Table of Contents
January 01, 2025; Volume 92, Issue 1-
From the Editor
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Sleep is like Rodney Dangerfield
Brian F. Mandell, MD, PhD- Cleveland Clinic Journal of Medicine January 2025, 92 (1) 9-10;
- DOI: https://doi.org/10.3949/ccjm.92b.01025
Sleep quantity (and, in some cases, quality) has been shown to impact memory and learning, mood, appetite, and pain, yet many patients and clinicians do not give sleep the respect it deserves.
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The Clinical Picture
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Common electrolyte imbalance, uncommon cause
Saurav Shishir Agrawal, MD, DM, Sunil Kumar, MD, N. K. Soni, MD and Swati Paliwal, MD- Cleveland Clinic Journal of Medicine January 2025, 92 (1) 13-15;
- DOI: https://doi.org/10.3949/ccjm.92a.24013
A 47-year-old woman presented with 10 days of weakness, wide purple striae on the abdomen, and hyperpigmentation on the knuckles.
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1-Minute Consult
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How can I better recognize and manage delirium in my hospitalized patients?
Amanda Pomerantz, DO, Anna P. Shapiro-Krew, MD and Andrew Coulter, MD, MA- Cleveland Clinic Journal of Medicine January 2025, 92 (1) 17-20;
- DOI: https://doi.org/10.3949/ccjm.92a.24048
By knowing common precipitants and mimickers of delirium and considerations for workup, clinicians can implement nonpharmacologic preventive strategies, better identify patients experiencing delirium, and optimize symptom management.
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Symptoms to Diagnosis
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Shortness of breath in a 52-year-old man with HIV and severe mitral regurgitation
Felix Wangmang, MD, PharmD, Achilles Aiken, MD and Kuang-Yuh Chyu, MD, PhD- Cleveland Clinic Journal of Medicine January 2025, 92 (1) 23-30;
- DOI: https://doi.org/10.3949/ccjm.92a.24060
The patient presented with 3 weeks of acute on chronic dyspnea on exertion with progression to dyspnea at rest and associated orthopnea.
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Review
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Classic diabetic ketoacidosis and the euglycemic variant: Something old, something new
Adi E. Mehta, MD and Robert Zimmerman, MD- Cleveland Clinic Journal of Medicine January 2025, 92 (1) 33-39;
- DOI: https://doi.org/10.3949/ccjm.92a.24075
The authors review differences in the pathophysiology and management of classic diabetic ketoacidosis and the euglycemic variant, the latter of which has become more common with the increasing use of sodium-glucose cotransporter 2 inhibitors.
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Insomnia in older adults: A review of treatment options
Roberto León-Barriera, MD, Margaret M. Chaplin, MD, Jasleen Kaur, MD and Vania Modesto-Lowe, MD, MPH- Cleveland Clinic Journal of Medicine January 2025, 92 (1) 43-50;
- DOI: https://doi.org/10.3949/ccjm.92a.24073
Cognitive behavioral therapy for insomnia is the gold standard in all age groups, but it is time-intensive and does not offer immediate results.
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Risk-factor modification to prevent recurrent atrial fibrillation after catheter ablation
Jack Hartnett, MB, BCh, BAO, MSc, Nour Chouman, MD and Eoin Donnellan, MD- Cleveland Clinic Journal of Medicine January 2025, 92 (1) 53-61;
- DOI: https://doi.org/10.3949/ccjm.92a.24011
The authors review the evidence supporting periprocedural modification of risk factors such as hypertension, diabetes mellitus, and obesity to reduce atrial fibrillation recurrence after catheter ablation.
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