Latest Articles

  • There is more to the TSH than a number
    Brian F. Mandell, MD, PHD
    Cleveland Clinic Journal of Medicine February 2019, 86 (2) 77-78; DOI: https://doi.org/10.3949/ccjm.86b.02019

    Management of subclinical hypothyroidism should be nuanced and based on clinical and laboratory parameters.

  • Subclinical hypothyroidism: When to treat
    Sidra Azim, MD and Christian Nasr, MD
    Cleveland Clinic Journal of Medicine February 2019, 86 (2) 101-110; DOI: https://doi.org/10.3949/ccjm.86a.17053

    The decision remains controversial and depends on the degree of TSH elevation, thyroid antibodies, and comorbidities.

  • Dancing sternal wires: A radiologic sign of sternal dehiscence
    Mohamed M. Gad, MD and Amit Gupta, MD
    Cleveland Clinic Journal of Medicine February 2019, 86 (2) 87-88; DOI: https://doi.org/10.3949/ccjm.86a.18091

    Loose fragments of bone and wire pose a danger of puncturing the heart, making sternal dehiscence a surgical emergency.

  • Managing malignant pleural effusion
    Ali Saeed Wahla, MBBS, Mateen Uzbeck, MBBS, Yaser Abu El Sameed, MBBS and Zaid Zoumot, MBBS, MRCP, MSC, PHD
    Cleveland Clinic Journal of Medicine February 2019, 86 (2) 95-99; DOI: https://doi.org/10.3949/ccjm.86a.17095

    Depending on the circumstances, options are observation, thoracentesis, an indwelling catheter, and chemical pleurodesis.

  • Breast augmentation surgery: Clinical considerations
    Breast augmentation surgery: Clinical considerations
    Demetrius M. Coombs, MD, Ritwik Grover, MD, Alexandre Prassinos, MD and Raffi Gurunluoglu, MD, PhD
    Cleveland Clinic Journal of Medicine February 2019, 86 (2) 111-122; DOI: https://doi.org/10.3949/ccjm.86a.18017

    The evolution of breast implants, their complications, and key considerations with regard to aesthetic breast surgery.

  • Heart failure guidelines: What you need to know about the 2017 focused update
    Lee Rodney Haselhuhn, MD, Daniel J. Brotman, MD and Ilan Shor Wittstein, MD
    Cleveland Clinic Journal of Medicine February 2019, 86 (2) 123-139; DOI: https://doi.org/10.3949/ccjm.86a.18022

    Prevention, preserved ejection fraction, hypertension, iron, sleep apnea, and acute decompensation.

  • Acute-onset quadriplegia with hyperreflexia
    Nasreen Shaikh, MD, Muhammad Sardar, MD, Wahab Khan, MD and Wael Ghali, MD
    Cleveland Clinic Journal of Medicine January 2019, 86 (1) 7-8; DOI: https://doi.org/10.3949/ccjm.86a.18049

    MRI showed diffuse T2 hyperintensity beginning at the level of the medulla and extending to the level of C7.

  • Should metformin be used in every patient with type 2 diabetes?
    Vinni Makin, MBBS, MD, FACE and M. Cecilia Lansang, MD, MPH
    Cleveland Clinic Journal of Medicine January 2019, 86 (1) 17-20; DOI: https://doi.org/10.3949/ccjm.86a.18039

    Most patients should receive it, with exceptions. Nevertheless, it is underused.

  • Who needs to carry an epinephrine autoinjector?
    T. Ted Song, DO, FAAAI, FACP and Phil Lieberman, MD
    Cleveland Clinic Journal of Medicine January 2019, 86 (1) 66-72; DOI: https://doi.org/10.3949/ccjm.86a.17123

    Patients who have had anaphylaxis or who are at risk of it should carry an epinephrine autoinjector with them at all times.

  • Hypertension guidelines: Treat patients, not numbers
    Wesam Aleyadeh, MD, Erika Hutt-Centeno, MD, Haitham M. Ahmed, MD, MPH and Nishant P. Shah, MD
    Cleveland Clinic Journal of Medicine January 2019, 86 (1) 47-56; DOI: https://doi.org/10.3949/ccjm.86a.18027

    When treating high blood pressure, how low should we try to go? Debate continues.

Pages