Latest Articles

  • Can procalcitonin guide decisions about antibiotic management?
    Robert J. Fakheri, MD
    Cleveland Clinic Journal of Medicine May 2019, 86 (5) 307-311; DOI: https://doi.org/10.3949/ccjm.86a.18074

    Yes, but clinical judgment must still be exercised.

  • Rapidly progressive pleural effusion January 2019
    Scott Davidson, MD
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 236; DOI: https://doi.org/10.3949/ccjm.86c.04001

    Readers comment about deviation from guidelines during treatment of a patient with rapidly progressive pleural effusion (January 2019) and the effect of metformin on vitamin B12 levels (January 2019).

  • In reply: Rapidly progressive pleural effusion January 2019
    Zaid Zoumot, MBSS, Samar Farha, MD and Ali Wahla, MBSS
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 236; DOI: https://doi.org/10.3949/ccjm.86c.04002
  • Metformin for type 2 diabetes January 2019
    Robert S. Moskowitz, MD, FACP
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 237; DOI: https://doi.org/10.3949/ccjm.86c.04003

    Readers comment about deviation from guidelines during treatment of a patient with rapidly progressive pleural effusion (January 2019) and the effect of metformin on vitamin B12 levels (January 2019).

  • A woman, age 35, with new-onset ascites
    William C. Lippert, MD, MPH, Eun Y. Lee, MD and Aibek E. Mirrakhimov, MD
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 257-262; DOI: https://doi.org/10.3949/ccjm.86a.17082

    She also has jaundice, hepatomegaly, and multiple abnormal laboratory results. What is the next step?

  • Unusual effects of common antibiotics
    Maria Elena Ruiz, MD and Glenn W. Wortmann, MD
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 277-281; DOI: https://doi.org/10.3949/ccjm.86a.17050

    Less recognized but potentially serious adverse effects of commonly prescribed antibiotics.

  • The old humanities and the new science at 100: Osler’s enduring message
    Salvatore Mangione, MD and Marc J. Kahn, MD, MBA, MACP
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 232-235; DOI: https://doi.org/10.3949/ccjm.86a.19019

    One hundred years after his death, what can Osler teach the high-tech physician of today?

  • In reply: Metformin for type 2 diabetes January 2019
    Vinni Makin, MBBS, MD, FACE and M. Cecilia Lansang, MD, MPH
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 237; DOI: https://doi.org/10.3949/ccjm.86c.04004
  • Gastroparesis in a patient with diabetic ketoacidosis
    Ahmad Muneer Sharayah, MD, Noor Hajjaj, MD, Ramy Osman, MD and Douglas Livornese, MD
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 238-239; DOI: https://doi.org/10.3949/ccjm.86a.18116

    Computed tomography showed new, severe gastric distention. A scan 11 months previously had been normal.

  • Acute kidney injury after hip or knee replacement: Can we lower the risk?
    Edward J. Filippone, MD, FASN and Anju Yadav, MD
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 263-276; DOI: https://doi.org/10.3949/ccjm.86a.18044

    Various risk factors have been identified, and some are potentially modifiable.

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