Table of Contents

March 01, 2018; Volume 85, Issue 3

  • From the Editor

      • Deprescribing: When trying for less is more

        Brian F. Mandell, MD, PhD
        • Cleveland Clinic Journal of Medicine March 2018, 85 (3) 179-180;
        • DOI: https://doi.org/10.3949/ccjm.85b.03018

        • We should periodically revisit the goals and rationale for all prescribed medications.

  • The Clinical Picture

      • Primary livedo reticularis of the abdomen

        Michael Chew, MD and Paul Aronowitz, MD
        • Cleveland Clinic Journal of Medicine March 2018, 85 (3) 181-183;
        • DOI: https://doi.org/10.3949/ccjm.85a.17047

        • Livedo reticularis can be the manifestation of a wide range of conditions—or not.

      • Methemoglobinemia in an HIV patient

        Riva Raiker, MD, William C. Lippert, MD, MPH and Romil Chadha, MD, MPH, FACP, SFHM
        • Cleveland Clinic Journal of Medicine March 2018, 85 (3) 186-187;
        • DOI: https://doi.org/10.3949/ccjm.85a.17004

        • He had restarted his home dapsone prophylaxis, but his dyspnea worsened and his urine became dark.

      • Ascites from intraperitoneal urine leakage after pelvic radiation

        Tatsuya Fujikawa, MD, PhD and Yasuharu Tokuda, MD, PhD
        • Cleveland Clinic Journal of Medicine March 2018, 85 (3) 188-189;
        • DOI: https://doi.org/10.3949/ccjm.85a.17028

        • Six years earlier, the patient had undergone hysterectomy and chemoradiotherapy for cervical cancer.

  • 1-Minute Consult

      • Hypertension in older adults: What is the target blood pressure?

        Anu Garg, MD and Barbara J. Messinger-Rapport, MD, PhD
        • Cleveland Clinic Journal of Medicine March 2018, 85 (3) 193-195;
        • DOI: https://doi.org/10.3949/ccjm.85a.17064

        • Goal: systolic pressure below 130 mm Hg if the patient can take multiple medications and be followed closely.

  • Im Board Review

      • A 67-year-old woman with bilateral hand numbness

        Gregory W. Rutecki, MD, Sohab S. Radwan, MD, Khair M. Hamo and Ayman A. Zayed, MD, MSc, FACE, FACP
        • Cleveland Clinic Journal of Medicine March 2018, 85 (3) 200-208;
        • DOI: https://doi.org/10.3949/ccjm.85a.17026

        • Her history includes type 2 diabetes mellitus, dyslipidemia, hypertension, diastolic heart failure, and thyroid surgery.

  • Review

      • Alzheimer dementia: Starting, stopping drug therapy

        Luke D. Kim, MD, FACP, CMD and Ronan M. Factora, MD, FACP, AGSF
        • Cleveland Clinic Journal of Medicine March 2018, 85 (3) 209-214;
        • DOI: https://doi.org/10.3949/ccjm.85a.16080

        • It is reasonable to consider discontinuing therapy when a patient has progressed to advanced dementia.

      • Primary care management of chronic pelvic pain in women

        Rachel Bonnema, MD, MS, MEGAN Mcnamara, MD, MSc, Jennifer Harsh, PhD, LMFT and Elizabeth Hopkins, PT, DPT
        • Cleveland Clinic Journal of Medicine March 2018, 85 (3) 215-223;
        • DOI: https://doi.org/10.3949/ccjm.85a.16038

        • While referral may eventually be indicated, primary care doctors can take steps to diagnose and manage the condition.

      • Which test for CAD should be used in patients with left bundle branch block?

        Bo Xu, MBBS (Hons), Paul Cremer, MD, Wael Jaber, MD, Stuart Moir, MBBS, PhD, Serge C. Harb, MD and L. Leonardo Rodriguez, MD
        • Cleveland Clinic Journal of Medicine March 2018, 85 (3) 224-230;
        • DOI: https://doi.org/10.3949/ccjm.85a.17051

        • CT angiography is the fi rst-line test in those under 65; for older patients there are SPECT and dobutamine echocardiography.

      • TOC Icon

        Acute cardiorenal syndrome: Mechanisms and clinical implications

        Guramrinder S. Thind, MD, Mark Loehrke, MD, FACP and Jeffrey L. Wilt, MD, FACP, FCCP
        • Cleveland Clinic Journal of Medicine March 2018, 85 (3) 231-239;
        • DOI: https://doi.org/10.3949/ccjm.85a.17019

        • Volume overload is central to its pathogenesis, and accurate assessment of volume status is critical.

  • Editorial

  • Departments

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Cleveland Clinic Journal of Medicine

Cleveland Clinic Journal of Medicine

Vol. 85, Issue 3

1 Mar 2018

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