Table of Contents

August 01, 2023; Volume 90, Issue 8
  • From the Editor

      • To prophylax or not to prophylax for endocarditis: Still a question

        Brian F. Mandell, MD, PhD
        • Cleveland Clinic Journal of Medicine August 2023, 90 (8) 455-456;
        • DOI: https://doi.org/10.3949/ccjm.90b.08023
        • Give prophylactic antibiotics before invasive dental procedures? On the surface, it may seem sensible. But we have more to learn about the successful clearance of bacteria from the bloodstream and why protective mechanisms occasionally fail.

  • The Clinical Picture

  • 1-Minute Consult

  • Guidelines to Practice

      • A new policy update on breastfeeding: What all clinicians need to know

        Heidi Szugye, DO, IBCLC, FAAP, Ali Murra, BS and Suet Kam Lam, MD, IBCLC, MPH, MS, FAAP
        • Cleveland Clinic Journal of Medicine August 2023, 90 (8) 469-473;
        • DOI: https://doi.org/10.3949/ccjm.90a.22099
        • An overview of current American Academy of Pediatrics policy, directed to clinicians of all disciplines who may interact with breastfeeding mothers and their babies.

  • Review

      • TOC Icon

        Hoarseness: When to observe and when to refer

        Ellen L. Ferraro, MD, Rebecca Chota Nelson, MD and Paul C. Bryson, MD, MBA
        • Cleveland Clinic Journal of Medicine August 2023, 90 (8) 475-481;
        • DOI: https://doi.org/10.3949/ccjm.90a.23010
        • A concise, illustrated review of basic laryngeal anatomy and function, symptoms of vocal-fold pathology, and current guidelines from the American Academy of Otolaryngology–Head and Neck Surgery.

      • Evaluating troponin elevation in patients with chronic kidney disease and suspected acute coronary syndrome

        Lorenzo Braghieri, MD, Osamah Z. Badwan, MD, Warren Skoza, MD, Maan Fares, MD and Venu Menon, MD
        • Cleveland Clinic Journal of Medicine August 2023, 90 (8) 483-489;
        • DOI: https://doi.org/10.3949/ccjm.90a.23012
        • The authors examine challenges in diagnosing acute coronary syndrome in patients with chronic kidney disease and provide a diagnostic algorithm to risk-stratify these patients.

  • Symptoms to Diagnosis

      • Unilateral green pleural effusion in a 22-year-old woman

        Sauradeep Sarkar, MD, Utsav Shrestha, MD, Huda Elzahrany, MD and Bathmapriya Balakrishnan, BMedSci, BMBS, FCCP
        • Cleveland Clinic Journal of Medicine August 2023, 90 (8) 491-498;
        • DOI: https://doi.org/10.3949/ccjm.90a.22097
        • Chills, night sweats, palpitations, and a 5-lb weight loss, preceded by 6 months of progressive dyspnea, fatigue, and reduced exercise tolerance. What is the diagnosis?

  • Review

      • Late complications after allogeneic hematopoietic cell transplant: What primary care physicians can do

        Lauren M. Granat, DO, MS, Mariah Ondeck, MD, Bennett Osantowski, MD, Michael Sheu, MD, Vishwanath Ganesan, MD, Seth Rotz, MD and Betty K. Hamilton, MD
        • Cleveland Clinic Journal of Medicine August 2023, 90 (8) 499-508;
        • DOI: https://doi.org/10.3949/ccjm.90a.23006
        • Cardiovascular, metabolic, endocrine, rheumatologic, orthopedic, infectious, neurologic, and cognitive complications are examined, as well as secondary malignancies, psychiatric disorders, and impairments in quality of life and sexual health.

  • Letters to the Editor

      • Computed tomography of the head

        Rahul B. Ganatra, MD, MPH
        • Cleveland Clinic Journal of Medicine August 2023, 90 (8) 461;
        • DOI: https://doi.org/10.3949/ccjm.90c.08001
      • In Reply: Computed tomography of the head

        Gilad Muth, DO, Thomas A. Bayer, MD and Richard Libman, MD
        • Cleveland Clinic Journal of Medicine August 2023, 90 (8) 461;
        • DOI: https://doi.org/10.3949/ccjm.90c.08002
      • Severe skin rashes

        Li-wen Zhang, MD, Juan Wu, MD, PhD and Tao Chen, MD, PhD
        • Cleveland Clinic Journal of Medicine August 2023, 90 (8) 461-462;
        • DOI: https://doi.org/10.3949/ccjm.90c.08003
      • In Reply: Severe skin rashes

        Valerie Jaroenpuntaruk, MD and Adam Gray, MD
        • Cleveland Clinic Journal of Medicine August 2023, 90 (8) 462;
        • DOI: https://doi.org/10.3949/ccjm.90c.08004