Geriatrics

  • Acute necrotizing esophagitis
    Takeshi Kondo, MD
    Cleveland Clinic Journal of Medicine December 2018, 85 (12) 912-913; DOI: https://doi.org/10.3949/ccjm.85a.18054

    Poorly controlled diabetes, confusion, coffee-ground emesis.

  • Geriatrics update 2018: Challenges in mental health, mobility, and postdischarge care
    Luke D. Kim, MD, FACP, CMD and Ardeshir Z. Hashmi, MD, FACP
    Cleveland Clinic Journal of Medicine December 2018, 85 (12) 953-958; DOI: https://doi.org/10.3949/ccjm.85a.18059

    A review of study results from the last 2 years.

  • Pulmonary infarction due to pulmonary embolism
    Melda Sonmez, MD, Loutfi S. Aboussouan, MD, Carol Farver, MD, Sudish C. Murthy, MD, PhD and Roop Kaw, MD
    Cleveland Clinic Journal of Medicine November 2018, 85 (11) 848-852; DOI: https://doi.org/10.3949/ccjm.85a.17132

    A 76-year-old man is admitted with pleuritic chest pain and shortness of breath 48 hours after undergoing surgery.

  • Bisphosphonate-related atypical femoral fracture: Managing a rare but serious complication
    Stuart Silverman, MD, Eli Kupperman, MD and Susan Bukata, MD
    Cleveland Clinic Journal of Medicine November 2018, 85 (11) 885-893; DOI: https://doi.org/10.3949/ccjm.85a.17119

    Concern about this rare complication has led to a decrease in bisphosphonate use.

  • Ablation of atrial fibrillation: Facts for the referring physician
    Ablation of atrial fibrillation: Facts for the referring physician
    Arun R. Mahankali Sridhar, MD, MPH, Oussama Wazni, MD and Ayman A. Hussein, MD
    Cleveland Clinic Journal of Medicine October 2018, 85 (10) 789-799; DOI: https://doi.org/10.3949/ccjm.85a.17092

    The procedure has evolved to become a safe and effective treatment for atrial fi brillation.

  • Office approach to small fiber neuropathy
    Jinny O. Tavee, MD
    Cleveland Clinic Journal of Medicine October 2018, 85 (10) 801-812; DOI: https://doi.org/10.3949/ccjm.85a.17124

    A practical approach for identifying an underlying cause is to fi rst screen for common ones.

  • Fournier gangrene
    Hiroki Matsuura, MD and Kazuki Iwasa, MD
    Cleveland Clinic Journal of Medicine September 2018, 85 (9) 664-665; DOI: https://doi.org/10.3949/ccjm.85a.18036

    The patient died of rapidly progressive necrotizing fasciitis of the perineum 2 hours after hospital admission.

  • What can we do about musculoskeletal pain from bisphosphonates?
    Sian Yik Lim, MD and Marcy B. Bolster, MD
    Cleveland Clinic Journal of Medicine September 2018, 85 (9) 675-678; DOI: https://doi.org/10.3949/ccjm.85a.18005

    The authors recommend acetaminophen before infusions, and acetaminophen or NSAIDs if an acute-phase reaction occurs.

  • Shortness of breath, fever, cough, and more in an elderly woman
    Brody D. Slostad, MD, Megha Prasad, MD and Nandan S. Anavekar, MD
    Cleveland Clinic Journal of Medicine September 2018, 85 (9) 685-692; DOI: https://doi.org/10.3949/ccjm.85a.18030

    The patient’s many problems include ventricular tachycardia, requiring an implanted cardioverter-defi brillator and amiodarone.

  • Calcium and vitamin D: To supplement or not?
    Ian R. Reid, MD
    Cleveland Clinic Journal of Medicine September 2018, 85 (9) 693-698; DOI: https://doi.org/10.3949/ccjm.85a.18026

    Current evidence suggests little reason to prescribe calcium, and vitamin D should be for patients with low levels.

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