Geriatrics

  • Postoperative delirium in a 64-year-old woman
    Matthew Imm, MD, Luis F. Torres, MD and Mohan Kottapally, MD
    Cleveland Clinic Journal of Medicine September 2017, 84 (9) 690-698; DOI: https://doi.org/10.3949/ccjm.84a.16102

    Nine days after surgery, her mental status takes an abrupt turn for the worse. What is going on?

  • Bedside manners: How to deal with delirium
    Rudi G.J. Westendorp, MD, PhD
    Cleveland Clinic Journal of Medicine September 2017, 84 (9) 699-700; DOI: https://doi.org/10.3949/ccjm.84a.17066

    Delirium is often overlooked. Clinical observation remains important.

  • Drug reaction or metastatic lung cancer?
    Hiromichi Hara, MD, PhD, Hirofumi Utsumi, MD, PhD, Hiroshi Wakui, MD, PhD, Haruhiko Yanagisawa, MD, PhD, Mitsuo Hashimoto, MD, PhD and Kazuyoshi Kuwano, MD, PhD
    Cleveland Clinic Journal of Medicine December 2017, 84 (12) 914-915; DOI: https://doi.org/10.3949/ccjm.84a.17005

    Imaging shows nodules randomly distributed throughout both lungs, a paradoxical reaction to drug therapy.

  • The Leser-Trélat sign
    Christopher Sardon, MD, MPH and Timothy Dempsey, MD, MPH
    Cleveland Clinic Journal of Medicine December 2017, 84 (12) 918; DOI: https://doi.org/10.3949/ccjm.84a.17021

    The patient presented with night sweats, dry cough, weight loss, and sudden onset of “itchy moles” on her back.

  • Expanding indications for TAVR: The preferred procedure in intermediate-risk patients?
    David L. Brown, MD
    Cleveland Clinic Journal of Medicine December 2017, 84 (12 suppl 4) e10-e14; DOI: https://doi.org/10.3949/ccjm.84.s4.03
  • Phlegmasia cerulea dolens from radiation-induced venous stenosis
    Suman Paul, MBBS, PhD and Mujeeb Sheikh, MD
    Cleveland Clinic Journal of Medicine December 2016, 83 (12) 865-867; DOI: https://doi.org/10.3949/ccjm.83a.15166

    The patient had received pelvic radiation 10 years earlier for prostate cancer.

  • Abdominal pain under immunosuppressive conditions
    Takayo Ota, MD, PhD, Masanobu Nakano, MSc, Noriko Tanaka, MD, Tomohiro Suzumura, MD, PhD, Nozomi Miyatake, BPharm, Yoshikazu Hasegawa, MD, PhD, Tomohiro Ozaki, MD, Hiroshi Tsukuda, MD and Masahiro Fukuoka, MD, PhD
    Cleveland Clinic Journal of Medicine December 2016, 83 (12) 874-875; DOI: https://doi.org/10.3949/ccjm.83a.15143

    A cancer patient receiving corticosteroids for a brain metastasis developed emphysematous cystitis and psoas muscle abscess.

  • Influenza: Still more important than Zika virus in 2016–2017
    Sherif Beniameen Mossad, MD, FACP, FIDSA, FAST
    Cleveland Clinic Journal of Medicine November 2016, 83 (11) 836-840; DOI: https://doi.org/10.3949/ccjm.83a.16105

    Despite all the news reports, infl uenza still kills or hospitalizes more people than Zika.

  • Are there alternatives to surgery for Zenker diverticulum?
    Nitin Aggarwal, MD and Prashanthi N. Thota, MD, FACG
    Cleveland Clinic Journal of Medicine September 2016, 83 (9) 645-647; DOI: https://doi.org/10.3949/ccjm.83a.15006

    High rates of complications in elderly patients have led to the development of endoscopic procedures.

  • Is there a time limit for systemic menopausal hormone therapy?
    Laura Dorr Lipold, MD, Pelin Batur, MD, NCMP, CCD and Risa Kagan, MD, FACOG, CCD, NCMP
    Cleveland Clinic Journal of Medicine August 2016, 83 (8) 605-612; DOI: https://doi.org/10.3949/ccjm.83a.15161

    The duration needs to be an individualized, shared decision that is reassessed annually.

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