Cleveland Clinic Journal of Medicine

  • Aortic aneurysm: Fluoroquinolones, genetic counseling, June 2018
    Houriya Ayoubieh, MD and Gretchen MacCarrick, MS, CGC
    Cleveland Clinic Journal of Medicine September 2018, 85 (9) 661-662; DOI: https://doi.org/10.3949/ccjm.85c.09002
  • In reply: Aortic aneurysm: Fluoroquinolones, genetic counseling
    Vidyasagar Kalahasti, MD, Frank Cikach, MD, Milind Y. Desai, MD, FACC, FAHA, FESC and Eric E. Roselli, MD, FACS
    Cleveland Clinic Journal of Medicine September 2018, 85 (9) 662; DOI: https://doi.org/10.3949/ccjm.85c.09003
  • Fournier gangrene
    Hiroki Matsuura, MD and Kazuki Iwasa, MD
    Cleveland Clinic Journal of Medicine September 2018, 85 (9) 664-665; DOI: https://doi.org/10.3949/ccjm.85a.18036

    The patient died of rapidly progressive necrotizing fasciitis of the perineum 2 hours after hospital admission.

  • Brain abscesses in a 60-year-old man
    Stella Pak, MD, Shawn Marein, DO, Victor Valencia, Damian Valencia, MD, Jessica Uhler, BS and Adam Fershko, MD, FACP
    Cleveland Clinic Journal of Medicine September 2018, 85 (9) 672-674; DOI: https://doi.org/10.3949/ccjm.85a.17130

    The lesions were not from compromised immunity, but from septic hematogenous spread of an odontogenic infection.

  • What can we do about musculoskeletal pain from bisphosphonates?
    Sian Yik Lim, MD and Marcy B. Bolster, MD
    Cleveland Clinic Journal of Medicine September 2018, 85 (9) 675-678; DOI: https://doi.org/10.3949/ccjm.85a.18005

    The authors recommend acetaminophen before infusions, and acetaminophen or NSAIDs if an acute-phase reaction occurs.

  • How should we diagnose and manage checkpoint inhibitor-associated colitis?
    Freeha Khan, MD, Pauline Funchain, MD, Ana Bennett, MD, Tracy L. Hull, MD and Bo Shen, MD
    Cleveland Clinic Journal of Medicine September 2018, 85 (9) 679-683; DOI: https://doi.org/10.3949/ccjm.85a.18020
  • Shortness of breath, fever, cough, and more in an elderly woman
    Brody D. Slostad, MD, Megha Prasad, MD and Nandan S. Anavekar, MD
    Cleveland Clinic Journal of Medicine September 2018, 85 (9) 685-692; DOI: https://doi.org/10.3949/ccjm.85a.18030

    The patient’s many problems include ventricular tachycardia, requiring an implanted cardioverter-defi brillator and amiodarone.

  • Calcium and vitamin D: To supplement or not?
    Ian R. Reid, MD
    Cleveland Clinic Journal of Medicine September 2018, 85 (9) 693-698; DOI: https://doi.org/10.3949/ccjm.85a.18026

    Current evidence suggests little reason to prescribe calcium, and vitamin D should be for patients with low levels.

  • Obesity: Are shared medical appointments part of the answer?
    Kelly Shibuya, BS, Kevin M. Pantalone, DO, ECNU, FACE and Bartolome Burguera, MD, PhD
    Cleveland Clinic Journal of Medicine September 2018, 85 (9) 699-706; DOI: https://doi.org/10.3949/ccjm.85a.18006

    Shared medical appointments allow multiple patients to be managed together by a multidisciplinary team.

  • Coronary artery calcium scoring: Its practicality and clinical utility in primary care
    Coronary artery calcium scoring: Its practicality and clinical utility in primary care
    Parth Parikh, MD, Nishant Shah, MD, Haitham Ahmed, MD, MPH, Paul Schoenhagen, MD and Maan Fares, MD
    Cleveland Clinic Journal of Medicine September 2018, 85 (9) 707-716; DOI: https://doi.org/10.3949/ccjm.85a.17097

    It outperforms other risk-stratifi cation tools. Drawbacks include the possibility of unnecessary testing and incidental fi ndings.

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