Table of Contents
June 01, 2024; Volume 91, Issue 6-
From the Editor
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Pursuing the diagnosis of low back pain
Brian F. Mandell, MD, PhD- Cleveland Clinic Journal of Medicine June 2024, 91 (6) 334-335;
- DOI: https://doi.org/10.3949/ccjm.91b.06024
The recommended conservative approach eschewing initial imaging in patients with acute or subacute low back pain is unlikely to miss a significant clinical problem in those with no “red flags,” though the evaluation should be tempered in patients with chronic low back pain.
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The Clinical Picture
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Low back pain: Spondylitis?
Aditi Patel, MD and Jean Schils, MD- Cleveland Clinic Journal of Medicine June 2024, 91 (6) 339-340;
- DOI: https://doi.org/10.3949/ccjm.91a.23086
A 37-year-old woman was referred to a rheumatology clinic due to symptoms concerning for spondylitis after noting intermittent back pain with right-sided groin pain.
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1-Minute Consult
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Should an NPO order be placed for my patient with acute pancreatitis?
Aaron Pathak, BA, Siena Blackwell, BSN and Robert Jay Sealock, MD- Cleveland Clinic Journal of Medicine June 2024, 91 (6) 341-343;
- DOI: https://doi.org/10.3949/ccjm.91a.24009
Resting the pancreas with extended periods of nothing by mouth status or total parenteral nutrition is no longer considered the standard of care.
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Symptoms to Diagnosis
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A hidden cause of hypokalemia
Kanza Haq, MD, Zein Alabdin Hannouneh, MD, C. Elena Cervantes, MD and Mohamad Hanouneh, MD- Cleveland Clinic Journal of Medicine June 2024, 91 (6) 345-351;
- DOI: https://doi.org/10.3949/ccjm.91a.24002
A 21-year-old man presented with increasing fatigue and psychosis symptoms. Laboratory testing results were consistent with a metabolic disorder.
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Review
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Diabetes technology: A primer for clinicians
Jayachidambaram Ambalavanan, MD, Diana Isaacs, PharmD, BCPS, BCACP, BC-ADM, CDCES and M. Cecilia Lansang, MD, MPH- Cleveland Clinic Journal of Medicine June 2024, 91 (6) 353-360;
- DOI: https://doi.org/10.3949/ccjm.91a.23073
This review of the basics of various diabetes management devices is intended to enhance clinicians’ comfort level in helping patients use these technologies.
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Preexposure prophylaxis for preventing HIV infection: Routine practice in primary care
Amy L. Wiser, MD, IBCLC- Cleveland Clinic Journal of Medicine June 2024, 91 (6) 361-371;
- DOI: https://doi.org/10.3949/ccjm.91a.23079
Knowing how to conduct a thorough sexual history and prescribe PrEP medications can contribute to reducing the incidence of new HIV infection.
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Gastroparesis for the nongastroenterologist
Jorge Araujo-Duran, MD, Arjun Chatterjee, MD and Samita Garg, MD- Cleveland Clinic Journal of Medicine June 2024, 91 (6) 373-383;
- DOI: https://doi.org/10.3949/ccjm.91a.23078
The authors explore how primary care clinicians can use current recommendations to manage patients with mild to moderate gastroparesis.
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