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CURRENT ISSUE

01 Jun 2024 (Vol. 91 Issue 6) Table of Contents


ISSUE HIGHLIGHTS

 * Preexposure prophylaxis for preventing HIV infection: Routine practice in
   primary care
 * Should an NPO order be placed for my patient with acute pancreatitis?
 * Diabetes technology: A primer for clinicians

Summaries from Kidney Week 2023


FEATURED ARTICLES

 * Gastroparesis for the nongastroenterologist
   June 03, 2024
 * Pursuing the diagnosis of low back pain
   June 03, 2024
 * Do I always need a central venous catheter to administer vasopressors?
   May 01, 2024
 * Perspectives on travel and healthcare
   May 01, 2024
 * Providing comfort: Caring for patients who wish to die in their home country
   May 01, 2024
 * New CCJM faces and features
   May 01, 2024
 * Microscopic colitis: What is it, and what are the treatment options?
   April 01, 2024
 * Management of lower-extremity venous thromboembolism: An updated review
   April 01, 2024
 * Corticosteroids: Giving and taking away
   April 01, 2024
 * Hematologic complications after kidney and pancreas transplant in a patient
   with chronic myeloid...
   March 01, 2024
 * A tale of scale: Corticosteroids and pustular psoriasis
   March 01, 2024
 * Diagnosis and management of pancreatic cystic lesions for the
   non-gastroenterologist
   February 02, 2024
 * Dealing with the “T” (testosterone)
   February 02, 2024
 * Conjunctival petechiae in infective endocarditis
   January 02, 2024
 * Gastric intestinal metaplasia and gastric cancer prevention: Watchful waiting
   January 02, 2024
 * It’s a new year, looking back and looking forward
   January 02, 2024




LATEST ARTICLES

 * You have access
   Gastroparesis for the nongastroenterologist
   Jorge Araujo-Duran, MD, Arjun Chatterjee, MD and Samita Garg, MD
   Cleveland Clinic Journal of Medicine June 2024, 91 (6) 373-383; DOI:
   https://doi.org/10.3949/ccjm.91a.23078
   
   The authors explore how primary care clinicians can use current
   recommendations to manage patients with mild to moderate gastroparesis.

 * You have access
   Pursuing the diagnosis of low back pain
   Brian F. Mandell, MD, PhD
   Cleveland Clinic Journal of Medicine June 2024, 91 (6) 334-335; DOI:
   https://doi.org/10.3949/ccjm.91b.06024
   
   The recommended conservative approach eschewing initial imaging in patients
   with acute or subacute low back pain is unlikely to miss a significant
   clinical problem in those with no “red flags,” though the evaluation should
   be tempered in patients with chronic low back pain.

 * You have access
   Diabetes technology: A primer for clinicians
   Jayachidambaram Ambalavanan, MD, Diana Isaacs, PharmD, BCPS, BCACP, BC-ADM,
   CDCES and M. Cecilia Lansang, MD, MPH
   Cleveland Clinic Journal of Medicine June 2024, 91 (6) 353-360; DOI:
   https://doi.org/10.3949/ccjm.91a.23073
   
   This review of the basics of various diabetes management devices is intended
   to enhance clinicians’ comfort level in helping patients use these
   technologies.

 * You have access
   Low back pain: Spondylitis?
   Aditi Patel, MD and Jean Schils, MD
   Cleveland Clinic Journal of Medicine June 2024, 91 (6) 339-340; DOI:
   https://doi.org/10.3949/ccjm.91a.23086
   
   A 37-year-old woman was referred to a rheumatology clinic due to symptoms
   concerning for spondylitis after noting intermittent back pain with
   right-sided groin pain.

 * You have access
   Should an NPO order be placed for my patient with acute pancreatitis?
   Aaron Pathak, BA, Siena Blackwell, BSN and Robert Jay Sealock, MD
   Cleveland Clinic Journal of Medicine June 2024, 91 (6) 341-343; DOI:
   https://doi.org/10.3949/ccjm.91a.24009
   
   Resting the pancreas with extended periods of nothing by mouth status or
   total parenteral nutrition is no longer considered the standard of care.

 * You have access
   A hidden cause of hypokalemia
   Kanza Haq, MD, Zein Alabdin Hannouneh, MD, C. Elena Cervantes, MD and Mohamad
   Hanouneh, MD
   Cleveland Clinic Journal of Medicine June 2024, 91 (6) 345-351; DOI:
   https://doi.org/10.3949/ccjm.91a.24002
   
   A 21-year-old man presented with increasing fatigue and psychosis symptoms.
   Laboratory testing results were consistent with a metabolic disorder.

 * You have access
   Preexposure prophylaxis for preventing HIV infection: Routine practice in
   primary care
   CME article
   Amy L. Wiser, MD, IBCLC
   Cleveland Clinic Journal of Medicine June 2024, 91 (6) 361-371; DOI:
   https://doi.org/10.3949/ccjm.91a.23079
   
   Knowing how to conduct a thorough sexual history and prescribe PrEP
   medications can contribute to reducing the incidence of new HIV infection.

 * You have access
   New CCJM faces and features
   Brian F. Mandell, MD, PhD
   Cleveland Clinic Journal of Medicine May 2024, 91 (5) 263; DOI:
   https://doi.org/10.3949/ccjm.91b.05024
   
   Hospitalist James Pile, MD, and nephrologist George Thomas, MD, join the
   Journal staff as deputy editors.

 * You have access
   Do I always need a central venous catheter to administer vasopressors?
   Zainab J. Gandhi, MD, Siddharth Dugar, MD, FCCP, FCCM, FASE and Ryota Sato,
   MD, EDIC
   Cleveland Clinic Journal of Medicine May 2024, 91 (5) 287-291; DOI:
   https://doi.org/10.3949/ccjm.91a.23033
   
   Although generally preferred, central venous catheters carry risks such as
   procedural complications, infection, and thrombosis. Clinicians must assess,
   case by case, whether a peripheral intravenous catheter can be used.

 * You have access
   Functional dyspepsia: How to manage the burn and the bloat
   CME article
   Scott Gabbard, MD and Nina Vijayvargiya, BS
   Cleveland Clinic Journal of Medicine May 2024, 91 (5) 301-307; DOI:
   https://doi.org/10.3949/ccjm.91a.23062
   
   The authors discuss how to diagnose and treat the 2 subtypes of functional
   dyspepsia: epigastric pain syndrome (burning and pain) and postprandial
   distress syndrome (bloating and satiety).

View more latest articles
 * Editor's Picks
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A hidden cause of hypokalemia
Low back pain: Spondylitis?
Should I refer my patient for a parathyroidectomy?
Simultaneous hemorrhage and venous thrombosis in a patient with systemic lupus
erythematosus
When should I give corticosteroids to my patient with Pneumocystis pneumonia?
Acquired reactive perforating collagenosis in a patient with diabetes
Is there a role for chronic suppressive therapy in herpes simplex virus
infection?
Steroid use triggers severe psoriatic reaction
What are the management considerations for venous thromboembolic events in
patients with cirrhosis?
Hypertension and severe hyperreninemia in a young man
Nonstatin therapy to reduce low-density lipoprotein cholesterol and improve
cardiovascular outcomes
Wearable cardiac monitors: Where do we stand?



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busy clinicians with practical information to promote better patient care.


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