Table of Contents

September 01, 2018; Volume 85, Issue 9

  • From the Editor

      • We can learn a lot from drug adverse effects

        Brian F. Mandell, MD, PhD
        • Cleveland Clinic Journal of Medicine September 2018, 85 (9) 654-655;
        • DOI: https://doi.org/10.3949/ccjm.85b.09018

        • No one likes adverse effects, but they can teach us important things about human biology.

  • The Clinical Picture

      • Fournier gangrene

        Hiroki Matsuura, MD and Kazuki Iwasa, MD
        • Cleveland Clinic Journal of Medicine September 2018, 85 (9) 664-665;
        • DOI: https://doi.org/10.3949/ccjm.85a.18036

        • The patient died of rapidly progressive necrotizing fasciitis of the perineum 2 hours after hospital admission.

      • Brain abscesses in a 60-year-old man

        Stella Pak, MD, Shawn Marein, DO, Victor Valencia, Damian Valencia, MD, Jessica Uhler, BS and Adam Fershko, MD, FACP
        • Cleveland Clinic Journal of Medicine September 2018, 85 (9) 672-674;
        • DOI: https://doi.org/10.3949/ccjm.85a.17130

        • The lesions were not from compromised immunity, but from septic hematogenous spread of an odontogenic infection.

  • 1-Minute Consult

      • What can we do about musculoskeletal pain from bisphosphonates?

        Sian Yik Lim, MD and Marcy B. Bolster, MD
        • Cleveland Clinic Journal of Medicine September 2018, 85 (9) 675-678;
        • DOI: https://doi.org/10.3949/ccjm.85a.18005

        • The authors recommend acetaminophen before infusions, and acetaminophen or NSAIDs if an acute-phase reaction occurs.

      • How should we diagnose and manage checkpoint inhibitor-associated colitis?

        Freeha Khan, MD, Pauline Funchain, MD, Ana Bennett, MD, Tracy L. Hull, MD and Bo Shen, MD
        • Cleveland Clinic Journal of Medicine September 2018, 85 (9) 679-683;
        • DOI: https://doi.org/10.3949/ccjm.85a.18020

        • Rule out infection, especially Clostridium difficile, then order colonoscopy or computed tomography.

  • Symptoms to Diagnosis

      • Shortness of breath, fever, cough, and more in an elderly woman

        Gregory W. Rutecki, MD, Brody D. Slostad, MD, Megha Prasad, MD and Nandan S. Anavekar, MD
        • Cleveland Clinic Journal of Medicine September 2018, 85 (9) 685-692;
        • DOI: https://doi.org/10.3949/ccjm.85a.18030

        • The patient’s many problems include ventricular tachycardia, requiring an implanted cardioverter-defi brillator and amiodarone.

  • Commentary

      • Calcium and vitamin D: To supplement or not?

        Ian R. Reid, MD
        • Cleveland Clinic Journal of Medicine September 2018, 85 (9) 693-698;
        • DOI: https://doi.org/10.3949/ccjm.85a.18026

        • Current evidence suggests little reason to prescribe calcium, and vitamin D should be for patients with low levels.

  • Review

      • Obesity: Are shared medical appointments part of the answer?

        Kelly Shibuya, BS, Kevin M. Pantalone, DO, ECNU, FACE and Bartolome Burguera, MD, PhD
        • Cleveland Clinic Journal of Medicine September 2018, 85 (9) 699-706;
        • DOI: https://doi.org/10.3949/ccjm.85a.18006

        • Shared medical appointments allow multiple patients to be managed together by a multidisciplinary team.

      • TOC Icon

        Coronary artery calcium scoring: Its practicality and clinical utility in primary care

        Parth Parikh, MD, Nishant Shah, MD, Haitham Ahmed, MD, MPH, Paul Schoenhagen, MD and Maan Fares, MD
        • Cleveland Clinic Journal of Medicine September 2018, 85 (9) 707-716;
        • DOI: https://doi.org/10.3949/ccjm.85a.17097

        • It outperforms other risk-stratifi cation tools. Drawbacks include the possibility of unnecessary testing and incidental fi ndings.

  • Editorial

  • Departments

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Cleveland Clinic Journal of Medicine

Cleveland Clinic Journal of Medicine

Vol. 85, Issue 9

1 Sep 2018

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