More articles from Review

  • Fragility fractures in chronic kidney disease: An opinion-based approach
    Paul D. Miller, MD
    Cleveland Clinic Journal of Medicine December 2009, 76 (12) 715-723; DOI: https://doi.org/10.3949/ccjm.76a.08108

    When a patient with chronic kidney disease suffers a fragility fracture, a key question is whether the patient has osteoporosis or, instead, renal osteodystrophy. Bone densitometry does not help in this distinction.

  • An algorithm for managing warfarin resistance
    Olusegun Osinbowale, MD, MBA, RPVI, Monzr Al Malki, MD, Andrew Schade, MD, PhD and John R. Bartholomew, MD
    Cleveland Clinic Journal of Medicine December 2009, 76 (12) 724-730; DOI: https://doi.org/10.3949/ccjm.76a.09062

    Some patients need higher-than-expected doses of warfarin to reach their target INR. The cause can be acquired (poor compliance, drug interactions) or hereditary.

  • Acute pancreatitis: Problems in adherence to guidelines
    Acute pancreatitis: Problems in adherence to guidelines
    Tyler Stevens, MD, Mansour A. Parsi, MD and R. Matthew Walsh, MD
    Cleveland Clinic Journal of Medicine December 2009, 76 (12) 697-704; DOI: https://doi.org/10.3949/ccjm.76a.09060

    Evidence-based guidelines on managing acute pancreatitis are available, but many physicians are not following them.

  • Current therapies to shorten postoperative ileus
    Michael D. Johnson, MD and R. Matthew Walsh, MD
    Cleveland Clinic Journal of Medicine November 2009, 76 (11) 641-648; DOI: https://doi.org/10.3949/ccjm.76a.09051

    Rather than merely wait for bowel sounds to return after patients undergo surgery, we can try to get the gut working again sooner.

  • Dual antiplatelet therapy in coronary artery disease: A case-based approach
    Chad Raymond, DO and Venu Menon, MD
    Cleveland Clinic Journal of Medicine November 2009, 76 (11) 663-670; DOI: https://doi.org/10.3949/ccjm.76a.09045

    Many patients need the combination of aspirin and clopidogrel (Plavix) or prasugrel (Effient) to reduce their risk of cardiovascular events, as shown in recent trials.

  • Managing diabetes in hemodialysis patients: Observations and recommendations
    Kumarpal Shrishrimal, MD, MS, Peter Hart, MD and Franklin Michota, MD
    Cleveland Clinic Journal of Medicine November 2009, 76 (11) 649-655; DOI: https://doi.org/10.3949/ccjm.76a.09054

    Both uremia and dialysis can complicate glycemic control by affecting the secretion, clearance, and peripheral tissue activity of insulin.

  • Autoimmune pancreatitis: A mimic of pancreatic cancer
    Ryan Law, DO, Mary Bronner, MD, David Vogt, MD and Tyler Stevens, MD
    Cleveland Clinic Journal of Medicine October 2009, 76 (10) 607-615; DOI: https://doi.org/10.3949/ccjm.76a.09039

    The accurate and timely diagnosis of this benign disease may preempt the misdiagnosis of cancer and decrease the number of unnecessary pancreatic resections.

  • Nephrolithiasis: Treatment, causes, and prevention
    Phillip M. Hall, MD
    Cleveland Clinic Journal of Medicine October 2009, 76 (10) 583-591; DOI: https://doi.org/10.3949/ccjm.76a.09043

    Kidney stones are not all the same, and neither are their treatment, causes, or prevention. Paradoxically, calcium restriction is not warranted for patients who have calcium stones, and may even be harmful.

  • Recognizing and treating cutaneous signs of liver disease
    Ribhi Hazin, MD, Tarek I. Abu-Rajab Tamimi, MD, Jamil Y. Abuzetun, MD and Nizar N. Zein, MD
    Cleveland Clinic Journal of Medicine October 2009, 76 (10) 599-606; DOI: https://doi.org/10.3949/ccjm.76A.08113

    If we can recognize these manifestations early, we will be better able to promptly diagnose and treat the underlying liver disease as well as the skin lesions.

  • Less-invasive ways to remove stones from the kidneys and ureters
    Less-invasive ways to remove stones from the kidneys and ureters
    Mary K. Samplaski, MD, Brian H. Irwin, MD and Mihir Desai, MD
    Cleveland Clinic Journal of Medicine October 2009, 76 (10) 592-598; DOI: https://doi.org/10.3949/ccjm.76a.09014

    Lithotripsy, ureteroscopy, and percutaneous nephrolithotomy all have advantages and disadvantages in different situations. But not all patients with stones need intervention.

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