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Cleveland Clinic Journal of Medicine

https://read.qxmd.com/read/36858618/to-repeat-or-not-to-repeat-measuring-bone-mineral-density-during-anti-resorptive-therapy-or-a-drug-holiday
#1
REVIEW
Tayyab S Khan, Partha Sinha, Harold Rosen
An initial bone mineral density (BMD) measurement is used to diagnose osteoporosis and decide whether patients need treatment, but the utility of repeating this test in those on treatment or on a drug holiday (ie, during a pause in bisphosphonate treatment) is controversial. Here, we present evidence for and against the use of BMD monitoring in patients receiving antiresorptive therapy or on a drug holiday, and give our recommendations, arguing against a one-size-fits-all approach.
March 1, 2023: Cleveland Clinic Journal of Medicine
https://read.qxmd.com/read/36858617/update-on-current-contraceptive-options-a-case-based-discussion-of-efficacy-eligibility-and-use
#2
REVIEW
Alexa Nicole Fiffick, Tara K Iyer, Tiffany Cochran, Pelin Batur
With high rates of unintended pregnancy in the United States, it is crucial for clinicians to be well-informed about the full spectrum of contraceptive options to improve reproductive autonomy. We review new contraceptive options including a nonhormonal intravaginal gel, hormonal contraceptives in the form of new pills, patches, and vaginal rings, and combined hormonal contraceptives that contain new estrogens as alternatives to ethinyl estradiol. We review updated prescribing methods for several established hormonal contraceptives such as depot medroxyprogesterone acetate, which is now available for subcutaneous self-injection...
March 1, 2023: Cleveland Clinic Journal of Medicine
https://read.qxmd.com/read/36858616/fundic-gland-polyps-should-my-patient-stop-taking-ppis
#3
JOURNAL ARTICLE
Jiafei Carolyn Niu, Yi Qin
No abstract text is available yet for this article.
March 1, 2023: Cleveland Clinic Journal of Medicine
https://read.qxmd.com/read/36858615/smallpox-and-monkeypox-looking-back-and-looking-ahead
#4
REVIEW
Paolo Sossai, Domenico Staiti, Massimiliano Cannas, Piero Grima
The monkeypox (mpox) epidemic was declared a global health emergency in July 2022. The mpox virus belongs to the same virus family as the smallpox, or variola virus, but the infection is a less lethal threat than smallpox. Nevertheless, its relationship to smallpox is a worldwide concern, as is the discontinuation of universal smallpox vaccinations since the 1980s. Newer therapies and vaccines are available for both infections, including 2 antiviral drugs that can be used under certain conditions. Two vaccines have been developed for mpox prevention, but clarity is needed on when and how to use them...
March 1, 2023: Cleveland Clinic Journal of Medicine
https://read.qxmd.com/read/36858614/mass-under-the-lip
#5
JOURNAL ARTICLE
Sagar Khanna
No abstract text is available yet for this article.
March 1, 2023: Cleveland Clinic Journal of Medicine
https://read.qxmd.com/read/36858613/the-cost-of-free-advising-patients-about-sponsored-genetic-testing
#6
JOURNAL ARTICLE
Stephanie Allison Larson, Joseph Liu, David Flannery, Marsha Michie, Paul J Ford
No abstract text is available yet for this article.
March 1, 2023: Cleveland Clinic Journal of Medicine
https://read.qxmd.com/read/36858612/viruses-change-we-can-too
#7
EDITORIAL
Brian F Mandell
No abstract text is available yet for this article.
March 1, 2023: Cleveland Clinic Journal of Medicine
https://read.qxmd.com/read/36858611/colovesical-fistula-in-men-with-chronic-urinary-tract-infection-a-diagnostic-challenge
#8
REVIEW
Risheng Xu, Austin Vaughan, Mitchell Fagan, Dylan P Schumacher, Verra Wekullo, Bruce Gehrke
Although uncommon, colovesical fistula creates significant morbidity, and many patients wait months to receive a correct diagnosis and treatment. Most cases are in older men who have diverticular disease, Crohn disease, cancer, or iatrogenic injury, and some of these associations may have occurred in the patient's distant past and may not be immediately apparent. Since the incidence of diverticulitis in elderly patients is increasing and, in a separate trend, more patients are undergoing bladder instrumentation, we need to suspect this diagnosis when evaluating any patient with urinary tract infection, especially a man with prolonged symptoms refractory to conventional treatments...
March 1, 2023: Cleveland Clinic Journal of Medicine
https://read.qxmd.com/read/36858610/what-is-the-rationale-for-the-laboratory-workup-for-suspected-pheochromocytomas-and-paragangliomas
#9
JOURNAL ARTICLE
Hiba Z Hashmi, Muhammad Arslan Arif Maan, Laura LaFave
No abstract text is available yet for this article.
March 1, 2023: Cleveland Clinic Journal of Medicine
https://read.qxmd.com/read/36724919/a-50-year-old-man-presents-with-shortness-of-breath
#10
JOURNAL ARTICLE
Kaylee Watson, David Wolinsky, Mauricio Velez, David Snipelisky
No abstract text is available yet for this article.
February 1, 2023: Cleveland Clinic Journal of Medicine
https://read.qxmd.com/read/36724918/oral-leukoplakia-and-oral-cancer
#11
JOURNAL ARTICLE
Takeshi Onda, Kamichika Hayashi, Akira Katakura, Masayuki Takano
No abstract text is available yet for this article.
February 1, 2023: Cleveland Clinic Journal of Medicine
https://read.qxmd.com/read/36724917/resistant-hypertension-a-stepwise-approach
#12
REVIEW
Jordana Yahr, George Thomas, Juan Calle, Jonathan J Taliercio
Resistant hypertension can be challenging to manage, but a stepwise approach to diagnosis, evaluation, and treatment can lead to better blood pressure control. In this article, we review the definition and prevalence of resistant hypertension and its diagnostic workup and management, including lifestyle modifications, drugs, and experimental interventional therapies.
February 1, 2023: Cleveland Clinic Journal of Medicine
https://read.qxmd.com/read/36724916/what-are-the-treatment-options-for-myasthenia-gravis-if-first-line-agents-fail
#13
JOURNAL ARTICLE
Christopher Zust, John A Morren
No abstract text is available yet for this article.
February 1, 2023: Cleveland Clinic Journal of Medicine
https://read.qxmd.com/read/36724915/myasthenia-gravis-an-update-for-internists
#14
EDITORIAL
Brian F Mandell
No abstract text is available yet for this article.
February 1, 2023: Cleveland Clinic Journal of Medicine
https://read.qxmd.com/read/36724914/myasthenia-gravis-frequently-asked-questions
#15
REVIEW
John A Morren, Yuebing Li
Myasthenia gravis is a disorder of neuromuscular junction transmission, the result of antibodies against the post-synaptic aspect of the neuromuscular junction. Its clinical hallmark is fatigable weakness of skeletal muscles, which tends to vary in location and severity among patients. It is treated with pyridostigmine, immunotherapy, and thymectomy. Treatment is often individualized according to disease severity, antibody status, comorbidities, and other factors. This review uses a question-and-answer format to provide up-to-date, high-yield, clinically relevant information on myasthenia gravis...
February 1, 2023: Cleveland Clinic Journal of Medicine
https://read.qxmd.com/read/36724913/our-peer-reviewers-for-2022
#16
EDITORIAL
Brian F Mandell
No abstract text is available yet for this article.
February 1, 2023: Cleveland Clinic Journal of Medicine
https://read.qxmd.com/read/36724912/the-constellation-of-vitamin-d-the-acute-phase-response-and-inflammation
#17
JOURNAL ARTICLE
Maria J Antonelli, Irving Kushner, Murray Epstein
No abstract text is available yet for this article.
February 1, 2023: Cleveland Clinic Journal of Medicine
https://read.qxmd.com/read/36724911/vitamin-d-a-metabolic-bone-disease-perspective
#18
EDITORIAL
Bruce Long
No abstract text is available yet for this article.
February 1, 2023: Cleveland Clinic Journal of Medicine
https://read.qxmd.com/read/36596603/some-complexities-of-diabetes-and-the-heart
#19
EDITORIAL
Brian F Mandell
No abstract text is available yet for this article.
January 3, 2023: Cleveland Clinic Journal of Medicine
https://read.qxmd.com/read/36596602/what-are-my-obligations-to-my-incarcerated-patient
#20
JOURNAL ARTICLE
Farah Acher Kaiksow, Deval Patel, Norman Fost
No abstract text is available yet for this article.
January 3, 2023: Cleveland Clinic Journal of Medicine
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