Table of Contents

February 01, 2018; Volume 85,Issue 2

From the Editor

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Can a shared decision be wrong if made for the ‘right’ reasons?
Brian F. Mandell, MD, PhD

Cleveland Clinic Journal of Medicine February 2018, 85 (2) 90-91; DOI: https://doi.org/10.3949/ccjm.85b.02018

Providing information alone is not enough; we need to understand the patient’s biases, fears, and priorities.

The Clinical Picture

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Erythema ab igne
Thomas Smith, MD and Vinod E. Nambudiri, MD, MBA

Cleveland Clinic Journal of Medicine February 2018, 85 (2) 96-97; DOI: https://doi.org/10.3949/ccjm.85a.17015

The patient had been using a heating pad daily, often for several hours at a time, to relieve his back pain.
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Gas under the right diaphragm
Hiroki Matsuura, MD and Hidenori Hata, MD, PhD

Cleveland Clinic Journal of Medicine February 2018, 85 (2) 98-100; DOI: https://doi.org/10.3949/ccjm.85a.16139

The patient was found to have volvulus and obstruction of the bowel.
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Paraneoplastic acral vascular syndrome
Satish Maharaj, MBBS, Simone Chang, MBBS, Karan Seegobin, MBBS and Carmen Isache, MD

Cleveland Clinic Journal of Medicine February 2018, 85 (2) 101-102; DOI: https://doi.org/10.3949/ccjm.85a.17007

The patient presented with a painful blue great toe, abdominal pain, and unintentional weight loss.

Medical Grand Rounds

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PCI for stable angina: A missed opportunity for shared decision-making
Michael B. Rothberg, MD, MPH

Cleveland Clinic Journal of Medicine February 2018, 85 (2) 105-121; DOI: https://doi.org/10.3949/ccjm.85gr.17004

Patients mistakenly believe that PCI saves lives. They need clear information to give informed consent.

Editorial

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Having the COURAGE to include PCI in shared decision-making for stable angina
Umesh N. Khot, MD

Cleveland Clinic Journal of Medicine February 2018, 85 (2) 124-127; DOI: https://doi.org/10.3949/ccjm.85a.17113

In a select group, a PCI-first strategy does not reduce the risk of death, but it does relieve angina sooner.

Review

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Medication management in older adults
Luke D. Kim, MD, FACP, CMD, Kenneth Koncilja, MD and Craig Nielsen, MD, FACP

Cleveland Clinic Journal of Medicine February 2018, 85 (2) 129-135; DOI: https://doi.org/10.3949/ccjm.85a.16109

Some drugs may become unnecessary or even dangerous as the patient ages. Periodic medication review is needed.

Editorial

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Finding balance: Optimizing medication prescribing in older patients
Kelly C. Sponsler, MD and Amanda S. Mixon, MD, MS, MSPH, FHM

Cleveland Clinic Journal of Medicine February 2018, 85 (2) 136-137; DOI: https://doi.org/10.3949/ccjm.85a.17087

More than one-third of older adults in the United States take 5 or more medications. Consider deprescribing.

Medical Grand Rounds

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Kidney transplant: New opportunities and challenges
Joshua Augustine, MD

Cleveland Clinic Journal of Medicine February 2018, 85 (2) 138-144; DOI: https://doi.org/10.3949/ccjm.85gr.18001

Kidney transplant improves survival and long-term outcomes in patients with renal failure.

IM Board Review

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A 75-year-old with abdominal pain, hypoxia, and weak pulses in the left leg
Maya Serhal, MD, Natalie Evans, MD, RPVI and Heather L. Gornik, MD, RVT, RPVI

Cleveland Clinic Journal of Medicine February 2018, 85 (2) 145-154; DOI: https://doi.org/10.3949/ccjm.85a.16069

Workup revealed the patient had both arterial and venous thrombosis. What was the cause?

Review

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Transient neurologic syndromes: A diagnostic approach
Justin R. Abbatemarco, MD and Alexander D. Rae-Grant, MD

Cleveland Clinic Journal of Medicine February 2018, 85 (2) 155-163; DOI: https://doi.org/10.3949/ccjm.85a.17022

Diagnosing TIA, migraine, partial seizures, hypoglycemia, hyperventilation, transient global amnesia, and others.

Departments

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Reviewers 2017
Cleveland Clinic Journal of Medicine February 2018, 85 (2) 128;