More articles from Review

  • A guide to managing acute liver failure
    A guide to managing acute liver failure
    Tavankit Singh, MD, Nancy Gupta, MD, Naim Alkhouri, MD, William D. Carey, MD and Ibrahim A. Hanouneh, MD
    Cleveland Clinic Journal of Medicine June 2016, 83 (6) 453-462; DOI: https://doi.org/10.3949/ccjm.83a.15101

    Transfer to intensive care, start specific treatment depending on the cause, and consider transplant.

  • Total pancreatectomy and islet cell autotransplantation: Definitive treatment for chronic pancreatitis
    Karla M. Arce, MD, Yu Kuei Lin, MD, Tyler Stevens, MD, R. Matthew Walsh, MD and Betul A. Hatipoglu, MD
    Cleveland Clinic Journal of Medicine June 2016, 83 (6) 435-442; DOI: https://doi.org/10.3949/ccjm.83a.15056

    Most patients report less pain after this procedure, and many avoid overt diabetes.

  • Opioids for persistent pain in older adults
    Marissa Galicia-Castillo, MD
    Cleveland Clinic Journal of Medicine June 2016, 83 (6) 443-451; DOI: https://doi.org/10.3949/ccjm.83a.15023

    Legitimate need must be balanced against the risks, especially in older patients.

  • Navigating pneumococcal vaccination in adults
    Andrea Pallotta, PharmD, BCPS (AQ-ID), AAHIVP and Susan J. Rehm, MD, FACP, FIDSA
    Cleveland Clinic Journal of Medicine June 2016, 83 (6) 427-433; DOI: https://doi.org/10.3949/ccjm.83a.15044

    With two nonequivalent vaccines and different schedules for different groups, vaccination can be confusing.

  • Measles: Back again
    Dheeraj Kumar, MD and Camille Sabella, MD
    Cleveland Clinic Journal of Medicine May 2016, 83 (5) 340-344; DOI: https://doi.org/10.3949/ccjm.83a.15039

    The disease is serious and highly contagious. Vaccination is safe and should be strongly promoted for healthy children.

  • Reproductive health and the environment: Counseling patients about risks
    Bella Haruty, MPH, REHS, Julie Friedman, MPH, CHES, Stephanie Hopp, MHS, MS, Ryane Daniels, MPHC and Janet Pregler, MD
    Cleveland Clinic Journal of Medicine May 2016, 83 (5) 367-372; DOI: https://doi.org/10.3949/ccjm.83a.14070

    Endocrine-disrupting chemicals are ubiquitous and affect multiple pathways. The precautionary principle should apply.

  • Evaluation of nail lines: Color and shape hold clues
    Shari R. Lipner, MD, PhD and Richard K. Scher, MD, FACP
    Cleveland Clinic Journal of Medicine May 2016, 83 (5) 385-391; DOI: https://doi.org/10.3949/ccjm.83a.14187

    Inspection of the fingernails and toenails should be part of a complete physical examination.

  • Extracorporeal membrane oxygenation in adults: A practical guide for internists
    Extracorporeal membrane oxygenation in adults: A practical guide for internists
    Tejaswini Kulkarni, MD, MPH, Nirmal S. Sharma, MD and Enrique Diaz-Guzman, MD
    Cleveland Clinic Journal of Medicine May 2016, 83 (5) 373-384; DOI: https://doi.org/10.3949/ccjm.83a.15021

    Principles, patient selection, monitoring, and complications of this form of life support.

  • Self-monitoring of blood glucose: Advice for providers and patients
    Shannon Knapp, BSN, RN, CDE, Pooja Manroa, MD and Krupa Doshi, MD
    Cleveland Clinic Journal of Medicine May 2016, 83 (5) 355-360; DOI: https://doi.org/10.3949/ccjm.83a.14147

    Self-monitoring provides essential data and also motivates patients. A certified diabetes educator can help.

  • Pseudomembranous colitis: Not always Clostridium difficile
    Derek M. Tang, MD, Nathalie H. Urrunaga, MD, MS and Erik C. Von Rosenvinge, MD
    Cleveland Clinic Journal of Medicine May 2016, 83 (5) 361-366; DOI: https://doi.org/10.3949/ccjm.83a.14183

    Other causes include other infections, ischemia, medications, and inflammatory mucosal diseases.

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