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Q: When should I discuss driving with my older patients?
(Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - December 31, 2014 Category: Journals (General) Authors: KONCILJA, K., MESSINGER-RAPPORT, B. J., SYED, Q. Tags: 1-Minute Consult Source Type: research

Retroperitoneal cyst hemorrhage in polycystic kidney disease
(Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - December 31, 2014 Category: Journals (General) Authors: CHENG, C. I., KARVELAS, N. B., ARONOWITZ, P. Tags: The Clinical Picture Source Type: research

Joint pain in a man with lung cancer
(Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - December 31, 2014 Category: Journals (General) Authors: JERNIGAN, E., SIDDIQI, N., PEDDI, P. Tags: The Clinical Picture Source Type: research

Short and sweet: Writing better consult notes in the era of the electronic medical record
(Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - December 31, 2014 Category: Journals (General) Authors: VENKAT, K. K. Tags: Commentary Source Type: research

In reply
(Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - December 31, 2014 Category: Journals (General) Authors: CHING SUN, G. E., KASHYAP, S. R., NASR, C. Tags: Letters to the Editor Source Type: research

Insulin therapy and cancer risk (OCTOBER 2014)
(Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - December 31, 2014 Category: Journals (General) Authors: FOUNTAS, A., ROSIOU, G., TSATSOULIS, A. A. Tags: Letters to the Editor Source Type: research

A new year and a new face for www.ccjm.org
(Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - December 31, 2014 Category: Journals (General) Authors: MANDELL, B. F. Tags: From The Editor Source Type: research

Tilt-table testing
(Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - December 1, 2014 Category: Journals (General) Tags: Patient Information Source Type: research

Syncope: Etiology and diagnostic approach
There are three major types of syncope: neurally mediated (the most common), orthostatic hypotensive, and cardiac (the most worrisome). Several studies have shown a normal long-term survival rate in patients with syncope who have no structural heart disease, which is the most important predictor of death and ventricular arrhythmia. The workup of unexplained syncope depends on the presence or absence of heart disease: electrophysiologic study if the patient has heart disease, tilt-table testing in those without heart disease, and prolonged rhythm monitoring in both cases if syncope remains unexplained. (Source: Cleveland Cl...
Source: Cleveland Clinic Journal of Medicine - December 1, 2014 Category: Journals (General) Authors: HANNA, E. B. Tags: Review Source Type: research

Perioperative medicine: Combining the science and the art
(Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - December 1, 2014 Category: Journals (General) Authors: GRANT, P. J. Tags: Editorial Source Type: research

Updated guidelines on cardiovascular evaluation before noncardiac surgery: A view from the trenches
In August 2014, the American College of Cardiology and American Heart Association updated their guidelines on cardiovascular evaluation and care before noncardiac surgery and simultaneously published a systematic review of perioperative use of beta-blockers. The update reinforces many previous recommendations and provides new evidence and expert opinion that is useful to the perioperative team. (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - December 1, 2014 Category: Journals (General) Authors: COHN, S. L. Tags: Review Source Type: research

Identifying statin-associated autoimmune necrotizing myopathy
Statins up-regulate expression of 3-hydroxy-3-methylglutaryl coenzyme A reductase (HMGCR), the rate-limiting enzyme in cholesterol synthesis and the major target of autoantibodies in statin-associated immune-mediated necrotizing myopathy. As muscle cells regenerate, they express high levels of HMGCR, which may sustain the immune response even after statin therapy is stopped. Awareness of this entity will help physicians who prescribe statins to take action to limit the associated morbidity. (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - December 1, 2014 Category: Journals (General) Authors: ALBAYDA, J., CHRISTOPHER-STINE, L. Tags: Review Source Type: research

Ebola virus: Questions, answers, and more questions
This report reviews the clinical virology of Ebola virus, the reported proposed treatments, and the current outbreak. (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - December 1, 2014 Category: Journals (General) Authors: BRIZENDINE, K. D. Tags: Medical Grand Rounds Source Type: research

A 41-year-old man with abdominal pain
(Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - December 1, 2014 Category: Journals (General) Authors: REHMAN, H. Tags: IM Board Review Source Type: research

Q: Is antibiotic treatment indicated in a patient with a positive urine culture but no symptoms?
(Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - December 1, 2014 Category: Journals (General) Authors: HECKER, M. T., DONSKEY, C. J. Tags: 1-Minute Consult Source Type: research