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Hand, foot, and mouth disease: Identifying and managing an acute viral syndrome
Hand, foot, and mouth disease (HFMD) is a common, typically self-limited viral syndrome in children and adults. It is marked by fever, oral ulcers, and skin manifestations affecting the palms, soles, and buttocks, with symptoms usually lasting less than 1 week. Because it has the potential to reach epidemic levels in the United States, general practitioners need to be aware of it. (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - September 2, 2014 Category: Journals (General) Authors: REPASS, G. L., PALMER, W. C., STANCAMPIANO, F. F. Tags: Review Source Type: research

To improve our patients' health, look beyond reducing readmissions
(Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - September 2, 2014 Category: Journals (General) Authors: WARMUTH, A. J., PHILLIPS, S. C. Tags: Commentary Source Type: research

Q: Can we reduce the risk of readmission for a patient with an exacerbation of COPD?
(Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - September 2, 2014 Category: Journals (General) Authors: AYACHE, M. B., BOYAJI, S., PILE, J. C. Tags: 1-Minute Consult Source Type: research

Erythema and atrophy on the tongue
(Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - September 2, 2014 Category: Journals (General) Authors: GOMEZ-MOYANO, E., MARTINEZ-PILAR, L., PEREZ-BELMONTE, L. M., GODOY-DIAZ, D. J. Tags: The Clinical Picture Source Type: research

Allergic to the sun
(Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - September 2, 2014 Category: Journals (General) Authors: RAJAN, N. M., ELLIS, C. L. Tags: The Clinical Picture Source Type: research

Hypertrophic cardiomyopathy apical variant
(Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - September 2, 2014 Category: Journals (General) Authors: HO, A. M. H., CHUI, P. T., LEE, A. P. W., WAN, S. Tags: The Clinical Picture Source Type: research

Polycystic kidney disease: Molecular understanding dictating management
(Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - September 2, 2014 Category: Journals (General) Authors: MANDELL, B. F. Tags: From The Editor Source Type: research

Perioperative beta-blockers in noncardiac surgery: The evidence continues to evolve
The effectiveness and safety of giving beta-blockers to patients undergoing noncardiac surgery remain controversial. The use of these drugs in this clinical scenario increased after the publication of two positive trials in the late 1990s and was encouraged by national organizations and clinical guidelines. However, when several subsequent studies failed to show a benefit, recommendations became more limited and use decreased. This paper reviews recent evidence for and against the perioperative use of beta-blockers. (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - August 1, 2014 Category: Journals (General) Authors: MUSHTAQ, M., COHN, S. L. Tags: Review Source Type: research

Treating epilepsy in the elderly: More art than science
(Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - August 1, 2014 Category: Journals (General) Authors: LEPPIK, I. E., BIRNBAUM, A. K. Tags: Editorial Source Type: research

New-onset epilepsy in the elderly: Challenges for the internist
New-onset epilepsy in the elderly is difficult to diagnose, owing to atypical presentation, concomitant cognitive impairment, similarities with other common disorders, and nonspecific changes on electroencephalography (EEG). Its management is also challenging because of its deranging physiology, comorbidities, and polypharmacy. Antiepileptic drugs must be carefully chosen and closely monitored. Support of the patient and caregiver is key. (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - August 1, 2014 Category: Journals (General) Authors: GHOSH, S., JEHI, L. E. Tags: Review Source Type: research

Sleep apnea ABCs: Airway, breathing, circulation
Obstructive sleep apnea (OSA) is increasingly common but largely underrecognized. Untreated, it is associated with heart disease, stroke, and sudden nocturnal death. Simple clinical assessments can determine if a patient is likely to have OSA and is a candidate for diagnostic polysomnography. Continuous positive airway pressure (CPAP) is the mainstay of treatment and ameliorates symptoms as well as long-term sequelae. Patient education and effective troubleshooting and evaluation of CPAP adherence issues increase successful adjustment to therapy. Alternative treatments can be considered in those whose OSA does not respond ...
Source: Cleveland Clinic Journal of Medicine - August 1, 2014 Category: Journals (General) Authors: MEHRA, R. Tags: Medical Grand Rounds Source Type: research

A 78-year-old smoker with an incidental pulmonary mass
(Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - August 1, 2014 Category: Journals (General) Authors: TAVARE, A. N., CASH, C. Tags: The Clinical Picture Source Type: research

Alveolar proteinosis: A slow drowning in mud
(Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - August 1, 2014 Category: Journals (General) Authors: ALSHATI, M. H. Tags: The Clinical Picture Source Type: research

Better care is the best defense: High-value clinical practice vs defensive medicine
(Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - August 1, 2014 Category: Journals (General) Authors: SULMASY, L. S., WEINBERGER, S. E. Tags: Smart Testing Source Type: research

Do imaging studies have value in a patient with acute, nonspecific low back pain?
(Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - August 1, 2014 Category: Journals (General) Authors: SMITH, C. D., ALGUIRE, P. C. Tags: Smart Testing Source Type: research