Cleveland Clinic journal of medicine
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Review Case Reports
A practical program for preventing delirium in hospitalized elderly patients.
Delirium in hospitalized elderly patients is common and often unrecognized (especially the hypoactive type), and can lead to serious complications. A systematic program can improve the rate of recognition of this problem and decrease its incidence, and is cost-effective.
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Review Case Reports
Polymyalgia rheumatica: clinical presentation is key to diagnosis and treatment.
Polymyalgia rheumatica should be considered in the differential diagnosis in patients over 50 years old who present with bilateral achiness and stiffness in the shoulders or hips or both. It usually responds quickly to once-daily, low-dose prednisone, but some patients require treatment for several years. Polymyalgia rheumatica frequently overlaps with giant cell arteritis, and patients must be followed closely for development of complications from this condition, especially aortitis.
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Review
Strengthening the standards for preventing heart disease and stroke: the recent AHA guidelines.
Recent American Heart Association guidelines to prevent cardiovascular disease and stroke call for managing risk factors more aggressively than ever before, especially in people identified as being at high risk.
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Review Meta Analysis Comparative Study
Tricyclics, not SSRIs, effective for chronic back pain.
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Review Comparative Study
Hypoglycemia in diabetes: common, often unrecognized.
Hypoglycemic episodes in patients with diabetes often go unrecognized, and over time, patients may lose the ability to sense hypoglycemia, increasing their risk. Intensive diabetes control is beneficial for patients with diabetes, but it increases their risk of hypoglycemia, underscoring the complexity of diabetes management.