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Cleveland Clinic Journal of Medicine

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Table of Contents

December 01, 2022; Volume 89,Issue 12

From the Editor

  • You have access
    Test ordering: Balancing the good for the many with the good for the one
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine December 2022, 89 (12) 672-673; DOI: https://doi.org/10.3949/ccjm.89b.12022

    Three articles this month address how we order clinical tests, one on the question of treating the patient with asymptomatic bacteriuria, the others on the advantages and disadvantages of standing orders for “daily labs” for inpatients.

The Clinical Picture

  • You have access
    Asymptomatic granules on the buccal mucosa
    Keiichi Ohta, DDS and Hitoshi Yoshimura, DDS, PhD
    Cleveland Clinic Journal of Medicine December 2022, 89 (12) 676-677; DOI: https://doi.org/10.3949/ccjm.89a.22025

    A healthy 35-year-old man presented with multiple small, white-yellow papules.

Commentary

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    Ignore e-cigarettes at your patient’s peril
    Vania Modesto-Lowe, MD, MPH, Lakshit Jain, MD and Roberto León-Barriera, MD
    Cleveland Clinic Journal of Medicine December 2022, 89 (12) 679-682; DOI: https://doi.org/10.3949/ccjm.89a.22006

    As patients are already using these products, rather than dismiss the use of e-cigarettes, clinicians should provide accurate information to help patients make the best choices for their health.

  • You have access
    Should ‘daily labs’ be a quality priority in hospital medicine?
    Caleb J. Murphy, MD, MBA and Andrew W. Schram, MD, MBA
    Cleveland Clinic Journal of Medicine December 2022, 89 (12) 685-688; DOI: https://doi.org/10.3949/ccjm.89a.22036

    Evidence shows that unnecessary daily testing is only a minor contributor to anemia and healthcare costs for most inpatients. The effect on patient experience has not been definitively established.

Editorial

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    Laboratory stewardship should be a priority in every hospital
    Anita J. Reddy, MD, MBA and Walter H. Henricks, MD
    Cleveland Clinic Journal of Medicine December 2022, 89 (12) 691-692; DOI: https://doi.org/10.3949/ccjm.89a.22068

    Considerations include indirect costs, downstream testing or other workup based on minor abnormalities uncovered during daily testing, and shortages in staff and supplies.

1-Minute Consult

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    Does my patient need to be screened or treated for a urinary tract infection?
    Ellen K. Kendall and Yael Mauer, MD, MPH
    Cleveland Clinic Journal of Medicine December 2022, 89 (12) 695-698; DOI: https://doi.org/10.3949/ccjm.89a.21121

    When patients present with symptoms that suggest but are not clearly diagnostic of urinary tract infection, urine studies should be obtained.

Guidelines to Practice

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    Evaluation and management of gastroesophageal reflux disease: A brief look at the updated guidelines
    Priya Sasankan, MD and Prashanthi N. Thota, MD, FACG
    Cleveland Clinic Journal of Medicine December 2022, 89 (12) 700-703; DOI: https://doi.org/10.3949/ccjm.89a.22059

    Updated guidelines from the American College of Gastroenterology address the evaluation and management of reflux disease, consequences of long-term PPI therapy, and emerging therapies.

Symptoms to Diagnosis

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    A 60-year-old man with prostate cancer and embolic strokes
    CME article
    Neha K. Reddy, MD, MA, Christian Scherer, DO, Samuel Kessel, MD, MBA and Alejandro Moreno, MBBS, MPH, JD, MACP
    Cleveland Clinic Journal of Medicine December 2022, 89 (12) 705-711; DOI: https://doi.org/10.3949/ccjm.89a.21079

    Step-by-step evaluation of a patient with stage IV prostate cancer and embolic stroke, but no history of heart valve disease, arrhythmia, or coagulopathy.

Review

  • On the horizon: Extracorporeal carbon dioxide removal
    You have access
    On the horizon: Extracorporeal carbon dioxide removal
    Justin Hanks, DO, Steven Fox, MD, Omar Mehkri, MD, Laura W. Lund, PhD, Tracey Dill, RRT, Abhijit Duggal, MD, MPH, MSc and Sudhir Krishnan, MD
    Cleveland Clinic Journal of Medicine December 2022, 89 (12) 712-718; DOI: https://doi.org/10.3949/ccjm.89a.21084

    Extracorporeal carbon dioxide removal to treat hypercapnic respiratory failure has been studied in acute respiratory distress syndrome, chronic obstructive pulmonary disease, asthma, and other conditions.

  • You have access
    Is your patient at risk for NAFLD?
    Patress Ann Persons, MD, FACP, Sophie Bersoux, MD, MPH, FACP and Mary Helen Whited, MD, FACP
    Cleveland Clinic Journal of Medicine December 2022, 89 (12) 719-727; DOI: https://doi.org/10.3949/ccjm.89a.22005

    The authors review identifying individuals at risk, treatment options founded on lifestyle modification, and when to consider referring patients to a hepatologist.

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In this issue

Cleveland Clinic Journal of Medicine: 89 (12)
Cleveland Clinic Journal of Medicine
Vol. 89, Issue 12
1 Dec 2022
  • Table of Contents
  • Table of Contents (PDF)
  • Index by author
  • Complete Issue (PDF)

Issue highlights

  • Is your patient at risk for NAFLD?
  • A 60-year-old man with prostate cancer and embolic strokes
  • Evaluation and management of gastroesophageal reflux disease: A brief look at the updated guidelines
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Mass under the lip
Fundic gland polyps: Should my patient stop taking PPIs?
Colovesical fistula in men with chronic urinary tract infection: A diagnostic challenge
Oral leukoplakia and oral cancer
A 50-year-old man presents with shortness of breath
Myasthenia gravis: Frequently asked questions
Central vision loss in a 44-year-old woman
Median rhomboid glossitis caused by tongue-brushing
Making best use of bone turnover markers to monitor oral bisphosphonate therapy
Asymptomatic granules on the buccal mucosa
Does my patient need to be screened or treated for a urinary tract infection?
Ignore e-cigarettes at your patient’s peril
Spontaneous oral hematoma diagnosed as angina bullosa hemorrhagica
Hypophosphatemia in a patient with an eating disorder

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