More articles from Review

  • Anemia of chronic kidney disease: Treat it, but not too aggressively
    Anemia of chronic kidney disease: Treat it, but not too aggressively
    Georges Nakhoul, MD and James F. Simon, MD
    Cleveland Clinic Journal of Medicine August 2016, 83 (8) 613-624; DOI: https://doi.org/10.3949/ccjm.83a.15065

    Renal anemia is associated with bad outcomes, but attempting to normalize hemoglobin levels can be harmful.

  • Best practices in LGBT care: A guide for primary care physicians
    Megan C. McNamara, MD, MSc and Henry Ng, MD, MPH
    Cleveland Clinic Journal of Medicine July 2016, 83 (7) 531-541; DOI: https://doi.org/10.3949/ccjm.83a.15148

    Myths, disparities, and a step-by-step approach to the care of lesbian, gay, bisexual, and transgender patients.

  • Detecting cancer: Pearls for the primary care physician
    Simon B. Zeichner, DO and Alberto J. Montero, MD, MBA
    Cleveland Clinic Journal of Medicine July 2016, 83 (7) 515-523; DOI: https://doi.org/10.3949/ccjm.83a.15124

    Primary care physicians play a vital role in detecting cancers at earlier stages.

  • The evolution of office notes and the electronic medical record: The CAPS note
    Joseph F. Styron, MD, PhD and Peter J. Evans, MD, PhD
    Cleveland Clinic Journal of Medicine July 2016, 83 (7) 542-544; DOI: https://doi.org/10.3949/ccjm.83a.14191

    CAPS–concern, assessment, plan, and supporting data–improves on the SOAP format.

  • Alpha-1 antitrypsin deficiency: An underrecognized, treatable cause of COPD
    Alpha-1 antitrypsin deficiency: An underrecognized, treatable cause of COPD
    James K. Stoller, MD, MS
    Cleveland Clinic Journal of Medicine July 2016, 83 (7) 507-514; DOI: https://doi.org/10.3949/ccjm.83a.16031

    Known cases of this common genetic disease are just the tip of the iceberg.

  • Premature ventricular contractions: Reassure or refer?
    Baris Akdemir, MD, Hirad Yarmohammadi, MD, MPH, M. Chadi Alraies, MD, FACP and Wayne O. Adkisson, MD, FHRS, FACC
    Cleveland Clinic Journal of Medicine July 2016, 83 (7) 524-530; DOI: https://doi.org/10.3949/ccjm.83a.15090

    Many patients need only reassurance and do not need to see a cardiologist.

  • 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.

  • Dietary and medical management of recurrent nephrolithiasis
    Silvi Shah, MD and Juan Camilo Calle, MD
    Cleveland Clinic Journal of Medicine June 2016, 83 (6) 463-471; DOI: https://doi.org/10.3949/ccjm.83a.15089

    Some interventions, such as increasing fl uid intake, apply to all patients, while some apply to those with specifi c types of stones.

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