Best practices in LGBT care: A guide for primary care physicians
PRIMARY CARE PHYSICIANS are very likely to encounter lesbian, gay, bisexual, and transgender (LGBT) patients in their practice, and must be able to provide informed, appropriate, and culturally... (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - July 1, 2016 Category: Journals (General) Tags: CCJM Review CCJM CME CCJM Slide-Out CCJM Adolescent Medicine CCJM Diabetes Endocrinology & Metabolism CCJM Men's Health CCJM Mental Health CCJM Preventive Medicine Source Type: research

A female liver transplant recipient asks: Can I become pregnant?
Yes, pregnancy is possible, but not immediately after transplant, and it involves risks. Appropriate management and multidisciplinary care are necessary to optimize the outcomes. <span... (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - July 1, 2016 Category: Journals (General) Tags: CCJM 1-Minute Consult CCJM Hepatology CCJM Women's Health Source Type: research

Alpha-1 antitrypsin deficiency: An underrecognized, treatable cause of COPD
ALPHA-1 ANTITRYPSIN DEFICIENCY is a common but underrecognized genetic condition that increases the risk of chronic obstructive pulmonary disease (COPD) and liver disease. Primary care providers can... (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - July 1, 2016 Category: Journals (General) Tags: CCJM Review CCJM CME CCJM Slide-Out CCJM Pulmonary CCJM Hepatology CCJM Genetics CCJM Home Page Slider Source Type: research

A serpiginous, itchy rash on the foot
A 22-YEAR-OLD WOMAN presented with a serpiginous, erythematous, itchy lesion on her left foot (Figure 1), 10 days after returning from a beach holiday in... (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - July 1, 2016 Category: Journals (General) Tags: CCJM The Clinical Picture CCJM Dermatology CCJM Infectious Diseases Source Type: research

The evolution of office notes and the electronic medical record: The CAPS note
UNTIL THE ADVENT of the electronic medical record (EMR), patient charts were filled with handwritten notes documenting visits to the office and read in linear fashion, starting with the patient’s... (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - July 1, 2016 Category: Journals (General) Tags: CCJM Review CCJM Hospital Medicine CCJM Practice Management Source Type: research

LGBT care: There has been progress
<link... (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - July 1, 2016 Category: Journals (General) Tags: CCJM From the Editor CCJM Viewpoints & Opinions CCJM Adolescent Medicine CCJM Diabetes Endocrinology Metabolism CCJM Infectious Diseases CCJM Men's Health CCJM Mental Health CCJM Practice Management CCJM Preventive Medicine CCJM Source Type: research

Detecting cancer: Pearls for the primary care physician
ACCORDING TO THE Surveillance, Epidemiology, and End Results database, 5-year overall survival rates have improved for nearly all tumor types during the past 40 years.1 This has been... (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - June 24, 2016 Category: Journals (General) Tags: CCJM CME CCJM Review CCJM Home Page Slider CCJM Slide-Out CCJM Oncology Source Type: research

Opioids for persistent pain in older adults
THE USE  OF OPIOID ANALGESICS is widely accepted for treating severe acute pain, cancer pain, and pain at the end of life.1 However, their long-term use for other types of persistent... (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - June 1, 2016 Category: Journals (General) Tags: CCJM Review CCJM CME CCJM Geriatrics CCJM Men's Health CCJM Women's Health CCJM Pain CCJM Home Page Slider CCJM Slide-Out Source Type: research

Navigating pneumococcal vaccination in adults
STREPTOCOCCUS PNEUMONIAE (the “pneumococcus”) causes a variety of clinical syndromes that range from otitis media to bacteremia, meningitis, and pneumonia. Hardest hit are immunocompromised... (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - June 1, 2016 Category: Journals (General) Tags: CCJM CME CCJM Review CCJM Slide-Out CCJM Drug Therapy CCJM Geriatrics CCJM Infectious Diseases CCJM Preventive Medicine Source Type: research

Should I suspect obstructive sleep apnea if a patient has hard-to-control hypertension?
Yes. Obstructive sleep apnea is common and is associated with hypertension and resistant hypertension. Physicians taking care of patients who have hard-to-control hypertension should be aware of the... (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - June 1, 2016 Category: Journals (General) Tags: CCJM 1-Minute Consult CCJM Cardiology CCJM Nephrology CCJM Men's Health CCJM Preventive Medicine CCJM Sleep Medicine CCJM Women's Health Source Type: research

A guide to managing acute liver failure
WHEN THE LIVER FAILS, it usually fails gradually. The sudden (acute) onset of liver failure, while less common, demands prompt management, with transfer to an intensive care unit, specific treatment... (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - June 1, 2016 Category: Journals (General) Tags: CCJM CME CCJM Review CCJM Slide-Out CCJM Home Page Slider CCJM Critical Care CCJM Emergency Medicine CCJM Hepatology Source Type: research

Dietary and medical management of recurrent nephrolithiasis
NEPHROLITHIASIS IS COMMON and often recurs. This review focuses on measures to prevent recurrent stone formation. Some measures apply to all patients, and some apply to specific types of stones.... (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - June 1, 2016 Category: Journals (General) Tags: CCJM CME CCJM Review CCJM Home Page Slider CCJM Slide-Out CCJM Nephrology CCJM Practice Management Source Type: research

When does chest CT require contrast enhancement?
COMPUTED TOMOGRAPHY (CT) plays an important role in the diagnosis and treatment of many clinical conditions1 involving the chest wall, mediastinum, pleura, pulmonary arteries, and lung... (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - June 1, 2016 Category: Journals (General) Tags: CCJM 1-Minute Consult CCJM Imaging CCJM Nephrology CCJM Pulmonary Source Type: research

The fifth vital sign: A complex story of politics and patient care
In this issue of the Journal, Dr. Marissa... (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - June 1, 2016 Category: Journals (General) Tags: CCJM From the Editor CCJM Viewpoints & Opinions CCJM Drug Therapy CCJM Hospice Palliative Medicine CCJM Pain CCJM Rheumatology Source Type: research

Anticoagulation in dental surgery: Is it rude to interrupt?
WHEN I WAS GROWING UP, my mother frequently told me that it was rude to interrupt. Although she was referring to conversations, she may have been onto something bigger. In the nearly three quarters... (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - June 1, 2016 Category: Journals (General) Tags: CCJM Commentary CCJM Viewpoints & Opinions CCJM Cardiology CCJM Drug Therapy CCJM Neurology CCJM Vascular Medicine Source Type: research