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Patient information: Obesity and exercise
Obesity means having a body mass index (BMI) of 30 or higher. Being obese increases your risk of health problems including high blood pressure, diabetes, cholesterol, arthritis, cancer, and... (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - January 23, 2016 Category: Journals (General) Tags: CCJM Patient Education CCJM Cardiology CCJM Diabetes Endocrinology & Metabolism CCJM General Internal Medicine CCJM Men's Health CCJM Obesity Weight Management CCJM Preventive Medicine CCJM Women's Health Source Type: research

Serum allergen-specific IgE testing: How much is too much?
A 25-YEAR-OLD MAN is evaluated for angioedema (swelling of lips and tongue) after eating paella at a Spanish restaurant. He has no history of allergies, but he says he had never eaten such a large... (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - January 4, 2016 Category: Journals (General) Tags: CCJM Smart Testing CCJM Allergy & Immunology CCJM Home Page Slider Source Type: research

Managing interstitial lung disease detected on CT during lung cancer screening
PRIMARY CARE PHYSICIANS are playing a bigger role in evaluating the incidental finding of interstitial lung diseases since the recent publication of guidelines recommending computed tomography (CT)... (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - January 4, 2016 Category: Journals (General) Tags: CCJM Review CCJM CME CCJM Slide-Out CCJM General Internal Medicine CCJM Imaging CCJM Oncology CCJM Pulmonary CCJM Home Page Slider Source Type: research

Alcohol withdrawal syndrome in medical patients
DEPRIVED OF ALCOHOL while in the hospital, up to 80% of patients who are alcohol-dependent risk developing alcohol withdrawal syndrome,1 a potentially life-threatening condition.... (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - January 4, 2016 Category: Journals (General) Tags: CCJM Review CCJM CME CCJM Slide-Out CCJM Critical Care CCJM Drug Therapy CCJM Emergency Medicine CCJM General Internal Medicine CCJM Hospital Medicine Source Type: research

Obstructive sleep apnea: Who should be tested, and how?
PATIENTS WHO HAVE risk factors for obstructive sleep apnea (OSA) or who report symptoms of OSA should be screened for it, first with a complete sleep history and standardized questionnaire, and then... (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - January 4, 2016 Category: Journals (General) Tags: CCJM 1-Minute Consult CCJM Cardiology CCJM Geriatrics CCJM Men's Health CCJM Obesity & Weight Management CCJM Preventive Medicine CCJM Sleep Medicine CCJM Women's Health Source Type: research

Not all abdominal pain is gastrointestinal
A 31-YEAR-OLD WOMAN presents to the office with a chief complaint of right mid-abdominal pain that began 1 day ago. She says she did not seek medical attention earlier because she had to be at work... (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - January 4, 2016 Category: Journals (General) Tags: CCJM Internal Medicine Board Review CCJM Gastroenterology and Hepatology CCJM Neurology CCJM Pain Source Type: research

Approach to asymptomatic creatine kinase elevation
MEASURING SERUM CREATINE KINASE (CK) is an important part of the evaluation of patients with muscle weakness or myalgia, and of assessing patients with myopathies or rhabdomyolysis. But elevated CK... (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - January 4, 2016 Category: Journals (General) Tags: CCJM CME CCJM Review CCJM Slide-Out CCJM Cardiology CCJM Diabetes Endocrinology & Metabolism CCJM Hematology CCJM Rheumatology CCJM Allergy Immunology Source Type: research

Autoantibody-­mediated encephalitis: Not just paraneoplastic, not just limbic, and not untreatable
A 79-YEAR-OLD WOMAN with a history of breast cancer in remission and hypertension presented to a local emergency department because of subacute memory loss and compulsive shopping. Her serum sodium... (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - January 4, 2016 Category: Journals (General) Tags: CCJM Review CCJM CME CCJM Slide-Out CCJM Allergy & Immunology CCJM Emergency Medicine CCJM Neurology CCJM Home Page Slider Source Type: research

The simple lab test is sometimes more complex than we think, if we think about it at all
We are all exposed to initiatives from multiple... (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - January 4, 2016 Category: Journals (General) Tags: CCJM From the Editor CCJM Viewpoints & Opinions CCJM General Internal Medicine CCJM Neurology CCJM Rheumatology Source Type: research

Eventration of the diaphragm presenting as spontaneous pneumothorax
A 25-YEAR-OLD MAN with a 2-day history of upper respiratory tract infection presents to the emergency department with the sudden onset of right-sided back and chest pain and shortness of breath after... (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - January 4, 2016 Category: Journals (General) Tags: CCJM The Clinical Picture CCJM Emergency Medicine CCJM Imaging CCJM Infectious Diseases CCJM Pulmonary CCJM Home Page Slider Source Type: research

Bony bumps in the mouth
A 79-YEAR-OLD WOMAN with a long history of limited scleroderma was being evaluated in the rheumatology clinic. During routine examination of the oral cavity, masses were noted on her hard palate and... (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - January 4, 2016 Category: Journals (General) Tags: CCJM The Clinical Picture CCJM Dermatology CCJM Oncology CCJM Rheumatology CCJM Home Page Slider Source Type: research

Selecting antithrombotic therapy for patients with atrial fibrillation
When considering anticoagulant therapy for patients with atrial fibrillation, one must balance the reduction in risk of thromboembolism that this therapy offers against the risk of bleeding that it poses. The American Heart Association, American College of Cardiology, and Heart Rhythm Society updated their atrial fibrillation guidelines in 2014. This review outlines a rationale for clinical decision-making based on the new guidelines and summarizes the currently approved drugs. (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - December 31, 2014 Category: Journals (General) Authors: TANAKA-ESPOSITO, C., CHUNG, M. K. Tags: Review Source Type: research

Quitting smoking: Still a challenge, but newer tools show promise
This article provides physicians guidelines for helping patients to quit this addictive disorder. (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - December 31, 2014 Category: Journals (General) Authors: COLLINS, G. B., JERRY, J. M., BALES, R. Tags: Review Source Type: research

Rule out pulmonary tuberculosis: Clinical and radiographic clues for the internist
As tuberculosis rates decline in the United States, clinicians are less likely to consider it early in a patient’s illness. Certain clinical and radiographic features increase the likelihood of tuberculosis. This review covers the clinical and radiographic features of tuberculosis, the initial evaluation of the patient, the use of airborne infection isolation, and the utility of new molecular techniques in diagnosing tuberculosis. (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - December 31, 2014 Category: Journals (General) Authors: CURLEY, C. A. Tags: Review Source Type: research

Enterovirus D68: A clinically important respiratory enterovirus
Seasonal peaks of viral respiratory illnesses are common during late summer and early fall and have often been attributed to human rhinovirus. In the fall of 2014, the number of children hospitalized with severe lower respiratory symptoms and asthma suddenly increased, and the children tested positive by sequencing for enterovirus D68 (EV-D68). As the outbreak unfolded, a possible association was also observed between EV-D68 infection, polio-like acute flaccid paralysis, and cranial neuropathy in children. (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - December 31, 2014 Category: Journals (General) Authors: FOSTER, C. B., FRIEDMAN, N., CARL, J., PIEDIMONTE, G. Tags: Review Source Type: research