenza.
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Men’s health 2018: BPH, prostate cancer, erectile dysfunction, supplements
Alexander Chaitoff, MPH, T. Colin Killeen, DO and Craig Nielsen, MD- Cleveland Clinic Journal of Medicine November 2018, 85 (11) 871-880;
- DOI: https://doi.org/10.3949/ccjm.85a.18011
Latest research in 4 areas of men’s health commonly addressed in primary care.
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Commentary
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PSA screening: Back to the future
Eric Klein, MD- Cleveland Clinic Journal of Medicine November 2018, 85 (11) 881-883;
- DOI: https://doi.org/10.3949/ccjm.85a.18102
Screening for prostate cancer reduces mortality rates and metastatic disease, and the paradigm continues to evolve.
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Review
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Bisphosphonate-related atypical femoral fracture: Managing a rare but serious complication
Stuart Silverman, MD, Eli Kupperman, MD and Susan Bukata, MD- Cleveland Clinic Journal of Medicine November 2018, 85 (11) 885-893;
- DOI: https://doi.org/10.3949/ccjm.85a.17119
Concern about this rare complication has led to a decrease in bisphosphonate use.
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Correction
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Genitourinary syndrome of menopause
- Cleveland Clinic Journal of Medicine November 2018, 85 (11) 860;
An error occurred in
Moreno AC, Sikka SK, Thacker HL. Genitourinary syndrome of menopause in breast cancer survivors: Treatments are available. Cleve Clin J Med 2018; 85(10):760–766. doi:10.3949/ccjm.85a.17108
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