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Cleveland Clinic Journal of Medicine

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https://www.readbyqxmd.com/read/28084986/postexposure-management-of-infectious-diseases
#1
REVIEW
Mazen S Bader, Annie Brooks, Deborah V Kelly, Jocelyn A Srigley
Anyone exposed to an infectious disease--whether a healthcare provider, patient, or contact of a patient--should be evaluated promptly and the source of the infection identified. A systematic response entails postexposure prophylactic therapy if available and indicated, infection control measures to prevent further transmission, counseling and educating those involved, and assessing those who may require work restriction or modification.
January 2017: Cleveland Clinic Journal of Medicine
https://www.readbyqxmd.com/read/28084985/benign-prostatic-hyperplasia-evaluation-and-medical-management-in-primary-care
#2
REVIEW
Raman Unnikrishnan, Nima Almassi, Khaled Fareed
Benign prostatic hyperplasia (BPH) is a common cause of lower urinary tract symptoms in aging men, worsening their quality of life. Primary care physicians are uniquely positioned to screen for BPH, conduct a timely diagnostic workup, and if indicated, initiate medical therapy. A number of safe and effective medical treatments are available to alleviate symptoms, delay disease progression, and lessen the chance of needing surgery for BPH.
January 2017: Cleveland Clinic Journal of Medicine
https://www.readbyqxmd.com/read/28084984/parsimonious-blood-use-and-lower-transfusion-triggers-what-is-the-evidence
#3
REVIEW
Moises Auron, Marina Y Duran Castillo, Ajay Kumar
Evidence supports a parsimonious approach to blood use for managing anemia, contrasting with the long-standing practice of blood transfusion targeting arbitrary hemoglobin levels. Hemodilution studies have demonstrated that humans can tolerate anemia. The cumulative data have confirmed and validated the safety of a conservative approach to transfusion. This has translated into formal national guidelines for blood transfusion as well as patient safety and quality markers supporting blood management stewardship to minimize unnecessary use of blood products...
January 2017: Cleveland Clinic Journal of Medicine
https://www.readbyqxmd.com/read/28084983/whether-to-anticoagulate-toward-a-more-reasoned-approach
#4
EDITORIAL
Theodore T Suh
No abstract text is available yet for this article.
January 2017: Cleveland Clinic Journal of Medicine
https://www.readbyqxmd.com/read/28084982/fall-risk-and-anticoagulation-for-atrial-fibrillation-in-the-elderly-a-delicate-balance
#5
REVIEW
Tracy Hagerty, Michael W Rich
Guidelines for managing atrial fibrillation recommend systemic anticoagulation for almost all patients age 65 and older, but in practice up to 50% of older patients do not receive maintenance anticoagulation therapy. The most common reason physicians cite for withholding anticoagulation in older patients with atrial fibrillation is a perception of a high risk of falling and associated bleeding, especially intracranial hemorrhage.
January 2017: Cleveland Clinic Journal of Medicine
https://www.readbyqxmd.com/read/28084981/a-patient-with-altered-mental-status-and-an-acid-base-disturbance
#6
Shylaja Mani, Gregory W Rutecki
No abstract text is available yet for this article.
January 2017: Cleveland Clinic Journal of Medicine
https://www.readbyqxmd.com/read/28084980/imaging-suggestive-but-symptoms-atypical
#7
Mohammad Afzalimoghaddam, Maryam Edalatifard, Shervin Farahmand, Shahram Bagheri-Hariri, Hadi Mirfazaelian
No abstract text is available yet for this article.
January 2017: Cleveland Clinic Journal of Medicine
https://www.readbyqxmd.com/read/28084979/erythematous-patches-with-keratotic-annular-borders-on-the-glans-penis
#8
Elisabeth Gómez-Moyano, Inmaculada Ureña-Garnica, Sara Manrique-Arija, Luis Miguel Perez-Belmonte
No abstract text is available yet for this article.
January 2017: Cleveland Clinic Journal of Medicine
https://www.readbyqxmd.com/read/28084978/lymphoplasmacytic-lymphoma-presenting-as-retinal-hemorrhage
#9
Jose Melendez-Rosado, Steven Sears, Fernando Stancampiano
No abstract text is available yet for this article.
January 2017: Cleveland Clinic Journal of Medicine
https://www.readbyqxmd.com/read/28084977/what-is-the-role-of-roflumilast-in-chronic-obstructive-pulmonary-disease
#10
Chris Lau, Atul C Mehta, Umur Hatipoglu
No abstract text is available yet for this article.
January 2017: Cleveland Clinic Journal of Medicine
https://www.readbyqxmd.com/read/28084976/a-rose-by-any-other-name-is-still-a-rose-but-why-a-rose
#11
EDITORIAL
Brian F Mandell
No abstract text is available yet for this article.
January 2017: Cleveland Clinic Journal of Medicine
https://www.readbyqxmd.com/read/27938521/abdominal-pain-under-immunosuppressive-conditions
#12
Takayo Ota, Masanobu Nakano, Noriko Tanaka, Tomohiro Suzumura, Nozomi Miyatake, Yoshikazu Hasegawa, Tomohiro Ozaki, Hiroshi Tsukuda, Masahiro Fukuoka
No abstract text is available yet for this article.
December 2016: Cleveland Clinic Journal of Medicine
https://www.readbyqxmd.com/read/27938520/phlegmasia-cerulea-dolens-from-radiation-induced-venous-stenosis
#13
Suman Paul, Mujeeb Sheikh
No abstract text is available yet for this article.
December 2016: Cleveland Clinic Journal of Medicine
https://www.readbyqxmd.com/read/27938519/minocycline-induced-hyperpigmentation
#14
Mahmoud Abdelghany, Alan J Kivitz
No abstract text is available yet for this article.
December 2016: Cleveland Clinic Journal of Medicine
https://www.readbyqxmd.com/read/27938518/taurine-energy-drinks-and-neuroendocrine-effects
#15
REVIEW
Jonathan J Caine, Thomas D Geracioti
Taurine is an amino acid found abundantly in brain, retina, heart, and reproductive organ cells, as well as in meat and seafood. But it is also a major ingredient in popular "energy drinks," which thus constitute a major source of taurine supplementation. Unfortunately, little is known about taurine's neuroendocrine effects. The authors review the sparse data and provide a basic background on the structure, synthesis, distribution, metabolism, mechanisms, effects, safety, and currently proposed therapeutic targets of taurine...
December 2016: Cleveland Clinic Journal of Medicine
https://www.readbyqxmd.com/read/27938517/women-s-health-2016-an-update-for-internists
#16
REVIEW
Pelin Batur, Eleanor Bimla Schwarz, Judith M E Walsh, Kay M Johnson
Internists are called upon on a daily basis to address a range of women's health issues. Staying up to date with the evidence in this wide field can be challenging. This article reviews important studies published in 2015 and early 2016 pertinent to urinary tract infection, osteoporosis, ovarian cancer screening, and contraception.
December 2016: Cleveland Clinic Journal of Medicine
https://www.readbyqxmd.com/read/27938516/radiation-induced-heart-disease-a-practical-guide-to-diagnosis-and-management
#17
REVIEW
Eoin Donnellan, Dermot Phelan, Cian P McCarthy, Patrick Collier, Milind Desai, Brian Griffin
Radiation-induced heart disease (RIHD) is a recognized late sequela of chest radiotherapy for conditions such as breast cancer and lymphoma and can involve any cardiac structure. Consensus guidelines from the European Association of Cardiovascular Imaging and the American Society of Echocardiography stress the importance of regular screening for the cardiac effects of radiotherapy. However, a gulf remains between these guidelines and clinical practice.
December 2016: Cleveland Clinic Journal of Medicine
https://www.readbyqxmd.com/read/27938515/do-patients-with-submassive-pulmonary-embolism-benefit-from-thrombolytic-therapy
#18
REVIEW
Ali Ataya, Jessica Cope, Abbas Shahmohammadi, Hassan Alnuaimat
Despite growing interest in thrombolytic agents to treat submassive pulmonary embolism, their role in this scenario remains controversial. Needed is a way to identify patients with this condition who are at risk of clinical deterioration and who would benefit from thrombolytic therapy. Here, we review the use of thrombolytic agents in submassive pulmonary embolism to help distinguish the risk and benefits of this therapy.
December 2016: Cleveland Clinic Journal of Medicine
https://www.readbyqxmd.com/read/27938514/what-stool-testing-is-appropriate-when-diarrhea-develops-in-a-hospitalized-patient
#19
Sheena K Ramdeen, Glenn W Wortmann
No abstract text is available yet for this article.
December 2016: Cleveland Clinic Journal of Medicine
https://www.readbyqxmd.com/read/27938513/when-should-an-indwelling-pleural-catheter-be-considered-for-malignant-pleural-effusion
#20
Abdul Hamid Alraiyes, Kassem Harris, Thomas R Gildea
No abstract text is available yet for this article.
December 2016: Cleveland Clinic Journal of Medicine
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