topic

  • Does my hospitalized patient need an NPO-after-midnight order preoperatively?
    Tyler Chapman, DO, Elizabeth Sinz, MD, MEd and Brian McGillen, MD, FACP, SFHM
    Cleveland Clinic Journal of Medicine February 2022, 89 (2) 69-70; DOI: https://doi.org/10.3949/ccjm.89a.21061

    Delays and postponements of surgical procedures are common, and NPO-after-midnight orders in these situations can result in prolonged periods without oral intake.

  • Hypertrichosis and topical corticosteroid use
    Yuya Ando, MD, Sachiko Ono, MPH, PhD, Yosuke Ono, MD, PhD and Yoshinori Miura, MD, PhD
    Cleveland Clinic Journal of Medicine February 2022, 89 (2) 71-72; DOI: https://doi.org/10.3949/ccjm.89a.21048

    The xerotic dermatitis had resolved 2 years earlier, but the patient had continued to apply the medication.

  • Soft tissue sarcoma: Recognizing a rare disease
    Amir Hossain Gahanbani Ardakani, BSc, MBBS, Alex Woollard, BM, BSc, PhD, FRCS (Plast), Howard Ware, MBBS, FRCS (Tr&Orth) and Panagiotis Gikas, MBBS Hons, MD (Res), PhD, FRCS (Tr&Orth)
    Cleveland Clinic Journal of Medicine February 2022, 89 (2) 73-80; DOI: https://doi.org/10.3949/ccjm.89a.21078

    Awareness of the signs and symptoms ensures prompt referral to a sarcoma center for appropriate assessment and treatment to optimize outcomes.

  • Extraosseous calcification in kidney disease
    Extraosseous calcification in kidney disease
    Korey Bartolomeo, DO, Xin Yee Tan, MD and Richard Fatica, MD
    Cleveland Clinic Journal of Medicine February 2022, 89 (2) 81-90; DOI: https://doi.org/10.3949/ccjm.89a.21073

    A review of the pathogenesis, presentation, diagnosis, and treatment of vascular and soft tissue calcifi cation.

  • Recurrent anemia in a patient with chronic lymphocytic leukemia
    Sassine Ghanem, MD and Jason Gonsky, MD, PhD
    Cleveland Clinic Journal of Medicine February 2022, 89 (2) 91-98; DOI: https://doi.org/10.3949/ccjm.89a.21025

    New episodes of anemia do not automatically imply disease progression, and each should be evaluated completely.

  • Hypercalcemia and vitamin A: A vitamin to keep in mind
    Saif Munther Borgan, MD, Leila Zeinab Khan, MD and Vinni Makin, MD, FACE
    Cleveland Clinic Journal of Medicine February 2022, 89 (2) 99-105; DOI: https://doi.org/10.3949/ccjm.89a.21056

    Vitamin A toxicity can affect bone resorption and hypercalcemia and should be explored in unexplained cases of parathyroid hormone-independent hypercalcemia.

  • Update to COVID-19 serologic testing : FAQs and caveats
    Kamran Kadkhoda, PhD, D(ABMM), D(ABMLI)
    Cleveland Clinic Journal of Medicine January 2022, DOI: https://doi.org/10.3949/ccjm.87a.20054-up
  • A large, painless bulla on the right foot
    Jorge Camilo Mora, MD, MPH and Amalia Galindez, MD, FACP
    Cleveland Clinic Journal of Medicine January 2022, 89 (1) 10-12; DOI: https://doi.org/10.3949/ccjm.89a.21051

    A patient with a history of type 2 diabetes and diabetic neuropathy had a hemoglobin A1c of 10.3% at presentation.

  • Clinical impact of 2020 American Heart Association statement on menopause and cardiovascular disease risk
    Tara K. Iyer, MD, NCMP and Heather Hirsch, MD, MS, NCMP
    Cleveland Clinic Journal of Medicine January 2022, 89 (1) 13-17; DOI: https://doi.org/10.3949/ccjm.89a.21031

    The statement supports the notion that the transition of menopause itself leads to increased cardiovascular risk and mortality.

  • Discontinuing antidepressants: Pearls and pitfalls
    Samantha J. Zwiebel, MD and Adele C. Viguera, MD
    Cleveland Clinic Journal of Medicine January 2022, 89 (1) 18-26; DOI: https://doi.org/10.3949/ccjm.89a.21020

    To date, no formal schedule for tapering antidepressants has been validated. The maxim “slower is better” applies.

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