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Cleveland Clinic Journal of Medicine

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Table of Contents

December 01, 2018; Volume 85,Issue 12

From the Editor

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    A new reason to reconsider that antibiotic prescription: The microbiome
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine December 2018, 85 (12) 906-907; DOI: https://doi.org/10.3949/ccjm.85b.12018

    Prescribing an antibiotic is a far more complicated and long-lasting affair than most of us thought.

The Clinical Picture

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    Lung complications of prescription drug abuse
    Josiah D. McCain, MD, Monia E. Werlang, MD, Andras Khoor, MD, PhD and Isabel Mira-Avendano, MD
    Cleveland Clinic Journal of Medicine December 2018, 85 (12) 910-911; DOI: https://doi.org/10.3949/ccjm.85a.18050

    Opioid tablets crushed, then injected intravenously.

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    Acute necrotizing esophagitis
    Takeshi Kondo, MD
    Cleveland Clinic Journal of Medicine December 2018, 85 (12) 912-913; DOI: https://doi.org/10.3949/ccjm.85a.18054

    Poorly controlled diabetes, confusion, coffee-ground emesis.

1-Minute Consult

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    What can I do when first-line measures are not enough for vasovagal syncope?
    Erika Hutt-Centeno, MD and Kenneth A. Mayuga, MD, FHRS, FACC, FACP
    Cleveland Clinic Journal of Medicine December 2018, 85 (12) 920-922; DOI: https://doi.org/10.3949/ccjm.85a.17112

    Second-line measures include midodrine, fludrocortisone, beta-blockers, and SSRIs, but evidence is limited.

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    Are anti-TNF drugs safe for pregnant women with inflammatory bowel disease?
    Gregory T. Brennan, MD, Alex Duong, Emily T. Nguyen, PharmD and Douglas L. Nguyen, MD
    Cleveland Clinic Journal of Medicine December 2018, 85 (12) 923-924; DOI: https://doi.org/10.3949/ccjm.85a.18037

    Active IBD poses a greater risk than continuing drug therapy.

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    Do all hospital inpatients need cardiac telemetry?
    Motaz Baibars, MD, Yasser Al-Khadra, MD, Zaher Fanari, MD, Homam Moussa Pacha, MD, Mohamad Soud, MD and M. Chadi Alraies, MD
    Cleveland Clinic Journal of Medicine December 2018, 85 (12) 925-927; DOI: https://doi.org/10.3949/ccjm.85a.17114

    Routine cardiac telemetry raises costs and does little.

Medical Grand Rounds

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    Our missing microbes: Short-term antibiotic courses have long-term consequences
    Martin J. Blaser, MD
    Cleveland Clinic Journal of Medicine December 2018, 85 (12) 928-930; DOI: https://doi.org/10.3949/ccjm.85gr.18005

    Is the rise in chronic diseases due to loss of microbial diversity?

Review

  • Beta-cell therapies for type 1 diabetes: Transplants and bionics
    You have access
    Beta-cell therapies for type 1 diabetes: Transplants and bionics
    Kathryn Bux Rodeman, MD and Betul Hatipoglu, MD
    Cleveland Clinic Journal of Medicine December 2018, 85 (12) 931-937; DOI: https://doi.org/10.3949/ccjm.85a.17088

    Chief among the challenges: millions of people have diabetes.

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    Cannabis for peripheral neuropathy: The good, the bad, and the unknown
    Vania Modesto-Lowe, MD, MPH, Rachel Bojka, MS, PA-C and Camille Alvarado, DO, MPH
    Cleveland Clinic Journal of Medicine December 2018, 85 (12) 943-949; DOI: https://doi.org/10.3949/ccjm.85a.17115

    Even where it is legal, doctors should recommend it only after careful consideration.

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    Geriatrics update 2018: Challenges in mental health, mobility, and postdischarge care
    Luke D. Kim, MD, FACP, CMD and Ardeshir Z. Hashmi, MD, FACP
    Cleveland Clinic Journal of Medicine December 2018, 85 (12) 953-958; DOI: https://doi.org/10.3949/ccjm.85a.18059

    A review of study results from the last 2 years.

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    Narcolepsy: Diagnosis and management
    Erin C. Golden, MD and Melissa C. Lipford, MD
    Cleveland Clinic Journal of Medicine December 2018, 85 (12) 959-969; DOI: https://doi.org/10.3949/ccjm.85a.17086

    Treatments can offer enhanced quality of life.

Opinion

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    Telemedicine: Past, present, and future
    Jamal H. Mahar, MD, Gregory J. Rosencrance, MD and Peter A. Rasmussen, MD
    Cleveland Clinic Journal of Medicine December 2018, 85 (12) 938-942; DOI: https://doi.org/10.3949/ccjm.85a.17062

    Low reimbursement, licensing, practice issues limit its use.

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    Cannabis for chronic pain: Not a simple solution
    Xavier F. Jimenez, MD
    Cleveland Clinic Journal of Medicine December 2018, 85 (12) 950-952; DOI: https://doi.org/10.3949/ccjm.85a.18089

    Real concerns include amotivation, worsening psychiatric states, chronic disability, and chemical dependence.

Departments

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    Prostate cancer screening, November 2018
    David L. Keller, MD, FACP
    Cleveland Clinic Journal of Medicine December 2018, 85 (12) 908; DOI: https://doi.org/10.3949/ccjm.85c.12001

    A reader comments on the use of prostate-specific antigen (November 2018).

  • You have access
    Men’s health 2018 (November 2018)
    Cleveland Clinic Journal of Medicine December 2018, 85 (12) 913;

    An error occurred in Chaitoff A, Killeen TC, Nielsen C. Men’s health 2018: BPH, prostate cancer, erectile dysfunction, supplements. Cleve Clin J Med 2018; 85(11):871–880. doi:10.3949/ccjm.85a.18011.

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In this issue

Cleveland Clinic Journal of Medicine: 85 (12)
Cleveland Clinic Journal of Medicine
Vol. 85, Issue 12
1 Dec 2018
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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
Oral leukoplakia and oral cancer
A 50-year-old man presents with shortness of breath
Myasthenia gravis: Frequently asked questions
Central vision loss in a 44-year-old woman
Median rhomboid glossitis caused by tongue-brushing
Making best use of bone turnover markers to monitor oral bisphosphonate therapy
Asymptomatic granules on the buccal mucosa
Does my patient need to be screened or treated for a urinary tract infection?
Ignore e-cigarettes at your patient’s peril
Spontaneous oral hematoma diagnosed as angina bullosa hemorrhagica
Hypophosphatemia in a patient with an eating disorder

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