More articles from Review

  • Genitourinary syndrome of menopause: Common problem, effective treatments
    Nancy A. Phillips, MD and Gloria A. Bachmann, MD
    Cleveland Clinic Journal of Medicine May 2018, 85 (5) 390-398; DOI: https://doi.org/10.3949/ccjm.85a.15081

    Half of all postmenopausal women experience these symptoms. Most do not seek relief.

  • Gallstones: Watch and wait, or intervene?
    Gallstones: Watch and wait, or intervene?
    Mounir Ibrahim, MD, Shashank Sarvepalli, MD, Gareth Morris-Stiff, MD, PhD, Maged Rizk, MD, Amit Bhatt, MD, R. Matthew Walsh, MD, Umar Hayat, MD, Ari Garber, MD, EdD, John Vargo, MD and Carol A. Burke, MD
    Cleveland Clinic Journal of Medicine April 2018, 85 (4) 323-331; DOI: https://doi.org/10.3949/ccjm.85a.17035

    Consider laparoscopic cholecystectomy for symptomatic cholelithiasis, expectant management for asymptomatic cases.

  • The female athlete triad: It takes a team
    Jaya Mehta, MD, Bithika Thompson, MD and Juliana M. Kling, MD, MPH
    Cleveland Clinic Journal of Medicine April 2018, 85 (4) 313-320; DOI: https://doi.org/10.3949/ccjm.85a.16137

    An energy deficit from increased exercise, decreased intake, or both can suppress the menstrual cycle and lead to bone loss.

  • Musculoskeletal ultrasonography basics
    Michael C. Forney, MD and Patricia B. Delzell, MD
    Cleveland Clinic Journal of Medicine April 2018, 85 (4) 283-300; DOI: https://doi.org/10.3949/ccjm.85a.17014

    Ultrasonography is emerging as a core method to evaluate musculoskeletal problems.

  • Acute cardiorenal syndrome: Mechanisms and clinical implications
    Acute cardiorenal syndrome: Mechanisms and clinical implications
    Guramrinder S. Thind, MD, Mark Loehrke, MD, FACP and Jeffrey L. Wilt, MD, FACP, FCCP
    Cleveland Clinic Journal of Medicine March 2018, 85 (3) 231-239; DOI: https://doi.org/10.3949/ccjm.85a.17019

    Volume overload is central to its pathogenesis, and accurate assessment of volume status is critical.

  • Which test for CAD should be used in patients with left bundle branch block?
    Bo Xu, MBBS (Hons), Paul Cremer, MD, Wael Jaber, MD, Stuart Moir, MBBS, PhD, Serge C. Harb, MD and L. Leonardo Rodriguez, MD
    Cleveland Clinic Journal of Medicine March 2018, 85 (3) 224-230; DOI: https://doi.org/10.3949/ccjm.85a.17051

    CT angiography is the fi rst-line test in those under 65; for older patients there are SPECT and dobutamine echocardiography.

  • Alzheimer dementia: Starting, stopping drug therapy
    Luke D. Kim, MD, FACP, CMD and Ronan M. Factora, MD, FACP, AGSF
    Cleveland Clinic Journal of Medicine March 2018, 85 (3) 209-214; DOI: https://doi.org/10.3949/ccjm.85a.16080

    It is reasonable to consider discontinuing therapy when a patient has progressed to advanced dementia.

  • Primary care management of chronic pelvic pain in women
    Rachel Bonnema, MD, MS, MEGAN Mcnamara, MD, MSc, Jennifer Harsh, PhD, LMFT and Elizabeth Hopkins, PT, DPT
    Cleveland Clinic Journal of Medicine March 2018, 85 (3) 215-223; DOI: https://doi.org/10.3949/ccjm.85a.16038

    While referral may eventually be indicated, primary care doctors can take steps to diagnose and manage the condition.

  • Transient neurologic syndromes: A diagnostic approach
    Justin R. Abbatemarco, MD and Alexander D. Rae-Grant, MD
    Cleveland Clinic Journal of Medicine February 2018, 85 (2) 155-163; DOI: https://doi.org/10.3949/ccjm.85a.17022

    Diagnosing TIA, migraine, partial seizures, hypoglycemia, hyperventilation, transient global amnesia, and others.

  • Medication management in older adults
    Luke D. Kim, MD, FACP, CMD, Kenneth Koncilja, MD and Craig Nielsen, MD, FACP
    Cleveland Clinic Journal of Medicine February 2018, 85 (2) 129-135; DOI: https://doi.org/10.3949/ccjm.85a.16109

    Some drugs may become unnecessary or even dangerous as the patient ages. Periodic medication review is needed.

Pages