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Q: Should patients with gout avoid thiazides for hypertension?
(Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - February 3, 2014 Category: Journals (General) Authors: MANDELL, B. F. Tags: 1-Minute Consult Source Type: research

Wide QRS complex rhythm with pulseless electrical activity
(Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - February 3, 2014 Category: Journals (General) Authors: LITTMANN, L. Tags: The Clinical Picture Source Type: research

Slow-growing angiomatous lesions on the limbs
(Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - February 3, 2014 Category: Journals (General) Authors: CUBELLS, J. R. E., FERRIOLS, A. P., DE MIQUEL, V. A. Tags: The Clinical Picture Source Type: research

The impact of anti-TNF therapy on the nonspecialist
(Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - February 3, 2014 Category: Journals (General) Authors: MANDELL, B. F. Tags: From The Editor Source Type: research

Obesity in the elderly: More complicated than you think
The number of obese older adults is on the rise, although we lack a proper definition of obesity in this age group. The ambiguity is primarily related to sarcopenia, the progressive loss of muscle and gain in fat that come with aging. Whether to treat and how to treat obesity in the elderly is controversial because of a paucity of established guidelines, but also because of the obesity paradox—ie, the apparently protective effect of obesity in this age group. (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - January 3, 2014 Category: Journals (General) Authors: CETIN, D. C., NASR, G. Tags: Review Source Type: research

Albuminuria: When urine predicts kidney and cardiovascular disease
Albuminuria is common. Traditionally considered a precursor to diabetic nephropathy, it has now been directly linked to adverse cardiovascular outcomes and death, independent of other risk factors. In this review, we compare the measures of albuminuria, examine the evidence linking it to renal failure, cardiovascular disease, and death, and provide recommendations for its testing and management. (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - January 3, 2014 Category: Journals (General) Authors: STEPHEN, R., JOLLY, S. E., NALLY, J. V., NAVANEETHAN, S. D. Tags: Review Source Type: research

How to spot heritable breast cancer: A primary care physician's guide
This article discusses the complexities of risk assessment in cancer genetics (focusing on breast cancer), and highlights the primary care physician’s role in identifying and caring for patients at risk. (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - January 3, 2014 Category: Journals (General) Authors: SMITH, M., MESTER, J., ENG, C. Tags: Personalizing Patient Care Source Type: research

An 85-year-old with muscle pain
(Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - January 3, 2014 Category: Journals (General) Authors: SNIPELISKY, D., STANCAMPIANO, F. Tags: IM Board Review Source Type: research

Q: Do all hospitalized patients need stress ulcer prophylaxis?
(Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - January 3, 2014 Category: Journals (General) Authors: EISA, N., BAZERBACHI, F., ALRAIYES, A. H., ALRAIES, M. C. Tags: 1-Minute Consult Source Type: research

Deep T waves and chest pain
(Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - January 3, 2014 Category: Journals (General) Authors: ALRAIES, M. C., ALJAROUDI, W., KHAN, U. A., ALRAIYES, A. H. Tags: The Clinical Picture Source Type: research

New cholesterol guidelines: Worth the wait?
(Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - January 3, 2014 Category: Journals (General) Authors: RAYMOND, C., CHO, L., ROCCO, M., HAZEN, S. L. Tags: Commentary Source Type: research

Return of the 'pisse-mongers,' this time with data
(Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - January 3, 2014 Category: Journals (General) Authors: MANDELL, B. F. Tags: From The Editor Source Type: research

Antiplatelet therapy to prevent recurrent stroke: Three good options
Drugs that prevent platelets from sticking together—ie, aspirin, dipyridamole, and clopidogrel—are an important part of therapy to prevent recurrence of ischemic stroke of atherosclerotic origin. We discuss current indications for these drugs and review the evidence behind our current use of aspirin, dipyridamole, and clopidogrel. (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - December 4, 2013 Category: Journals (General) Authors: MANSOOR, A. H., MUJTABA, M. T., SILVER, B. Tags: Review Source Type: research

Third universal definition of myocardial infarction: Update, caveats, differential diagnoses
Updated definitions of myocardial infarction (MI) reflect research on measuring cardiac troponin to diagnose MI. Elevations of this biomarker indicate cardiac injury but not always an acute coronary syndrome. Clinical judgment is needed to interpret increasingly sensitive biomarker assays appropriately. Here, we review the new MI definitions and the various causes of elevated troponin to enable physicians to differentiate acute coronary syndromes from other conditions. (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - December 4, 2013 Category: Journals (General) Authors: TEHRANI, D. M., SETO, A. H. Tags: Review Source Type: research

Ascites in a 42-year-old woman
(Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - December 4, 2013 Category: Journals (General) Authors: BANDYOPADHYAY, D., KOCHHAR, G. S., HANOUNEH, I., NIELSEN, C., BARNES, D. Tags: IM Board Review Source Type: research