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- Palliative care: An update for internists
A review of recent research to guide symptom management, advance-care planning, and communication training to maximize compassionate care.
- Managing stage 1 hypertension: Consider the risks, stop the progression
Guidelines on managing patients with stage 1 hypertension and a low 10-year risk of atherosclerotic cardiovascular disease.
- The underappreciated role of documentation in improving COPD care
Despite the importance of providing guideline-concordant care, there are still barriers to implementing evidence-based recommendations in providing care for patients with chronic obstructive pulmonary disease.
- Hampton hump in acute pulmonary embolism
A 50-year-old patient presented with worsening dyspnea and cough with bilateral swelling of the lower extremities, with left-side swelling greater than right-side swelling.
- Psychogenic nonepileptic seizure: A neurologist’s perspective
Confirming the diagnosis is only the start of the journey. The greater challenge and opportunity lie in how physicians present the diagnosis to the patient and family.
Esophageal adenocarcinoma: A dire need for early detection and treatmentA clinical overview focused on screening, multidisciplinary evaluation, and treatment of early esophageal adenocarcinoma.
- Psychogenic nonepileptic seizure: An empathetic, practical approach
Barriers to care include clinician misperceptions, lack of acceptance of the diagnosis, poor patient engagement with treatment, and lack of access to care.
- Lacrimal gland involvement in a patient with sarcoidosis
The differential diagnosis included infection, malignancy, and inflammatory disorders such as immunoglobulin G4-related disease and sarcoidosis.
- There should be more GOLD in the EMR
We can do better at making the clinical note a useful tool for communication in the electronic medical record.
- A brownish erythematous patch in the nipple-areola complex
Biopsy revealed neoplastic cells throughout the epidermis and granular layer, with abundant pale cytoplasm, intraglandular extension, and chronic inflammation in the papillary dermis.
Cleveland Clinic Journal of Medicine, published by Cleveland Clinic, provides busy clinicians with practical information to promote better patient care.