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Cleveland Clinic Journal of Medicine

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Current Issue

01 Sep 2023 (Vol. 90 Issue 9) Table of Contents
Cleveland Clinic Journal of Medicine: 90 (9)

Issue highlights

  • Mpox: Keep it on the differential
  • A practical guide for buprenorphine initiation in the primary care setting
  • Petaloid dermatosis affecting the scalp and genitalia

Summaries from the ACP Internal Medicine Meeting 2023

Summaries from the AAN 2023 Annual Meeting

Featured Articles

  • Born again: The many lives of metformin
    September 01, 2023
  • If a patient has cirrhosis, should I correct coagulation abnormalities before a minor invasive...
    September 01, 2023
  • When should pharmacologic therapies be used for uremic pericarditis?
    September 01, 2023
  • Unilateral green pleural effusion in a 22-year-old woman
    August 01, 2023
  • Evaluating troponin elevation in patients with chronic kidney disease and suspected acute coronary...
    August 01, 2023
  • To prophylax or not to prophylax for endocarditis: Still a question
    August 01, 2023
  • Unexplained pathology is not always autoimmune
    July 03, 2023
  • Acute left-sided colonic diverticulitis: A surgeon’s perspective on the ACP guidelines
    July 03, 2023
  • Atypical hyperplasia of the breast: Clinical cases and management strategies
    July 03, 2023
  • Serial serum lipase testing after the initial diagnostic workup for inpatients with acute...
    June 01, 2023
  • Finger nodules: Tip of the gouty iceberg
    June 01, 2023
  • Eruption of erythema after dieting
    June 01, 2023
  • Chondrodermatitis nodularis helicis
    May 01, 2023
  • Aspirin in primary prevention of cardiovascular events: Key questions remain
    May 01, 2023
  • Endocrinopathies from checkpoint inhibitors: Incidence, outcomes, and management
    May 01, 2023
  • Paternalism in practice: How we create obstacles for sexual, reproductive, and menopausal...
    April 03, 2023
  • Chronic centralized pain syndromes: A rheumatologist’s perspective
    April 03, 2023
  • The cost of ‘free’: Advising patients about sponsored genetic testing
    March 01, 2023
  • What is the rationale for the laboratory workup for suspected pheochromocytomas and paragangliomas?
    March 01, 2023
  • Viruses change; we can, too
    March 01, 2023

Latest Articles

  • You have access
    Petaloid dermatosis affecting the scalp and genitalia
    Taylor A. Bullock, MD, Shruti Agrawal, MD and Wilma Bergfeld, MD
    Cleveland Clinic Journal of Medicine September 2023, 90 (9) 527-528; DOI: https://doi.org/10.3949/ccjm.90a.22100

    The patient had seen no improvement with a 2-week course of terbinafine cream.

  • You have access
    If a patient has cirrhosis, should I correct coagulation abnormalities before a minor invasive procedure?
    Emily B. Wolf, MD, Marie Plante, MD and Razvan M. Chirila, MD
    Cleveland Clinic Journal of Medicine September 2023, 90 (9) 541-543; DOI: https://doi.org/10.3949/ccjm.90a.23005

    Hemostatic abnormalities in cirrhosis can include thrombocytopenia, prolonged prothrombin time, prolonged activated partial thromboplastin time, elevated international normalized ratio, and decreased fibrinogen.

  • You have access
    A practical guide for buprenorphine initiation in the primary care setting
    CME article
    Roberto León-Barriera, MD, Samantha Jayne Zwiebel, MD, MA and Vania Modesto-Lowe, MD, MPH
    Cleveland Clinic Journal of Medicine September 2023, 90 (9) 557-564; DOI: https://doi.org/10.3949/ccjm.90a.23022

    The authors review changes in prescribing laws and outline buprenorphine induction protocols that can be adopted in the primary care setting.

  • You have access
    Mpox: Keep it on the differential
    Sara L. Clemens, MD and Stuart N. Isaacs, MD
    Cleveland Clinic Journal of Medicine September 2023, 90 (9) 565-575; DOI: https://doi.org/10.3949/ccjm.90a.23020

    During its current global outbreak, mpox has exhibited novel features that clinicians should be aware of to aid recognition.

  • You have access
    Persistent rectal pain leading to diffuse pustules
    Lydia Cassard, BA, Taylor A. Bullock, MD, Wyatt Andrasik, MD and Anthony P. Fernandez, MD, PhD
    Cleveland Clinic Journal of Medicine September 2023, 90 (9) 537-539; DOI: https://doi.org/10.3949/ccjm.90a.22089

    The authors relate the workup of a 34-year-old patient with a history of syphilis and human immunodeficiency virus.

  • You have access
    Born again: The many lives of metformin
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine September 2023, 90 (9) 523-524; DOI: https://doi.org/10.3949/ccjm.90b.09023

    Repurposing old drugs for new indications is not a new drug-development strategy.

  • You have access
    Cutaneous metastasis from gastric carcinoma
    Li-wen Zhang, MD, Wen-ju Wang, MD, Tao Chen, MD, PhD and Rong-hua Xu, MD
    Cleveland Clinic Journal of Medicine September 2023, 90 (9) 533-534; DOI: https://doi.org/10.3949/ccjm.90a.22085

    The patient presented with asymptomatic nodules and alopecia of the scalp 3 years after treatment for gastric adenocarcinoma.

  • When should pharmacologic therapies be used for uremic pericarditis?
    You have access
    When should pharmacologic therapies be used for uremic pericarditis?
    Osamah Badwan, MD, Warren Skoza, MD, Lorenzo Braghieri, MD, Ian Persits, DO and Allan L. Klein, MD, FRCP (C), FACC, FAHA, FASE, FESC
    Cleveland Clinic Journal of Medicine September 2023, 90 (9) 549-554; DOI: https://doi.org/10.3949/ccjm.90a.23003

    If symptoms return or fail to improve with renal replacement therapy, drug therapy may be considered.

  • You have access
    Why 25-dehydroxyvitamin D is a negative acute-phase reactant
    Maria J. Antonelli, MD, Irving Kushner, MD and Murray Epstein, MD, FASN, FACP
    Cleveland Clinic Journal of Medicine September 2023, 90 (9) 535; DOI: https://doi.org/10.3949/ccjm.90c.09001
  • You have access
    Should I consider metformin therapy for weight loss in patients with obesity but without diabetes?
    Paloma Rodriguez, MD, Kevin M. Pantalone, DO, ECNU, FACE, Marcio L. Griebeler, MD and Bartolome Burguera, MD, PhD
    Cleveland Clinic Journal of Medicine September 2023, 90 (9) 545-548; DOI: https://doi.org/10.3949/ccjm.90a.22096

    The authors appraise the evidence to date for weight loss with metformin in this patient population.

View more latest articles
  • Editor's Picks
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Should I consider metformin therapy for weight loss in patients with obesity but without diabetes?
Persistent rectal pain leading to diffuse pustules
Cutaneous metastasis from gastric carcinoma
‘Kissing tonsils’ and splenic infarction from infectious mononucleosis
Hoarseness: When to observe and when to refer
A new paradigm for adult ADHD: A focused strategy to monitor treatment
Asymptomatic oral plaques and erosion
Guidelines for the management of trigeminal neuralgia
Measuring exhaled nitric oxide when diagnosing and managing asthma
Reincarnating autoimmunity: Immune-related adverse events as new diseases
What is the optimal approach to infiltration and extravasation of nonchemotherapy medications?
Cholesteatoma
Reproductive issues and multiple sclerosis: 20 questions
Central sensitization, chronic pain, and other symptoms: Better understanding, better management
Brodie abscess in an 87-year-old man
Mass under the lip
Fundic gland polyps: Should my patient stop taking PPIs?
Colovesical fistula in men with chronic urinary tract infection: A diagnostic challenge

Cleveland Clinic Journal of Medicine, published by Cleveland Clinic, provides busy clinicians with practical information to promote better patient care.

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