Geriatrics

  • COVID-19 serologic testing: FAQs and caveats
    Kamran Kadkhoda, PhD, D(ABMM), D(ABMLI)
    Cleveland Clinic Journal of Medicine June 2020, 87 (6) 329-333; DOI: https://doi.org/10.3949/ccjm.87a.20054

    Is serology a possible alternative to direct testing?

  • Vertebral fractures after denosumab cessation
    Jolan Dupont, MD, Michaël R. Laurent, MD,PhD, Lenore Dedeyne, MSc, Frank P. Luyten, MD,PhD, Evelien Gielen, MD,PhD and Marian Dejaeger, MD,PhD
    Cleveland Clinic Journal of Medicine June 2020, 87 (6) 337-338; DOI: https://doi.org/10.3949/ccjm.87a.19152

    The patient had a 6-month history of lumbar and dorsal back pain, initially suspected to be facet arthrosis.

  • Denosumab cessation
    Chad L. Deal, MD
    Cleveland Clinic Journal of Medicine June 2020, 87 (6) 339-341; DOI: https://doi.org/10.3949/ccjm.87a.20040

    Bone loss is rapid if patients miss injections. Clinicians can take extra measures to ensure patients get appropriate treatment.

  • Recurrent Clostridioides difficile infection: Recognition, management, prevention
    Constantine Tsigrelis, MD
    Cleveland Clinic Journal of Medicine June 2020, 87 (6) 347-359; DOI: https://doi.org/10.3949/ccjm.87gr.20001
  • Aspirin for primary prevention of atherosclerotic cardiovascular events
    Aldo L. Schenone, MD and A. Michael Lincoff, MD
    Cleveland Clinic Journal of Medicine May 2020, 87 (5) 300-311; DOI: https://doi.org/10.3949/ccjm.87a.19045

    A more limited role for aspirin as primary prevention in patients at intermediate risk, with diabetes, and the elderly.

  • Constitutional symptoms, pathologic PET-CT
    Julia L. Riera, MD, Jorge L. Musuruana, MD, Fernando Faccio, MD and Javier A. Cavallasca, MD
    Cleveland Clinic Journal of Medicine April 2020, 87 (4) 195-197; DOI: https://doi.org/10.3949/ccjm.87a.19053

    PET-CT showed diffuse hypermetabolism of the great vessel walls, compatible with large-vessel giant cell arteritis.

  • Trousseau syndrome
    Satish Maharaj, MBBS, Michael Omar, MBBS, Karan Seegobin, MBBS and Simone Chang, MBBS
    Cleveland Clinic Journal of Medicine April 2020, 87 (4) 199-200; DOI: https://doi.org/10.3949/ccjm.87a.19086

    Examination revealed multiple bluish macules and 2 palpable thrombosed superficial veins in the right popliteal fossa.

  • To scan or not to scan? DXA in postmenopausal women
    Kristi Tough DeSapri, MD, CCD, NCMP and Rachel Brook, MD
    Cleveland Clinic Journal of Medicine April 2020, 87 (4) 205-210; DOI: https://doi.org/10.3949/ccjm.87a.18136

    DXA is strongly recommended for women age 65 and older, but not so much for younger postmenopausal women.

  • GERD: A practical approach
    GERD: A practical approach
    Andrew Young, DO, Mythri Anil Kumar, MD and Prashanthi N. Thota, MD, FACG
    Cleveland Clinic Journal of Medicine April 2020, 87 (4) 223-230; DOI: https://doi.org/10.3949/ccjm.87a.19114

    PPIs are the first-line medical therapy. Endoscopic and surgical options are pursued only if medical therapy fails.

  • An unending ode to pneumonia
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine March 2020, 87 (3) 127-128; DOI: https://doi.org/10.3949/ccjm.87b.03020

    The examination, history, and sometimes, sputum Gram stain and culture results still inform our clinical judgment.

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