More articles from Review

  • Hepatic encephalopathy: Suspect it early in patients with cirrhosis
    Jamilé Wakim-Fleming, MD, FACG
    Cleveland Clinic Journal of Medicine September 2011, 78 (9) 597-605; DOI: https://doi.org/10.3949/ccjm.78a10117

    Prompt identification and treatment are essential, since the prognosis worsens rapidly once overt encephalopathy develops.

  • Venous thromboembolism: What to do after anticoagulation is started
    Scott Kaatz, DO, MSc, FACP, Waqas Qureshi, MD and Robert C. Lavender, MD, FACP
    Cleveland Clinic Journal of Medicine September 2011, 78 (9) 609-618; DOI: https://doi.org/10.3949/ccjm.78a.10175

    Three issues need to be addressed: the length of therapy, measures to prevent postthrombotic syndrome, and a basic workup for possible underlying malignancy.

  • Small renal masses: Toward more rational treatment
    Small renal masses: Toward more rational treatment
    Anil A. Thomas, MD and Steven C. Campbell, MD, PhD
    Cleveland Clinic Journal of Medicine August 2011, 78 (8) 539-547; DOI: https://doi.org/10.3949/ccjm.78a.10176

    Although surgical removal of the whole kidney has long been the most common treatment, nephron-sparing approaches are now favored.

  • Cardiovascular implantable electronic device infection: A stepwise approach to diagnosis and management
    Ala S. Dababneh, MD and Muhammad R. Sohail, MD
    Cleveland Clinic Journal of Medicine August 2011, 78 (8) 529-537; DOI: https://doi.org/10.3949/ccjm.78a.10169

    These complex infections pose challenges, as illustrated by a case scenario and a review of the key elements of diagnosis and management.

  • New fecal occult blood tests may improve adherence and mortality rates
    Veena Kumaravel, MD, Stephen P. Hayden, MD, FACP, Geraldine S. Hall, PhD and Carol A. Burke, MD, FACG, FACP
    Cleveland Clinic Journal of Medicine August 2011, 78 (8) 515-520; DOI: https://doi.org/10.3949/ccjm.78a.11024

    A newer guaiac-based test and a variety of fecal immunochemical tests are more sensitive and more convenient than the older guaiac-based tests.

  • Does lack of sleep cause diabetes?
    Carol Touma, MD and Silvana Pannain, MD
    Cleveland Clinic Journal of Medicine August 2011, 78 (8) 549-558; DOI: https://doi.org/10.3949/ccjm.78a.10165

    Several lines of evidence indicate that chronic lack of sleep may contribute to the risk of type 2 diabetes mellitus.

  • Bronchial thermoplasty: A new treatment for severe refractory asthma
    Bronchial thermoplasty: A new treatment for severe refractory asthma
    Thomas R. Gildea, MD, MS, Sumita B. Khatri, MD, MS and Mario Castro, MD, MPH
    Cleveland Clinic Journal of Medicine July 2011, 78 (7) 477-485; DOI: https://doi.org/10.3949/ccjm.78a.10185

    Asthma has a new treatment, but it isn’t for everybody. Here, we review its indications, evidence of efficacy, and protocols.

  • Hypothermia after cardiac arrest: Beneficial, but slow to be adopted
    Santosh Samuel Oommen, MD and Venu Menon, MD
    Cleveland Clinic Journal of Medicine July 2011, 78 (7) 441-448; DOI: https://doi.org/10.3949/ccjm.78a.10157

    Survivors of cardiac arrest due to ventricular tachycardia or ventricular fi brillation have better neurologic outcomes if they are cooled to a core body temperature of 32°C to 34°C for 24 hours as soon as possible after reaching the hospital.

  • ST-segment depression and T-wave inversion: Classification, differential diagnosis, and caveats
    ST-segment depression and T-wave inversion: Classification, differential diagnosis, and caveats
    Elias B. Hanna, MD and David Luke Glancy, MD
    Cleveland Clinic Journal of Medicine June 2011, 78 (6) 404-414; DOI: https://doi.org/10.3949/ccjm.78a.10077

    Knowing the characteristic patterns is critical for a timely diagnosis of life-threatening disorders.

  • Statin myopathy: A common dilemma not reflected in clinical trials
    Genaro Fernandez, MD, Erica S. Spatz, MD, Charles Jablecki, MD and Paul S. Phillips, MD
    Cleveland Clinic Journal of Medicine June 2011, 78 (6) 393-403; DOI: https://doi.org/10.3949/ccjm.78a.10073

    When a patient taking a statin complains of muscle aches, is he or she experiencing statin-induced myopathy or some other problem? Should the statin be discontinued?

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