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Cleveland Clinic Journal of Medicine
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Cleveland Clinic Journal of Medicine

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    • Kidney Week 2024
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    • Kidney Week 2023
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Latest Articles

  • You have access
    A young woman with severe hypoxemia, electrocardiographic changes, and altered mental status
    Amar Krishnaswamy, MD and Arman T. Askari, MD
    Cleveland Clinic Journal of Medicine July 2007, 74 (7) 521-528;

    This case highlights the importance of thorough history-taking and the need to maintain a broad differential diagnosis, even if the test results seem definitive.

  • You have access
    Zoster is more than ‘just’ a viral infection
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine July 2007, 74 (7) 472;

    For some viruses, such as varicella-zoster virus, striking and confusing clinical manifestations can appear long after the initial infection.

  • You have access
    The protean neurologic manifestations of varicella-zoster virus infection
    Maria A. Nagel, MD and Donald H. Gilden, MD
    Cleveland Clinic Journal of Medicine July 2007, 74 (7) 489-504;

    Varicella-zoster virus reactivation can produce a number of neurologic complications, including herpes zoster (shingles), postherpetic neuralgia, vasculopathy, myelitis, neurologic disease without rash, and necrotizing retinitis.

  • You have access
    A small pulmonary nodule, found incidentally
    Aqeel A. Chowdhry, MD, Peter J. Mazzone, MD, MPH and Tan-Lucien H. Mohammed, MD
    Cleveland Clinic Journal of Medicine July 2007, 74 (7) 531-533;

    Most very small nodules are benign, but once identified, they need to be followed.

  • The painful shoulder: When to inject and when to refer
    You have access
    The painful shoulder: When to inject and when to refer
    Michael J. Codsi, MD
    Cleveland Clinic Journal of Medicine July 2007, 74 (7) 473-488;

    Many physicians find shoulder pain difficult to sort out and treat. However, most cases can be diagnosed in a 5-minute history and physical examination and treated with a combination of physical therapy, injections, and time.

  • You have access
    Bilateral parotitis and facial nerve palsy
    Christopher S. King, MD and Michael Zapor, MD, PhD
    Cleveland Clinic Journal of Medicine July 2007, 74 (7) 512-513;

    The patient also has anterior uveitis and a small skin lesion. Which underlying condition is most likely?

  • You have access
    Buprenorphine maintenance: A new treatment for opioid dependence
    Gregory B. Collins, MD and Mark S. Mcallister, MD
    Cleveland Clinic Journal of Medicine July 2007, 74 (7) 514-520;

    New regulations allow physicians who are certified in buprenorphine therapy to offer it in their offices, substantially increasing patient access to treatment for opioid dependence.

  • You have access
    Cardiovascular medicine update 2007: Perioperative risk, carotid angioplasty, drug-eluting stents, stronger statins
    Michael S. Lauer, MD
    Cleveland Clinic Journal of Medicine July 2007, 74 (7) 505-511;

    Should patients with coronary artery disease who need noncardiac surgery undergo angioplasty first to lessen their perioperative risk? Is percutaneous carotid angioplasty an acceptable alternative to open surgery? Are drug-eluting stents safe in the long term? What is the best regimen and goal for managing lipid levels in patients with coronary artery disease?

  • You have access
    Pneumococcal vaccination in adults: Recommendations, trends, and prospects
    Paul V. Targonski, MD, PhD and Gregory A. Poland, MD
    Cleveland Clinic Journal of Medicine June 2007, 74 (6) 401-414;

    Current vaccines against Streptococcus pneumoniae may not be ideal, but they are worth giving to elderly patients and others at risk.

  • A 58-year-old woman with mental status changes
    You have access
    A 58-year-old woman with mental status changes
    Mihir R. Bakhru, MD, Ajay Kumar, MD and Ashish Aneja, MD
    Cleveland Clinic Journal of Medicine June 2007, 74 (6) 457-462;

    Thirty years ago she underwent gastric bypass surgery for obesity. Now she presents with mental status changes, a bicarbonate level of 16 mmol/L, and an anion gap of 15. What is the most likely cause of her acidosis?

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