More articles from Review

  • Primary care management of chronic pelvic pain in women
    Rachel Bonnema, MD, MS, MEGAN Mcnamara, MD, MSc, Jennifer Harsh, PhD, LMFT and Elizabeth Hopkins, PT, DPT
    Cleveland Clinic Journal of Medicine March 2018, 85 (3) 215-223; DOI: https://doi.org/10.3949/ccjm.85a.16038

    While referral may eventually be indicated, primary care doctors can take steps to diagnose and manage the condition.

  • Transient neurologic syndromes: A diagnostic approach
    Justin R. Abbatemarco, MD and Alexander D. Rae-Grant, MD
    Cleveland Clinic Journal of Medicine February 2018, 85 (2) 155-163; DOI: https://doi.org/10.3949/ccjm.85a.17022

    Diagnosing TIA, migraine, partial seizures, hypoglycemia, hyperventilation, transient global amnesia, and others.

  • Medication management in older adults
    Luke D. Kim, MD, FACP, CMD, Kenneth Koncilja, MD and Craig Nielsen, MD, FACP
    Cleveland Clinic Journal of Medicine February 2018, 85 (2) 129-135; DOI: https://doi.org/10.3949/ccjm.85a.16109

    Some drugs may become unnecessary or even dangerous as the patient ages. Periodic medication review is needed.

  • Preventing cardiovascular disease in older adults: One size does not fit all
    Ariela R. Orkaby, MD, MPH, Oyere Onuma, MD, MSc, Saadia Qazi, DO, MPH, J. Michael Gaziano, MD, MPH and Jane A. Driver, MD, MPH
    Cleveland Clinic Journal of Medicine January 2018, 85 (1) 55-64; DOI: https://doi.org/10.3949/ccjm.85a.16119

    The balance of risk and benefit may differ considerably for 2 patients of the same age if one is fi t and the other is frail.

  • Detecting and managing device leads inadvertently placed in the left ventricle
    Detecting and managing device leads inadvertently placed in the left ventricle
    Richard G. Trohman, MD, MBA and Parikshit S. Sharma, MD, MPH
    Cleveland Clinic Journal of Medicine January 2018, 85 (1) 69-75; DOI: https://doi.org/10.3949/ccjm.85a.17012

    How it happens, how to prevent it, how to detect and correct it immediately, and how to manage cases discovered long after.

  • Idiopathic hypercalciuria: Can we prevent stones and protect bones?
    Laura E. Ryan, MD and Steven W. Ing, MD, MScE
    Cleveland Clinic Journal of Medicine January 2018, 85 (1) 47-54; DOI: https://doi.org/10.3949/ccjm.85a.16090

    Patients should increase their fluid intake, follow a diet low in salt and animal protein, and take a thiazide diuretic.

  • High users of healthcare: Strategies to improve care, reduce costs
    Neil Siekman, MD and Rick Hilger, MD
    Cleveland Clinic Journal of Medicine January 2018, 85 (1) 25-31; DOI: https://doi.org/10.3949/ccjm.85a.16082

    A minority of patients called “high users” consume a lot of healthcare, especially in the emergency department. But therein lies an opportunity.

  • ADHD: Overdiagnosed and overtreated, or misdiagnosed and mistreated?
    Michael J. Manos, PhD, Kimberly Giuliano, MD and Eric Geyer, BA
    Cleveland Clinic Journal of Medicine November 2017, 84 (11) 873-880; DOI: https://doi.org/10.3949/ccjm.84a.15051

    Combined behavioral and drug therapy is best.

  • 2017 Update in perioperative medicine: 6 questions answered
    Ryan Munyon, MD, Steven L. Cohn, MD, FACP, SFHM, Barbara Slawski, MD, MS, SFHM, Gerald W. Smetana, MD, MACP and Kurt Pfeifer, MD, FACP, SFHM
    Cleveland Clinic Journal of Medicine November 2017, 84 (11) 863-872; DOI: https://doi.org/10.3949/ccjm.84a.17068

    Topics: cardiac risk assessment, surgery after percutaneous intervention, statins, sleep apnea, bridging anticoagulation, and frailty.

  • Treating Raynaud phenomenon: Beyond staying warm
    Samantha C. Shapiro, MD and Fredrick M. Wigley, MD
    Cleveland Clinic Journal of Medicine October 2017, 84 (10) 797-804; DOI: https://doi.org/10.3949/ccjm.84a.17025

    Avoidance of cold and stress are fi rst-line measures, but if these fail, vasodilator agents are used.

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