More articles from Review

  • Current therapies to shorten postoperative ileus
    Michael D. Johnson, MD and R. Matthew Walsh, MD
    Cleveland Clinic Journal of Medicine November 2009, 76 (11) 641-648; DOI: https://doi.org/10.3949/ccjm.76a.09051

    Rather than merely wait for bowel sounds to return after patients undergo surgery, we can try to get the gut working again sooner.

  • Dual antiplatelet therapy in coronary artery disease: A case-based approach
    Chad Raymond, DO and Venu Menon, MD
    Cleveland Clinic Journal of Medicine November 2009, 76 (11) 663-670; DOI: https://doi.org/10.3949/ccjm.76a.09045

    Many patients need the combination of aspirin and clopidogrel (Plavix) or prasugrel (Effient) to reduce their risk of cardiovascular events, as shown in recent trials.

  • Managing diabetes in hemodialysis patients: Observations and recommendations
    Kumarpal Shrishrimal, MD, MS, Peter Hart, MD and Franklin Michota, MD
    Cleveland Clinic Journal of Medicine November 2009, 76 (11) 649-655; DOI: https://doi.org/10.3949/ccjm.76a.09054

    Both uremia and dialysis can complicate glycemic control by affecting the secretion, clearance, and peripheral tissue activity of insulin.

  • Nephrolithiasis: Treatment, causes, and prevention
    Phillip M. Hall, MD
    Cleveland Clinic Journal of Medicine October 2009, 76 (10) 583-591; DOI: https://doi.org/10.3949/ccjm.76a.09043

    Kidney stones are not all the same, and neither are their treatment, causes, or prevention. Paradoxically, calcium restriction is not warranted for patients who have calcium stones, and may even be harmful.

  • Recognizing and treating cutaneous signs of liver disease
    Ribhi Hazin, MD, Tarek I. Abu-Rajab Tamimi, MD, Jamil Y. Abuzetun, MD and Nizar N. Zein, MD
    Cleveland Clinic Journal of Medicine October 2009, 76 (10) 599-606; DOI: https://doi.org/10.3949/ccjm.76A.08113

    If we can recognize these manifestations early, we will be better able to promptly diagnose and treat the underlying liver disease as well as the skin lesions.

  • Less-invasive ways to remove stones from the kidneys and ureters
    Less-invasive ways to remove stones from the kidneys and ureters
    Mary K. Samplaski, MD, Brian H. Irwin, MD and Mihir Desai, MD
    Cleveland Clinic Journal of Medicine October 2009, 76 (10) 592-598; DOI: https://doi.org/10.3949/ccjm.76a.09014

    Lithotripsy, ureteroscopy, and percutaneous nephrolithotomy all have advantages and disadvantages in different situations. But not all patients with stones need intervention.

  • Autoimmune pancreatitis: A mimic of pancreatic cancer
    Ryan Law, DO, Mary Bronner, MD, David Vogt, MD and Tyler Stevens, MD
    Cleveland Clinic Journal of Medicine October 2009, 76 (10) 607-615; DOI: https://doi.org/10.3949/ccjm.76a.09039

    The accurate and timely diagnosis of this benign disease may preempt the misdiagnosis of cancer and decrease the number of unnecessary pancreatic resections.

  • Role of MRI in breast cancer management
    Louie Enriquez, MD and Jay Listinsky, MD, PhD
    Cleveland Clinic Journal of Medicine September 2009, 76 (9) 525-532; DOI: https://doi.org/10.3949/ccjm.76a.06043

    MRI might be indicated for workup of possible breast cancer, but not for screening except in women at high risk.

  • Influenza in long-term care facilities: Preventable, detectable, treatable
    Sherif B. Mossad, MD
    Cleveland Clinic Journal of Medicine September 2009, 76 (9) 513-521; DOI: https://doi.org/10.3949/ccjm.76a.09022

    Vaccination is the most important preventive measure. Early detection, infection control measures, prompt treatment, and preventive treatment of contacts can also help curtail an outbreak.

  • Ablation of atrial fibrillation: What can we tell our patients?
    Punam Chowdhury, MD, William R. Lewis, MD, Robert A. Schweikert, MD and Jennifer E. Cummings, MD
    Cleveland Clinic Journal of Medicine September 2009, 76 (9) 543-550; DOI: https://doi.org/10.3949/ccjm.76a.08091

    More patients are asking their physicians about radiofrequency ablation. Although it has shown promising clinical results, some patients may have unrealistic expectations.

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