Cleveland Clinic Physical Therapy Continuing Education
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Mucormycosis presenting as dental pain
Cleveland Clinic Journal of Medicine October 2022, 89 (10) 553-555; DOI: https://doi.org/10.3949/ccjm.89a.22001
A root canal procedure failed to relieve the pain, and 1 week later the patient developed mobility of the left upper teeth.
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Atrial fibrillation: Rate control or rhythm control?
Radhika Deshpande, MBBS , Yasser Al Khadra, MD , Raad Al-Tamimi, MBBS , Nour Albast, MBBS and Mohamed Labedi, MD
Cleveland Clinic Journal of Medicine October 2022, 89 (10) 567-571; DOI: https://doi.org/10.3949/ccjm.89a.21093
Rate control has been preferred as the primary approach, but the pendulum is swinging in favor of rhythm control.
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Confusion in a 22-year-old woman, and diagnostic uncertainty
Brian Elliott, MD , Christopher Newey, DO, MS , Katelynn Alcorn, MPH and Luke McCoy, MD
Cleveland Clinic Journal of Medicine October 2022, 89 (10) 589-595; DOI: https://doi.org/10.3949/ccjm.89a.20176
The patient had been complaining of gradual-onset and progressive headache and neck and back pain for 3 weeks.
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Scaly plaques in a malnourished patient
Sandra Oska, MD , Harleen Arora, MD and Allison Zarbo, MD
Cleveland Clinic Journal of Medicine October 2022, 89 (10) 551-552; DOI: https://doi.org/10.3949/ccjm.89a.21112
A markedly low serum zinc level and the characteristic location of the rash in a patient with long-standing alcohol use disorder and cirrhosis led to the correct diagnosis.
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Decongesting heart failure with diuretics: Easier to prescribe than to fully understand
Brian F. Mandell, MD, PhD
Cleveland Clinic Journal of Medicine October 2022, 89 (10) 545-546; DOI: https://doi.org/10.3949/ccjm.89b.10022
Digging deep into the pathophysiology of diuretic resistance reveals complex interacting pathways. But none of these pathways can fully explain or be used to safely reverse diuretic resistance.
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How do I interpret and use quantitative buprenorphine and norbuprenorphine urine levels?
CME article
Richard C. Waters, MD, MSc and Matthew Perez, MD
Cleveland Clinic Journal of Medicine October 2022, 89 (10) 557-560; DOI: https://doi.org/10.3949/ccjm.89a.21019
Confirmatory testing of urine samples can be useful in outpatient settings where buprenorphine dosing is not directly observed. But retaining and engaging the patient in effective treatment should be the ultimate goals of testing.
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How do we maximize diuresis in acute decompensated heart failure?
CME article
Saeid Mirzai, DO , Christopher N. Kanaan, MD , Felix Berglund, MD , Maria Mountis, DO and Heba Wassif, MD, MPH
Cleveland Clinic Journal of Medicine October 2022, 89 (10) 561-565; DOI: https://doi.org/10.3949/ccjm.89a.22016
The initial goal is to maximize loop diuretic therapy using urine output or urinary sodium for guidance. Combination therapy can be used when patients respond poorly to escalating loop diuretic doses.
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Blue sclera: An overlooked finding of iron deficiency
Cleveland Clinic Journal of Medicine October 2022, 89 (10) 549-550; DOI: https://doi.org/10.3949/ccjm.89a.22045
The pathogenesis is thought to involve thinning of collagen fibers of the sclera due to iron deficiency, allowing the bluish color of the underlying uvea to become visible.
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Diagnostic stewardship for urinary tract infection: A snapshot of the expert guidance
Glenn T. Werneburg, MD, PhD and Daniel D. Rhoads, MD
Cleveland Clinic Journal of Medicine October 2022, 89 (10) 581-587; DOI: https://doi.org/10.3949/ccjm.89a.22008
New guidance on ordering, processing, and reporting urine cultures focuses on reducing unnecessary antibiotic use and the misdiagnosis of urinary tract infection.
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A 65-year-old man with melena and a blood disorder
Monia E. Werlang, MD , Marilia L. Montenegro, MD and Bhaumik Brahmbhatt, MD, MBBS
Cleveland Clinic Journal of Medicine October 2022, 89 (10) 573-578; DOI: https://doi.org/10.3949/ccjm.89a.20175
The patient had chronic anemia related to primary myelofibrosis and was being treated with epoetin alfa and ruxolitinib, with blood transfusions every other week.
Cleveland Clinic Journal of Medicine, published by Cleveland Clinic, provides busy clinicians with practical information to promote better patient care.
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Source: https://www.ccjm.org/
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