Latest Articles

  • What stool testing is appropriate when diarrhea develops in a hospitalized patient?
    Sheena K. Ramdeen, MD, MPH and Glenn W. Wortmann, MD, FIDSA, FACP
    Cleveland Clinic Journal of Medicine December 2016, 83 (12) 882-884; DOI: https://doi.org/10.3949/ccjm.83a.16039

    Most cases are not due to infection, but Clostridium difficile is the most common infectious cause.

  • Radiation-induced heart disease: A practical guide to diagnosis and management
    Eoin Donnellan, MD, Dermot Phelan, MD, PhD, Cian P. McCarthy, MD, Patrick Collier, MD, PhD, Milind Desai, MD and Brian Griffin, MD
    Cleveland Clinic Journal of Medicine December 2016, 83 (12) 914-922; DOI: https://doi.org/10.3949/ccjm.83a.15104

    Unfortunately, radiotherapy for breast cancer or lymphoma can damage the heart.

  • Thrombolysis in submassive pulmonary embolism: Finding the balance
    Carlos L. Alviar, MD and Gustavo A. Heresi, MD
    Cleveland Clinic Journal of Medicine December 2016, 83 (12) 933-936; DOI: https://doi.org/10.3949/ccjm.83a.16099

    In massive pulmonary embolism, thrombolytic therapy is usually indicated; in submassive cases the decision is not so clear.

  • Do patients with submassive pulmonary embolism benefit from thrombolytic therapy?
    Do patients with submassive pulmonary embolism benefit from thrombolytic therapy?
    Ali Ataya, MD, Jessica Cope, PharmD, Abbas Shahmohammadi, MD and Hassan Alnuaimat, MD
    Cleveland Clinic Journal of Medicine December 2016, 83 (12) 923-932; DOI: https://doi.org/10.3949/ccjm.83a.15116

    The risk of hemorrhage is signifi cant, and the benefi t is unclear. A one-treatment-for-all approach cannot be applied.

  • Influenza: Still more important than Zika virus in 2016–2017
    Sherif Beniameen Mossad, MD, FACP, FIDSA, FAST
    Cleveland Clinic Journal of Medicine November 2016, 83 (11) 836-840; DOI: https://doi.org/10.3949/ccjm.83a.16105

    Despite all the news reports, infl uenza still kills or hospitalizes more people than Zika.

  • Breaking the pain contract: A better controlled-substance agreement for patients on chronic opioid therapy
    Daniel G. Tobin, MD, FACP, Kristine Keough Forte, MS, MA, DBioethics and Summer Johnson McGee, PhD, CPH
    Cleveland Clinic Journal of Medicine November 2016, 83 (11) 827-835; DOI: https://doi.org/10.3949/ccjm.83a.15172

    Common limitations of current pain treatment “contracts,” and strategies to improve them.

  • Plexiform neurofibroma
    Satvinder Singh Bakshi, MS, DNB
    Cleveland Clinic Journal of Medicine November 2016, 83 (11) 792; DOI: https://doi.org/10.3949/ccjm.83a.16002

    A 19-year-old woman presented with diffuse swelling on her neck and face that had been growing gradually for 12 years.

  • In reply: Menopausal hormone therapy (August 2016)
    Laura Dorr Lipold, MD, Pelin Batur, MD, NCMP, CCD and Risa Kagan, MD, FACOG, CCD, NCMP
    Cleveland Clinic Journal of Medicine November 2016, 83 (11) 778-785; DOI: https://doi.org/10.3949/ccjm.83c.11002
  • Bilateral earlobe creases and coronary artery disease
    Abhishek Sharma, MD, Chukwudi Obiagwu, MD and Ekaterina Sikorskaya, MD
    Cleveland Clinic Journal of Medicine November 2016, 83 (11) 786-787; DOI: https://doi.org/10.3949/ccjm.83a.15160

    Bilateral earlobe creases may be useful to look for in cases of suspected coronary artery disease.

  • Update on the management of intestinal failure
    Shishira Bharadwaj, MD, Parul Tandon, DO, John M. Rivas, MD, Anne Furman, RD, Lisa Moccia, RD, Ashley Ratliff, RD, Abdullah Shatnawei, MD, Ezra Steiger, MD and Donald F. Kirby, MD
    Cleveland Clinic Journal of Medicine November 2016, 83 (11) 841-848; DOI: https://doi.org/10.3949/ccjm.83a.15045

    Bowel resection can lead to inability to maintain nutritional homeostasis, a serious complication.

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