More articles from Review

  • Glucocorticoid-induced diabetes and adrenal suppression: How to detect and manage them
    M. Cecilia Lansang, MD, MPH and Leighanne Kramer Hustak, DNP, BC-FNP, CDE
    Cleveland Clinic Journal of Medicine November 2011, 78 (11) 748-756; DOI: https://doi.org/10.3949/ccjm.78a.10180

    Choosing specific drugs to counter hyperglycemia, tests for adrenal suppression and systemic glucocorticoid absorption, and how and why to taper these drugs.

  • Cervical cancer screening: Less testing, smarter testing
    Cervical cancer screening: Less testing, smarter testing
    Xian Wen Jin, MD, PhD, FACP, Andrea Sikon, MD and Belinda Yen-Lieberman, PhD
    Cleveland Clinic Journal of Medicine November 2011, 78 (11) 737-747; DOI: https://doi.org/10.3949/ccjm.78a.11033

    The latest guidelines call for less frequent but smarter screening that integrates human papillomavirus testing with the Papanicolaou test.

  • Nocturia in the elderly: A wake-up call
    Vincent Varilla, MD, Renato V. Samala, MD, Diana Galindo, MD, FACP, AGSF and Jerry Ciocon, MD, FACP, AGSF
    Cleveland Clinic Journal of Medicine November 2011, 78 (11) 757-764; DOI: https://doi.org/10.3949/ccjm.78a.11025

    Nocturia is common, but elderly patients infrequently volunteer this complaint, and even when they do, some clinicians may dismiss it.

  • Jet lag and shift work sleep disorders: How to help reset the internal clock
    Bhanu P. Kolla, MBBS and R. Robert Auger, MD
    Cleveland Clinic Journal of Medicine October 2011, 78 (10) 675-684; DOI: https://doi.org/10.3949/ccjm.78a.10083

    Some relief is possible for the grogginess and disorientation that often ensue from travelling long distances or working the night shift.

  • Aortic dissection: Prompt diagnosis and emergency treatment are critical
    Aortic dissection: Prompt diagnosis and emergency treatment are critical
    Alan C. Braverman, MD
    Cleveland Clinic Journal of Medicine October 2011, 78 (10) 685-696; DOI: https://doi.org/10.3949/ccjm.78a.11053

    Aortic dissection can be rapidly fatal, and it can mimic more common conditions. Suspicion is essential.

  • Update in intensive care medicine: Studies that challenged our practice in the last 5 years
    Enrique Diaz-Guzman, MD, Juan Sanchez, MD and Alejandro C. Arroliga, MD, FCCP
    Cleveland Clinic Journal of Medicine October 2011, 78 (10) 665-674; DOI: https://doi.org/10.3949/ccjm.78a.10188

    Several once-established therapies have failed the test of time, as the result of evidence from clinical trials.

  • Hepatic encephalopathy: Suspect it early in patients with cirrhosis
    Jamilé Wakim-Fleming, MD, FACG
    Cleveland Clinic Journal of Medicine September 2011, 78 (9) 597-605; DOI: https://doi.org/10.3949/ccjm.78a10117

    Prompt identification and treatment are essential, since the prognosis worsens rapidly once overt encephalopathy develops.

  • Venous thromboembolism: What to do after anticoagulation is started
    Scott Kaatz, DO, MSc, FACP, Waqas Qureshi, MD and Robert C. Lavender, MD, FACP
    Cleveland Clinic Journal of Medicine September 2011, 78 (9) 609-618; DOI: https://doi.org/10.3949/ccjm.78a.10175

    Three issues need to be addressed: the length of therapy, measures to prevent postthrombotic syndrome, and a basic workup for possible underlying malignancy.

  • Allergy blood testing: A practical guide for clinicians
    Roxana I. Siles, MD and Fred H. Hsieh, MD
    Cleveland Clinic Journal of Medicine September 2011, 78 (9) 585-592; DOI: https://doi.org/10.3949/ccjm.78a.11023

    These tests can confirm the diagnosis of an allergic disorder, supplementing the clinical history. They are particularly useful when skin testing cannot or should not be done.

  • New fecal occult blood tests may improve adherence and mortality rates
    Veena Kumaravel, MD, Stephen P. Hayden, MD, FACP, Geraldine S. Hall, PhD and Carol A. Burke, MD, FACG, FACP
    Cleveland Clinic Journal of Medicine August 2011, 78 (8) 515-520; DOI: https://doi.org/10.3949/ccjm.78a.11024

    A newer guaiac-based test and a variety of fecal immunochemical tests are more sensitive and more convenient than the older guaiac-based tests.

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