topic

  • Gallstones: Watch and wait, or intervene?
    Gallstones: Watch and wait, or intervene?
    Mounir Ibrahim, MD, Shashank Sarvepalli, MD, Gareth Morris-Stiff, MD, PhD, Maged Rizk, MD, Amit Bhatt, MD, R. Matthew Walsh, MD, Umar Hayat, MD, Ari Garber, MD, EdD, John Vargo, MD and Carol A. Burke, MD
    Cleveland Clinic Journal of Medicine April 2018, 85 (4) 323-331; DOI: https://doi.org/10.3949/ccjm.85a.17035

    Consider laparoscopic cholecystectomy for symptomatic cholelithiasis, expectant management for asymptomatic cases.

  • Gas under the right diagphragm (February 2018)
    Cleveland Clinic Journal of Medicine April 2018, 85 (4) 332;

    Errors occurred in Matsuura H, Hata H. Gas under the right diaphragm. Cleve Clin J Med 2018; 85(2):98–100.

  • Physical examination in dyspnea (December 2017)
    Cleveland Clinic Journal of Medicine April 2018, 85 (4) 332;

    Errors occurred in Shellenberger RA, Balakrishnan B, Avula S, Ebel A, Shaik S. Diagnostic value of the physical examination in patients with dyspnea. Cleve Clin J Med 2017; 84(12):943–950.

  • Deprescribing: When trying for less is more
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine March 2018, 85 (3) 179-180; DOI: https://doi.org/10.3949/ccjm.85b.03018

    We should periodically revisit the goals and rationale for all prescribed medications.

  • Primary livedo reticularis of the abdomen
    Michael Chew, MD and Paul Aronowitz, MD
    Cleveland Clinic Journal of Medicine March 2018, 85 (3) 181-183; DOI: https://doi.org/10.3949/ccjm.85a.17047

    Livedo reticularis can be the manifestation of a wide range of conditions—or not.

  • Methemoglobinemia in an HIV patient
    Riva Raiker, MD, William C. Lippert, MD, MPH and Romil Chadha, MD, MPH, FACP, SFHM
    Cleveland Clinic Journal of Medicine March 2018, 85 (3) 186-187; DOI: https://doi.org/10.3949/ccjm.85a.17004

    He had restarted his home dapsone prophylaxis, but his dyspnea worsened and his urine became dark.

  • Ascites from intraperitoneal urine leakage after pelvic radiation
    Tatsuya Fujikawa, MD, PhD and Yasuharu Tokuda, MD, PhD
    Cleveland Clinic Journal of Medicine March 2018, 85 (3) 188-189; DOI: https://doi.org/10.3949/ccjm.85a.17028

    Six years earlier, the patient had undergone hysterectomy and chemoradiotherapy for cervical cancer.

  • Hypertension in older adults: What is the target blood pressure?
    Anu Garg, MD and Barbara J. Messinger-Rapport, MD, PhD
    Cleveland Clinic Journal of Medicine March 2018, 85 (3) 193-195; DOI: https://doi.org/10.3949/ccjm.85a.17064

    Goal: systolic pressure below 130 mm Hg if the patient can take multiple medications and be followed closely.

  • A 67-year-old woman with bilateral hand numbness
    Sohab S. Radwan, MD, Khair M. Hamo and Ayman A. Zayed, MD, MSc, FACE, FACP
    Cleveland Clinic Journal of Medicine March 2018, 85 (3) 200-208; DOI: https://doi.org/10.3949/ccjm.85a.17026

    Her history includes type 2 diabetes mellitus, dyslipidemia, hypertension, diastolic heart failure, and thyroid surgery.

  • Alzheimer dementia: Starting, stopping drug therapy
    Luke D. Kim, MD, FACP, CMD and Ronan M. Factora, MD, FACP, AGSF
    Cleveland Clinic Journal of Medicine March 2018, 85 (3) 209-214; DOI: https://doi.org/10.3949/ccjm.85a.16080

    It is reasonable to consider discontinuing therapy when a patient has progressed to advanced dementia.

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