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Cleveland Clinic Journal of Medicine
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Cleveland Clinic Journal of Medicine

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Mental Health

  • You have access
    How acute pain leads to chronic opioid use
    Charles Reznikoff, MD, FACP
    Cleveland Clinic Journal of Medicine November 2018, 85 (11) 837-841; DOI: https://doi.org/10.3949/ccjm.85a.18038

    Several recent studies suggest how doctors can better treat acute pain to prevent chronic opioid use.

  • You have access
    Diagnosing and treating bipolar disorder in primary care
    Parashar Koirala, MD and Amit Anand, MD
    Cleveland Clinic Journal of Medicine August 2018, 85 (8) 601-608; DOI: https://doi.org/10.3949/ccjm.85gr.18003

    Many patients have undiagnosed bipolar depression, ie, depression with shifts to periods of mania.

  • You have access
    The female athlete triad: It takes a team
    Jaya Mehta, MD, Bithika Thompson, MD and Juliana M. Kling, MD, MPH
    Cleveland Clinic Journal of Medicine April 2018, 85 (4) 313-320; DOI: https://doi.org/10.3949/ccjm.85a.16137

    An energy deficit from increased exercise, decreased intake, or both can suppress the menstrual cycle and lead to bone loss.

  • You have access
    Make no bones about it!
    Elizabeth Matzkin, MD
    Cleveland Clinic Journal of Medicine April 2018, 85 (4) 321-322; DOI: https://doi.org/10.3949/ccjm.85a.17071

    It is important to diagnose and treat the female athlete triad to maintain optimal bone health.

  • You have access
    Alzheimer dementia: Starting, stopping drug therapy
    Luke D. Kim, MD, FACP, CMD and Ronan M. Factora, MD, FACP, AGSF
    Cleveland Clinic Journal of Medicine March 2018, 85 (3) 209-214; DOI: https://doi.org/10.3949/ccjm.85a.16080

    It is reasonable to consider discontinuing therapy when a patient has progressed to advanced dementia.

  • You have access
    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.

  • You have access
    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.

  • You have access
    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.

  • You have access
    Can effective obesity counseling fit into the 20-minute appointment?
    John A. Zambrano, MD, MHS and Bartolome Burguera, MD, PhD
    Cleveland Clinic Journal of Medicine November 2017, 84 (11) 835-837; DOI: https://doi.org/10.3949/ccjm.84a.16034

    Information from a previsit questionnaire lays the foundation for effective and reimbursable counseling and interventions.

  • You have access
    Obesity counseling: Beyond ‘eat less, move more’
    W. Scott Butsch, MD, MSc, FTOS
    Cleveland Clinic Journal of Medicine November 2017, 84 (11) 838-839; DOI: https://doi.org/10.3949/ccjm.84a.17099

    Not all cancers are treated the same, and not all patients with diabetes are treated the same. The same should go for patients with obesity.

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