topic

  • A link between A-fib and sleep apnea is no surprise, but why?
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine November 2019, 86 (11) 706-707; DOI: https://doi.org/10.3949/ccjm.86b.11019

    The two conditions commonly coexist, and treating the sleep apnea results in better rhythm-directed outcomes in the A-fib.

  • Should I evaluate my patient with atrial fibrillation for sleep apnea?
    Mirna B. Ayache, MD, MPH, Reena Mehra, MD, MS, FCCP, FAASM and Kenneth A. Mayuga, MD, FACC, FHRS
    Cleveland Clinic Journal of Medicine November 2019, 86 (11) 709-712; DOI: https://doi.org/10.3949/ccjm.86a.19033

    Yes. The prevalence of sleep apnea is high in patients with atrial fibrillation, and vice versa.

  • Fissured tongue
    Satvinder Singh Bakshi, MS, DNB
    Cleveland Clinic Journal of Medicine November 2019, 86 (11) 714; DOI: https://doi.org/10.3949/ccjm.86a.19060

    A 43-year-old man presented with halitosis and deep fissures on his tongue.

  • Atraumatic splenic rupture in acute myeloid leukemia
    Karthik Gnanapandithan, MD, MS
    Cleveland Clinic Journal of Medicine November 2019, 86 (11) 715-716; DOI: https://doi.org/10.3949/ccjm.86a.19042

    Atraumatic splenic rupture is rare but potentially life-threatening, especially if the diagnosis is delayed.

  • Low-dose steroids for acute exacerbations of COPD in a non-ICU setting: Worth consideration
    Asim Kichloo, MD, Michael M. Aljadah and Hassan H. Beiz, MD
    Cleveland Clinic Journal of Medicine November 2019, 86 (11) 717-718; DOI: https://doi.org/10.3949/ccjm.86a.19027

    Despite the guidelines, most patients still receive high intravenous doses for acute exacerbations.

  • Severe hypercalcemia in a 54-year-old woman
    Michael A. Munoz, MD, Zeeshan Zafar, MD, MBA and Benson A. Babu, MD, MBA
    Cleveland Clinic Journal of Medicine November 2019, 86 (11) 719-723; DOI: https://doi.org/10.3949/ccjm.86a.18126

    Her calcium level was 18.4 mg/dL; 6 months earlier it had been 9.6. What was the cause?

  • Current management of Barrett esophagus and esophageal adenocarcinoma
    Current management of Barrett esophagus and esophageal adenocarcinoma
    Tavankit Singh, MD, Vedha Sanghi, MD and Prashanthi N. Thota, MD, FACG
    Cleveland Clinic Journal of Medicine November 2019, 86 (11) 724-732; DOI: https://doi.org/10.3949/ccjm.86a.18106

    Risk factors: reflux symptoms > 5 years, male sex, age > 50, white race, central obesity, and smoking.

  • STI update: Testing, treatment, and emerging threats
    Matifadza Hlatshwayo, MD, MPH, Hilary E. L. Reno, MD, PhD and Melanie L. Yarbrough, PhD
    Cleveland Clinic Journal of Medicine November 2019, 86 (11) 733-740; DOI: https://doi.org/10.3949/ccjm.86a.18098

    Fast, sensitive molecular diagnostic tests that use self-collected samples may help bend the upward curve of STIs.

  • SEEDS for success: Lifestyle management in migraine
    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.

  • Appropriate laboratory testing in Lyme disease
    Appropriate laboratory testing in Lyme disease
    Teny M. John, MD and Alan J. Taege, MD
    Cleveland Clinic Journal of Medicine November 2019, 86 (11) 751-759; DOI: https://doi.org/10.3949/ccjm.86a.19029

    Testing for Lyme disease is challenging and if done incorrectly can lead to unnecessary treatment.

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