More articles from Review

  • High users of healthcare: Strategies to improve care, reduce costs
    Neil Siekman, MD and Rick Hilger, MD
    Cleveland Clinic Journal of Medicine January 2018, 85 (1) 25-31; DOI: https://doi.org/10.3949/ccjm.85a.16082

    A minority of patients called “high users” consume a lot of healthcare, especially in the emergency department. But therein lies an opportunity.

  • Preventing cardiovascular disease in older adults: One size does not fit all
    Ariela R. Orkaby, MD, MPH, Oyere Onuma, MD, MSc, Saadia Qazi, DO, MPH, J. Michael Gaziano, MD, MPH and Jane A. Driver, MD, MPH
    Cleveland Clinic Journal of Medicine January 2018, 85 (1) 55-64; DOI: https://doi.org/10.3949/ccjm.85a.16119

    The balance of risk and benefit may differ considerably for 2 patients of the same age if one is fi t and the other is frail.

  • Detecting and managing device leads inadvertently placed in the left ventricle
    Detecting and managing device leads inadvertently placed in the left ventricle
    Richard G. Trohman, MD, MBA and Parikshit S. Sharma, MD, MPH
    Cleveland Clinic Journal of Medicine January 2018, 85 (1) 69-75; DOI: https://doi.org/10.3949/ccjm.85a.17012

    How it happens, how to prevent it, how to detect and correct it immediately, and how to manage cases discovered long after.

  • Idiopathic hypercalciuria: Can we prevent stones and protect bones?
    Laura E. Ryan, MD and Steven W. Ing, MD, MScE
    Cleveland Clinic Journal of Medicine January 2018, 85 (1) 47-54; DOI: https://doi.org/10.3949/ccjm.85a.16090

    Patients should increase their fluid intake, follow a diet low in salt and animal protein, and take a thiazide diuretic.

  • ADHD: Overdiagnosed and overtreated, or misdiagnosed and mistreated?
    Michael J. Manos, PhD, Kimberly Giuliano, MD and Eric Geyer, BA
    Cleveland Clinic Journal of Medicine November 2017, 84 (11) 873-880; DOI: https://doi.org/10.3949/ccjm.84a.15051

    Combined behavioral and drug therapy is best.

  • 2017 Update in perioperative medicine: 6 questions answered
    Ryan Munyon, MD, Steven L. Cohn, MD, FACP, SFHM, Barbara Slawski, MD, MS, SFHM, Gerald W. Smetana, MD, MACP and Kurt Pfeifer, MD, FACP, SFHM
    Cleveland Clinic Journal of Medicine November 2017, 84 (11) 863-872; DOI: https://doi.org/10.3949/ccjm.84a.17068

    Topics: cardiac risk assessment, surgery after percutaneous intervention, statins, sleep apnea, bridging anticoagulation, and frailty.

  • Treating Raynaud phenomenon: Beyond staying warm
    Samantha C. Shapiro, MD and Fredrick M. Wigley, MD
    Cleveland Clinic Journal of Medicine October 2017, 84 (10) 797-804; DOI: https://doi.org/10.3949/ccjm.84a.17025

    Avoidance of cold and stress are fi rst-line measures, but if these fail, vasodilator agents are used.

  • Concussion: Evaluation and management
    Concussion: Evaluation and management
    Alexandra Stillman, MD, Michael Alexander, MD, Rebekah Mannix, MD, Nancy Madigan, PhD, Alvaro Pascual-Leone, MD, PhD and William P. Meehan, MD
    Cleveland Clinic Journal of Medicine August 2017, 84 (8) 623-630; DOI: https://doi.org/10.3949/ccjm.84a.16013

    Initial therapy involves several days of cognitive and physical rest, then a gradual return to activities.

  • Fall risk and anticoagulation for atrial fibrillation in the elderly: A delicate balance
    Tracy Hagerty, MD and Michael W. Rich, MD
    Cleveland Clinic Journal of Medicine January 2017, 84 (1) 35-40; DOI: https://doi.org/10.3949/ccjm.84a.16016

    The decision-making process is complex and should be shared with the patient and the patient’s family and caregivers.

  • Maternal asthma: Management strategies
    Sucharita Kher, MD, FCCP and Prerna Mota, MD
    Cleveland Clinic Journal of Medicine April 2017, 84 (4) 296-302; DOI: https://doi.org/10.3949/ccjm.84a.15046

    The benefits of asthma treatment during pregnancy outweigh the risks associated with the medications used.

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