Neurology

  • Multiple linear subcutaneous nodules
    Gitesh U. Sawatkar, MD, Dipankar De, MD, Uma Nahar Saikia, MD and Sanjeev Handa, MD, FRCP (EDIN)
    Cleveland Clinic Journal of Medicine June 2016, 83 (6) 414-416; DOI: https://doi.org/10.3949/ccjm.83a.15058

    A 34-year-old woman has an asymptomatic swelling on her foot that has been slowly growing for 15 years.

  • Predicting is tough, especially about the future
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine May 2016, 83 (5) 324; DOI: https://doi.org/10.3949/ccjm.83b.05016

    All risk calculators—not just for anticoagulation—are based on the “average” patient. And no patient is average.

  • How can I predict bleeding in my elderly patient taking anticoagulants?
    Gene R. Quinn, MD, MS and Margaret C. Fang, MD, MPH
    Cleveland Clinic Journal of Medicine May 2016, 83 (5) 345-348; DOI: https://doi.org/10.3949/ccjm.83a.15002

    We have tools, but their predictive value is modest. Clinical judgment is important.

  • Zika—a new continent and new complications?
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine April 2016, 83 (4) 247-248; DOI: https://doi.org/10.3949/ccjm.83b.04016

    Zika reminds us that we live in a medically connected global community.

  • Zika virus: A primer for clinicians
    Michelle S. Flores, MD, Timothy H. Burgess, MD, MPH and Michael Rajnik, MD
    Cleveland Clinic Journal of Medicine April 2016, 83 (4) 261-270; DOI: https://doi.org/10.3949/ccjm.83a.16027

    Zika is worrisome because of associations with microcephaly and Guillain-Barré syndrome. Watch for updates at cdc.gov.

  • Drugs that may harm bone: Mitigating the risk
    Faye N. Hant, DO, MSCR and Marcy B. Bolster, MD
    Cleveland Clinic Journal of Medicine April 2016, 83 (4) 281-288; DOI: https://doi.org/10.3949/ccjm.83a.15066

    The implicated drugs have important therapeutic roles, so their benefits must be weighed against the risks.

  • Common neurologic emergencies for nonneurologists: When minutes count
    Mohan Kottapally, MD and S. Andrew Josephson, MD
    Cleveland Clinic Journal of Medicine February 2016, 83 (2) 116-126; DOI: https://doi.org/10.3949/ccjm.83a.14121

    Recognizing and treating acute stroke, status epilepticus, subarachnoid hemorrhage, and others.

  • Bulldog scalp
    Chutintorn Sriphrapradang, MD and Chadpraorn Ngarmukos, MD
    Cleveland Clinic Journal of Medicine February 2016, 83 (2) 90-91; DOI: https://doi.org/10.3949/ccjm.83a.15019

    A 54-year-old man presented with a 2-year history of unusual skin folds on the scalp—cutis verticis gyrata.

  • The simple lab test is sometimes more complex than we think, if we think about it at all
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine January 2016, 83 (1) 13-14; DOI: https://doi.org/10.3949/ccjm.83b.01016

    Before ordering more tests because of an abnormal laboratory result (eg, elevated creatine kinase), think about its biology.

  • Not all abdominal pain is gastrointestinal
    Mena Boules, MD, Madonna Michael, MD, Julietta Chang, MD, Bruce Vrooman, MD, Matthew Kroh, MD and Maged Rizk, MD
    Cleveland Clinic Journal of Medicine January 2016, 83 (1) 29-35; DOI: https://doi.org/10.3949/ccjm.83a.14082

    A 31-year-old woman presents with right mid-abdominal pain that began 1 day ago.

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