Pain

  • A 67-year-old woman with bilateral hand numbness
    Sohab S. Radwan, MD, Khair M. Hamo and Ayman A. Zayed, MD, MSc, FACE, FACP
    Cleveland Clinic Journal of Medicine March 2018, 85 (3) 200-208; DOI: https://doi.org/10.3949/ccjm.85a.17026

    Her history includes type 2 diabetes mellitus, dyslipidemia, hypertension, diastolic heart failure, and thyroid surgery.

  • 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.

  • Erythema ab igne
    Thomas Smith, MD and Vinod E. Nambudiri, MD, MBA
    Cleveland Clinic Journal of Medicine February 2018, 85 (2) 96-97; DOI: https://doi.org/10.3949/ccjm.85a.17015

    The patient had been using a heating pad daily, often for several hours at a time, to relieve his back pain.

  • Serotonin syndrome (November 2016)
    Cielo Z. Rose, DO
    Cleveland Clinic Journal of Medicine May 2017, 84 (5) 342-343; DOI: https://doi.org/10.3949/ccjm.84c.05001

    A reader comments on serotonin syndrome (November 2016).

  • In reply: Serotonin syndrome (November 2016)
    Vishal Vashistha, MD, Sukhdeep Kaur, MD, Robert Z. Wang, MD and Gregory Rutecki
    Cleveland Clinic Journal of Medicine May 2017, 84 (5) 342-343; DOI: https://doi.org/10.3949/ccjm.84c.05002
  • A burning sensation in the mouth
    Satvinder Singh Bakshi, MS, DNB
    Cleveland Clinic Journal of Medicine May 2017, 84 (5) 344-345; DOI: https://doi.org/10.3949/ccjm.84a.16005

    The patient was a smoker with poor oral hygiene.

  • Use and misuse of opioid agonists in opioid addiction
    Use and misuse of opioid agonists in opioid addiction
    Vania Modesto-Lowe, MD, MPH, Katie Swiezbin, BS, Margaret Chaplin, MD and Gabriela Hoefer
    Cleveland Clinic Journal of Medicine May 2017, 84 (5) 377-384; DOI: https://doi.org/10.3949/ccjm.84a.16091

    Methadone and buprenorphine can reduce craving and opioid use but remain misunderstood and underused.

  • A rational approach to opioid use disorder in primary care
    Daniel G. Tobin, MD, FACP
    Cleveland Clinic Journal of Medicine May 2017, 84 (5) 385-387; DOI: https://doi.org/10.3949/ccjm.84a.17030

    Treating addiction is quickly becoming part of primary care. Clinicians can no longer turn a blind eye toward this problem.

  • Chronic constipation: Update on management
    Umar Hayat, MD, Mohannad Dugum, MD and Samita Garg, MD
    Cleveland Clinic Journal of Medicine May 2017, 84 (5) 397-408; DOI: https://doi.org/10.3949/ccjm.84a.15141

    If conservative treatments fail, clinicians can choose from a growing list of new ones.

  • Pseudo-Wellens syndrome after heavy marijuana use
    Michael Lawrenz Ferreras Co, MD, Anshuman Das, MD and Tochukwu Okwuosa, DO
    Cleveland Clinic Journal of Medicine August 2017, 84 (8) 590-591; DOI: https://doi.org/10.3949/ccjm.84a.16133

    Acute marijuana intoxication is associated with reversible changes in the P and T waves and ST segments.

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