Table of Contents

August 01, 2024; Volume 91, Issue 8
  • From the Editor

      • Foxglove, not quite gone or forgotten

        Brian F. Mandell, MD, PhD
        • Cleveland Clinic Journal of Medicine August 2024, 91 (8) 458-459;
        • DOI: https://doi.org/10.3949/ccjm.91b.08024
        • Digoxin use has waned dramatically over the past decades, with good reason, but for select patients, it may be a very reasonable option.

  • The Clinical Picture

      • Persistent erosions of the glans penis and foreskin

        Zheng Gu, MD and Dong-Lai Ma, MD, PhD
        • Cleveland Clinic Journal of Medicine August 2024, 91 (8) 463-464;
        • DOI: https://doi.org/10.3949/ccjm.91a.23085
        • A 66-year-old man presented with an 8-month history of persistent erosions of the glans penis and foreskin with slight itching and pain.

  • 1-Minute Consult

      • What fluids should I order for my patient with acute pancreatitis?

        Anusha Agarwal, MD, Arjun Chatterjee, MD and Prabhleen Chahal, MD
        • Cleveland Clinic Journal of Medicine August 2024, 91 (8) 466-468;
        • DOI: https://doi.org/10.3949/ccjm.91a.24027
        • Recent data show that moderate fluid resuscitation is associated with fewer adverse events and that lactated Ringer’s may be superior to normal saline.

  • Symptoms to Diagnosis

      • Recurrent syncope in a 62-year-old man

        Cindy Hsin-Ti Lin, MD, Michael Sheu, MD and Faiz Anwer, MD
        • Cleveland Clinic Journal of Medicine August 2024, 91 (8) 473-478;
        • DOI: https://doi.org/10.3949/ccjm.91a.24008
        • The patient experienced 2 episodes of syncope over 4 weeks, had a history of recurrent carpal tunnel syndrome, and had ankle edema for the previous 18 months.

  • Review

      • Helicobacter pylori: A concise review of the latest treatments against an old foe

        Wafa A. Aldhaleei, MBBCh, MSc, MPH, Michael B. Wallace, MD, MPH, Dana M. Harris, MD and Yan Bi, MD, PhD
        • Cleveland Clinic Journal of Medicine August 2024, 91 (8) 481-487;
        • DOI: https://doi.org/10.3949/ccjm.91a.24031
        • H pylori eradication regimens are tailored based on the presence of effective empiric therapy (local cure rates ≥ 90% for a given regimen) or antimicrobial susceptibility testing.

      • Digoxin is still useful, but is still causing toxicity

        Alejandro Durán Crane, MD, Michael Militello, PharmD, BCPS and Michael D. Faulx, MD
        • Cleveland Clinic Journal of Medicine August 2024, 91 (8) 489-499;
        • DOI: https://doi.org/10.3949/ccjm.91a.23105
        • The authors review the presentation of digoxin toxicity, its mechanisms and predisposing factors, and its medical management.

      • TOC Icon

        Diabetic retinopathy: Screening, prevention, and treatment

        David D. Chong, BA, Nikhil Das, MD and Rishi P. Singh, MD
        • Cleveland Clinic Journal of Medicine August 2024, 91 (8) 503-510;
        • DOI: https://doi.org/10.3949/ccjm.91a.24028
        • Effective screening processes, timely referrals, and strategic diabetes management are essential to prevent and mitigate the consequences of diabetic retinopathy.