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Cleveland Clinic Journal of Medicine

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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

  • PCI for stable angina: A missed opportunity for shared decision-making
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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;
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In this issue

Cleveland Clinic Journal of Medicine: 85 (2)
Cleveland Clinic Journal of Medicine
Vol. 85, Issue 2
1 Feb 2018
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Which ICU patients need stress ulcer prophylaxis?
Dactylitis from Mycobacterium intracellulare infection
Mondor disease of the breast
Dyspnea and cough in a lung transplant recipient
Atypical erythema as a clinical presentation of tinea incognito
Pigmented lesion on nail bed: Pseudo-Hutchinson sign
Hampton hump in acute pulmonary embolism
A brownish erythematous patch in the nipple-areola complex
The underappreciated role of documentation in improving COPD care
Oral hyperpigmentation with weakness and salt-craving
Glycemic targets in the ICU: A look back, and ahead
Unilateral pulmonary edema
Does my patient need an allergy evaluation for penicillin allergy?

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