Table of Contents

May 01, 2022; Volume 89, Issue 5
  • From the Editor

      • There should be more GOLD in the EMR

        Brian F. Mandell, MD, PhD
        • Cleveland Clinic Journal of Medicine May 2022, 89 (5) 232-233;
        • DOI: https://doi.org/10.3949/ccjm.89b.05022
        • We can do better at making the clinical note a useful tool for communication in the electronic medical record.

  • The Clinical Picture

      • Hampton hump in acute pulmonary embolism

        Sovik De Sirkar, MD, Joshua Newman, MD, Sorcha Allen, MB, BCh, BAO, Ahmed Elkaryoni, MD, Alexandru Marginean, MD and Amir Darki, MD, MSc
        • Cleveland Clinic Journal of Medicine May 2022, 89 (5) 236-238;
        • DOI: https://doi.org/10.3949/ccjm.89a.21058
        • A 50-year-old patient presented with worsening dyspnea and cough with bilateral swelling of the lower extremities, with left-side swelling greater than right-side swelling.

      • Lacrimal gland involvement in a patient with sarcoidosis

        Tanmayi Pai, MD, Mohamed S. Muneer, MD, Kafayat Oyemade, Diva R. Salomao, MD, Vivek Gupta, MD and Dana Harris, MD
        • Cleveland Clinic Journal of Medicine May 2022, 89 (5) 239-240;
        • DOI: https://doi.org/10.3949/ccjm.89a.21037
        • The differential diagnosis included infection, malignancy, and inflammatory disorders such as immunoglobulin G4-related disease and sarcoidosis.

      • A brownish erythematous patch in the nipple-areola complex

        Irene López Riquelme, MD, Elisabeth Gómez Moyano, MD, PhD, María Ayala Blanca, PhD and Leandro Martínez Pilar, MD, PhD
        • Cleveland Clinic Journal of Medicine May 2022, 89 (5) 241-242;
        • DOI: https://doi.org/10.3949/ccjm.89a.21059
        • Biopsy revealed neoplastic cells throughout the epidermis and granular layer, with abundant pale cytoplasm, intraglandular extension, and chronic inflammation in the papillary dermis.

  • Guidelines to Practice

  • Commentary

      • The underappreciated role of documentation in improving COPD care

        Solmaz Ehteshami-Afshar, MD, MSc and Naseema Merchant, MD
        • Cleveland Clinic Journal of Medicine May 2022, 89 (5) 249-251;
        • DOI: https://doi.org/10.3949/ccjm.89a.21044
        • Despite the importance of providing guideline-concordant care, there are still barriers to implementing evidence-based recommendations in providing care for patients with chronic obstructive pulmonary disease.

  • Review

      • Psychogenic nonepileptic seizure: An empathetic, practical approach

        Becky Bikat S. Tilahun, PhD and Jocelyn F. Bautista, MD
        • Cleveland Clinic Journal of Medicine May 2022, 89 (5) 252-259;
        • DOI: https://doi.org/10.3949/ccjm.89a.21109
        • Barriers to care include clinician misperceptions, lack of acceptance of the diagnosis, poor patient engagement with treatment, and lack of access to care.

  • Editorial

      • Psychogenic nonepileptic seizure: A neurologist’s perspective

        Elaine Wyllie, MD
        • Cleveland Clinic Journal of Medicine May 2022, 89 (5) 260-261;
        • DOI: https://doi.org/10.3949/ccjm.89a.21129
        • Confirming the diagnosis is only the start of the journey. The greater challenge and opportunity lie in how physicians present the diagnosis to the patient and family.

  • Review

      • Palliative care: An update for internists

        Rachel D. Havyer, MD, FAAHPM, Nauzley Abedini, MD, MSc, Robert L. Jayes, MD, Brenda Matti-Orozco, MD, Daniel H. Pomerantz, MD, MPH and Aziz A. Ansari, DO, SFHM, FAAHPM, FACP
        • Cleveland Clinic Journal of Medicine May 2022, 89 (5) 262-268;
        • DOI: https://doi.org/10.3949/ccjm.89a.21075
        • A review of recent research to guide symptom management, advance-care planning, and communication training to maximize compassionate care.

      • TOC Icon

        Esophageal adenocarcinoma: A dire need for early detection and treatment

        Abel Joseph, MD, Siva Raja, MD, PhD, Suneel Kamath, MD, Sunguk Jang, MD, Daniela Allende, MD, Mike McNamara, MD, Gregory Videtic, MD, Sudish Murthy, MD and Amit Bhatt, MD
        • Cleveland Clinic Journal of Medicine May 2022, 89 (5) 269-279;
        • DOI: https://doi.org/10.3949/ccjm.89a.21053
        • A clinical overview focused on screening, multidisciplinary evaluation, and treatment of early esophageal adenocarcinoma.