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Cleveland Clinic Journal of Medicine

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Table of Contents

April 01, 2023; Volume 90,Issue 4

From the Editor

  • You have access
    Chronic centralized pain syndromes: A rheumatologist’s perspective
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine April 2023, 90 (4) 201-202; DOI: https://doi.org/10.3949/ccjm.90b.04023

    Centralized pain syndromes are vexing for patients and clinicians. In this issue, Volcheck and colleagues present a framework for understanding chronic centralized pain and for developing an actionable treatment plan for patients.

The Clinical Picture

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    Brodie abscess in an 87-year-old man
    Masumi Suzuki Shimizu, MD and Kohsuke Matsui, MD
    Cleveland Clinic Journal of Medicine April 2023, 90 (4) 205-207; DOI: https://doi.org/10.3949/ccjm.90a.22041

    Though Brodie abscess is rare in older adults, timely diagnosis and treatment can prevent exacerbation of the abscess and avoid the need for additional surgical treatment, shortening the duration of hospitalization and preventing long-term complications.

Review

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    Diagnosis and management of ascites, spontaneous bacterial peritonitis, and hepatorenal syndrome
    Sarah Khan, MD and Maureen Linganna, MD
    Cleveland Clinic Journal of Medicine April 2023, 90 (4) 209-213; DOI: https://doi.org/10.3949/ccjm.90a.22028

    A review of recommendations from the American Association for the Study of Liver Diseases.

Guidelines to Practice

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    Heart failure with reduced ejection fraction: What’s new in the 2022 guideline?
    Michelle M. Kittleson, MD, PhD
    Cleveland Clinic Journal of Medicine April 2023, 90 (4) 215-220; DOI: https://doi.org/10.3949/ccjm.90a.22101

    Evidence-based and guideline-based medical therapies can help patients feel better, stay out of the hospital, live longer, and potentially improve left ventricular function.

Commentary

  • How does climate change impact our patients?
    You have access
    How does climate change impact our patients?
    Ilyssa O. Gordon, MD, PhD, Neil Mehta, MD, J. Harry Isaacson, MD and Sumita B. Khatri, MD
    Cleveland Clinic Journal of Medicine April 2023, 90 (4) 221-226; DOI: https://doi.org/10.3949/ccjm.90a.22007

    Comprehensive patient health and well-being will benefit from an understanding of the effects of climate change on health.

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    Paternalism in practice: How we create obstacles for sexual, reproductive, and menopausal healthcare despite our best intentions
    Pelin Batur, MD, FACP, NCMP
    Cleveland Clinic Journal of Medicine April 2023, 90 (4) 227-233; DOI: https://doi.org/10.3949/ccjm.90a.22094

    In theory, we all understand the concept of shared decision-making. But in practice, clinical recommendations are often still dictated rather than discussed.

Review

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    Reproductive issues and multiple sclerosis: 20 questions
    Alise K. Carlson, MD, Daniel Ontaneda, MD, PhD, Mary R. Rensel, MD, Jeffrey A. Cohen, MD and Amy Kunchok, MD
    Cleveland Clinic Journal of Medicine April 2023, 90 (4) 235-243; DOI: https://doi.org/10.3949/ccjm.90a.22066

    The authors offer answers to frequently asked questions about the management of MS during pregnancy planning, pregnancy, and the postpartum period.

  • You have access
    Central sensitization, chronic pain, and other symptoms: Better understanding, better management
    Mary M. Volcheck, MSN, RN, Stephanie M. Graham, RN, Kevin C. Fleming, MD, Arya B. Mohabbat, MD and Connie A. Luedtke, RN, PMGT-BC
    Cleveland Clinic Journal of Medicine April 2023, 90 (4) 245-254; DOI: https://doi.org/10.3949/ccjm.90a.22019

    Clinicians have a pivotal role by providing patient education, which can affect perception, management, functional status, and quality of life.

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In this issue

Cleveland Clinic Journal of Medicine: 90 (4)
Cleveland Clinic Journal of Medicine
Vol. 90, Issue 4
1 Apr 2023
  • Table of Contents
  • Table of Contents (PDF)
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  • Complete Issue (PDF)

Issue highlights

  • Diagnosis and management of ascites, spontaneous bacterial peritonitis, and hepatorenal syndrome
  • How does climate change impact our patients?
  • Heart failure with reduced ejection fraction: What’s new in the 2022 guideline?
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The beat goes on: Highlights from the new American and European A-fib guidelines
What diagnostic tests should be done after discovering clubbing in a patient without cardiopulmonary symptoms?
Tinea incognito
Prolonged venous filling time and dependent rubor in a patient with peripheral artery disease
Nociplastic pain: A practical guide to chronic pain management in the primary care setting
Sarcoidosis with diffuse purplish erythematous plaques on the hands
Cardiovascular disease in people living with HIV: Risk assessment and management
Heart to heart: Progress in cardiovascular disease prevention for people living with HIV
Don’t judge a book by its cover: Unusual presentations of pericardial disease
Hypoglycemia after bariatric surgery: Management updates
Risk-factor modification to prevent recurrent atrial fibrillation after catheter ablation
Common electrolyte imbalance, uncommon cause

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