Table of Contents

July 01, 2018; Volume 85,Issue 7

From the Editor

  • How well do we understand calcium and vitamin D?
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine July 2018, 85 (7) 505-506; DOI: https://doi.org/10.3949/ccjm.85b.07018

    I do not believe we truly understand the ideal amount of dietary and supplemental calcium or vitamin D for a given patient.

The Clinical Picture

  • Wolff-Parkinson-White pattern unmasked by severe musculoskeletal pain
    Rishi Raj, MD, Leon O’Neill, MD and Nasreen Shaikh, MD
    Cleveland Clinic Journal of Medicine July 2018, 85 (7) 507-509; DOI: https://doi.org/10.3949/ccjm.85a.17131

    WPW pattern can be asymptomatic, whereas the syndrome is characterized by symptomatic arrhythmias.

  • Osmotic demyelination syndrome due to hyperosmolar hyperglycemia
    Takanobu Hirosawa, MD and Taro Shimizu, MD, MPH, MBA
    Cleveland Clinic Journal of Medicine July 2018, 85 (7) 511-513; DOI: https://doi.org/10.3949/ccjm.85a.17020

    Rapid correction of chronic hyponatremia can trigger this rare but life-threatening disorder.

1-Minute Consult

  • What inpatient treatments do we have for acute intractable migraine?
    Ashhar S. Ali, DO and Mark Stillman, MD
    Cleveland Clinic Journal of Medicine July 2018, 85 (7) 514-516; DOI: https://doi.org/10.3949/ccjm.85a.17049

    Options: volume repletion, antiemetics, antiepileptics, NSAIDs, corticosteroids, and magnesium sulfate. Avoid opioids.

  • When does S aureus bacteremia require transesophageal echocardiography?
    Aibek E. Mirrakhimov, MD, Michael E. Jesinger, MD, Taha Ayach, MD and Adam Gray, MD
    Cleveland Clinic Journal of Medicine July 2018, 85 (7) 517-520; DOI: https://doi.org/10.3949/ccjm.85a.16095

    TTE is a good starting point, but TEE is indicated in patients with a high pretest probability of endocarditis.

Editorial

  • S aureus bacteremia: TEE and infectious disease consultation
    Susan J. Rehm, MD, FIDSA, FACP
    Cleveland Clinic Journal of Medicine July 2018, 85 (7) 521-522; DOI: https://doi.org/10.3949/ccjm.85a.18061

    Staphylococcus aureus bacteremia demands further evaluation, as up to 25% of people who have it may have endocarditis.

1-Minute Consult

  • What should I address at follow-up of patients who survive critical illness?
    Dmitriy M. Golovyan, MD, Sikandar H. Khan, DO, Sophia Wang, MD and Babar A. Khan, MBBS
    Cleveland Clinic Journal of Medicine July 2018, 85 (7) 523-526; DOI: https://doi.org/10.3949/ccjm.85a.17104

    Cognitive decline, psychiatric disturbances, and physical weakness can persist 1 year or longer.

Editorial

  • Critical care medicine: An ongoing journey
    Steven R. Insler, DO
    Cleveland Clinic Journal of Medicine July 2018, 85 (7) 527-528; DOI: https://doi.org/10.3949/ccjm.85a.18015

    Although 70% of ICU patients survive hospitalization, the mortality rate 1 year after discharge may exceed 50%.

Review

  • ‘Dry drowning’ and other myths
    David Szpilman, MD, Justin Sempsrott, MD, Jonathon Webber, RN, Seth C. Hawkins, MD, Roberto Barcala-Furelos, PhD, Andrew Schmidt, DO, MPH and Ana Catarina Queiroga, PhD
    Cleveland Clinic Journal of Medicine July 2018, 85 (7) 529-535; DOI: https://doi.org/10.3949/ccjm.85a.17070

    Drowning is a common and often preventable cause of death, especially in children. But dry drowning is a myth.

  • Navigating travel with diabetes
    Navigating travel with diabetes
    Rachael Mullin, OMS3, MS, Davida Kruger, MSN, APN-BC, BC-ADM, CNP, Clipper F. Young, PharmD, CDE, MPH, BC-ADM and Jay H. Shubrook, DO
    Cleveland Clinic Journal of Medicine July 2018, 85 (7) 537-542; DOI: https://doi.org/10.3949/ccjm.85a.17105

    Help patients plan ahead to manage diabetes while traveling and prepare for emergencies that may arise.

  • Optimizing calcium and vitamin D intake through diet and supplements
    Holly P. Kilim, MD and Harold Rosen, MD
    Cleveland Clinic Journal of Medicine July 2018, 85 (7) 543-550; DOI: https://doi.org/10.3949/ccjm.85a.17106

    Set modest calcium targets, maximize dietary intake, and make up the defi cit with calcium citrate.

  • Cardiac rehabilitation: A class 1 recommendation
    Margo Simon, DO, Kaitlyn Korn, DO, Leslie Cho, MD, Gordon G. Blackburn, PhD and Chad Raymond, DO
    Cleveland Clinic Journal of Medicine July 2018, 85 (7) 551-558; DOI: https://doi.org/10.3949/ccjm.85a.17037

    Despite proven benefi ts, referral and participation rates remain low. Efforts to boost usage are underway.

  • Renal disease and the surgical patient: Minimizing the impact
    Kanav Sharma, MBBS, MPH and Barbara Slawski, MD, MS, SFHM
    Cleveland Clinic Journal of Medicine July 2018, 85 (7) 559-567; DOI: https://doi.org/10.3949/ccjm.85a.17009

    Chronic kidney disease is associated with adverse surgical outcomes, including acute kidney injury.

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