Latest Articles

  • Running in place: The uncertain future of primary care internal medicine
    Craig Nielsen, MD, FACP and Pelin Batur, MD
    Cleveland Clinic Journal of Medicine August 2019, 86 (8) 530-534; DOI: https://doi.org/10.3949/ccjm.86a.19075

    If we don’t demand change, who will be there to take care of us when we grow old?

  • An unusual cause of bruising
    Tahani Atieh, DO and Alan Lichtin, MD
    Cleveland Clinic Journal of Medicine August 2019, 86 (8) 535-542; DOI: https://doi.org/10.3949/ccjm.86a.18119

    The coagulation assay, particularly the prothrombin time and aPTT, is key in initially assessing a bleeding abnormality.

  • When does acute pyelonephritis require imaging?
    Mary E. Lacy, MD, Navneet Sidhu, MD and Justin Miller, MD
    Cleveland Clinic Journal of Medicine August 2019, 86 (8) 515-517; DOI: https://doi.org/10.3949/ccjm.86a.18096

    Imaging is recommended for those at risk of complications.

  • Infective endocarditis: Beyond the usual tests
    Infective endocarditis: Beyond the usual tests
    Nkemdilim Mgbojikwe, MD, Steven R. Jones, MD, Thorsten M. Leucker, MD, PhD and Daniel J. Brotman, MD
    Cleveland Clinic Journal of Medicine August 2019, 86 (8) 559-567; DOI: https://doi.org/10.3949/ccjm.86a.18120

    Newer imaging tests are increasingly used as alternatives or adjuncts to echocardiography for selected patients.

  • Aspirin: 4,000 years and still learning
    Kenneth C. Cummings, MD, MS, FASA
    Cleveland Clinic Journal of Medicine August 2019, 86 (8) 522-524; DOI: https://doi.org/10.3949/ccjm.86a.19041

    What we know about aspirin—and what we still need to learn.

  • Adults with autism spectrum disorder: Updated considerations for healthcare providers
    Carol Swetlik, MD, MS, Sarah E. Earp, MD and Kathleen N. Franco, MD
    Cleveland Clinic Journal of Medicine August 2019, 86 (8) 543-553; DOI: https://doi.org/10.3949/ccjm.86a.18100

    Social support, community programs, and behavioral therapies can help. Caregivers may also need support.

  • Deciding when a picture is worth a thousand words and several thousand dollars
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine August 2019, 86 (8) 509-510; DOI: https://doi.org/10.3949/ccjm.86b.08019

    Physical examination is cheap but not highly reproducible. Imaging is expensive but may be more sensitive and specific.

  • A right atrial mass
    Zeel Shah, MD, M. Chadi Alraies, MD, Ameer Harp, MD, Salam Khalil, MD, Amir Kaki, MD and Mahir Elder, MD
    Cleveland Clinic Journal of Medicine July 2019, 86 (7) 445-447; DOI: https://doi.org/10.3949/ccjm.86a.18131

    A woman with a history of endometrial adenocarcinoma presented with occasional shortness of breath and dizziness.

  • Ambulatory ECG monitoring in the age of smartphones
    David Sanders, MD, Leo Ungar, MD, Michael A. Eskander, MD and Arnold H. Seto, MD, MPA
    Cleveland Clinic Journal of Medicine July 2019, 86 (7) 483-493; DOI: https://doi.org/10.3949/ccjm.86a.18123

    Many devices are available; the best one to use depends on the specific clinical context.

  • Giant cell arteritis: An updated review of an old disease
    Timothy Rinden, DO, Eric Miller, MD and Rawad Nasr, MD
    Cleveland Clinic Journal of Medicine July 2019, 86 (7) 465-472; DOI: https://doi.org/10.3949/ccjm.86a.18103

    Glucocorticoids, the mainstay of treatment, should be started as soon as the disease is suspected.

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