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Cleveland Clinic Journal of Medicine

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Pain

  • Pain
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    Does this young adult patient need a hip radiograph?
    Christina Stull, MD, MBA and Alejandro Moreno, MBBS, MPH, JD, MACP
    Cleveland Clinic Journal of Medicine December 2020, 87 (12) 721-722; DOI: https://doi.org/10.3949/ccjm.87a.20011

    Hip fractures are uncommon in adults under age 50.

  • You have access
    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.

  • You have access
    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.

  • You have access
    Off-label and oft-prescribed
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine December 2019, 86 (12) 766-767; DOI: https://doi.org/10.3949/ccjm.86b.12019

    When prescribing drugs for uses beyond their FDA indications, we need to explain their anticipated side effects and benefits.

  • Functional heartburn: An underrecognized cause of PPI-refractory symptoms
    You have access
    Functional heartburn: An underrecognized cause of PPI-refractory symptoms
    CME article
    Scott Gabbard, MD and Sonya Vijayvargiya,
    Cleveland Clinic Journal of Medicine December 2019, 86 (12) 799-806; DOI: https://doi.org/10.3949/ccjm.86a.19006

    Functional heartburn is the most common cause of failure of proton pump inhibitor therapy.

  • You have access
    Beyond depression: Other uses for tricyclic antidepressants
    Joanne Schneider, DNP, RN, CNP, Mary Patterson, CNP and Xavier F. Jimenez, MD, MA
    Cleveland Clinic Journal of Medicine December 2019, 86 (12) 807-814; DOI: https://doi.org/10.3949/ccjm.86a.19005

    The pharmacology of these drugs, their potential uses in conditions other than depression, and safety considerations.

  • You have access
    SEEDS for success: Lifestyle management in migraine
    CME article
    Jennifer Robblee, MD, MSc and Amaal J. Starling, MD
    Cleveland Clinic Journal of Medicine November 2019, 86 (11) 741-749; DOI: https://doi.org/10.3949/ccjm.86a.19009

    Lifestyle counseling can be based on the mnemonic SEEDS: sleep, exercise, eat, diary, and stress.

  • You have access
    A few pearls can help prepare the mind
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine October 2019, 86 (10) 638-639; DOI: https://doi.org/10.3949/ccjm.86b.10019

    The caregiver with a prepared mind is more likely to experience the diagnostic epiphany.

  • You have access
    Myopathy for the general internist: Statins and much more
    Chester V. Oddis, MD
    Cleveland Clinic Journal of Medicine October 2019, 86 (10) 656-664; DOI: https://doi.org/10.3949/ccjm.86gr.19001

    How to evaluate and manage muscle complaints in patients taking a statin, interpret creatine kinase test results, and recognize common as well as potentially dangerous myopathies.

  • You have access
    Aspirin: 4,000 years and still learning
    Kenneth C. Cummings, MD, MS, FASA
    Cleveland Clinic Journal of Medicine August 2019, 86 (8) 522-524; DOI: https://doi.org/10.3949/ccjm.86a.19041

    What we know about aspirin—and what we still need to learn.

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