Latest Articles

  • Is Pap testing still needed after hysterectomy?
    Halle G. Sobel, MD, Elise Everett, MD and Laura D. Lipold, MD
    Cleveland Clinic Journal of Medicine June 2018, 85 (6) 456-458; DOI: https://doi.org/10.3949/ccjm.85a.17063

    There is no need to continue Pap testing after hysterectomy for a benign indication.

  • In reply: ‘Non-criteria’ antiphospholipid antibodies and thrombosis (February 2018)
    Maya Serhal, MD, Heather Gornik, MD, RVT, RPVI and Natalie Evans, MD, RPVI
    Cleveland Clinic Journal of Medicine June 2018, 85 (6) 432; DOI: https://doi.org/10.3949/ccjm.85c.06002
  • Reverse T3 or perverse T3? Still puzzling after 40 years
    Cristiane Gomes-Lima, MD and Kenneth D. Burman, MD
    Cleveland Clinic Journal of Medicine June 2018, 85 (6) 450-455; DOI: https://doi.org/10.3949/ccjm.85a.17079

    Few situations require measuring reverse T3; diagnosis of euthyroid sick syndrome may be one of them.

  • Thoracic aortic aneurysm: How to counsel, when to refer
    Thoracic aortic aneurysm: How to counsel, when to refer
    Frank Cikach, MD, Milind Y. Desai, MD, FACC, FAHA, FESC, Eric E. Roselli, MD, FACS and Vidyasagar Kalahasti, MD
    Cleveland Clinic Journal of Medicine June 2018, 85 (6) 481-492; DOI: https://doi.org/10.3949/ccjm.85a.17039

    Be alert for clues on chest imaging, and consider screening fi rst-degree relatives of patients known to have aortic disease.

  • Necrotizing fasciitis after a watercraft accident
    Natsu Fukui, MD, Mark Delman, MD, Tuyethoa N. Vinh, MD and Svetolik Djurkovic, MD, FACCP
    Cleveland Clinic Journal of Medicine June 2018, 85 (6) 448-449; DOI: https://doi.org/10.3949/ccjm.85a.17096

    Despite intravenous antibiotics and surgical debridement, the patient’s right leg had to be amputated.

  • Hypertrophic cardiomyopathy: A complex disease
    Hypertrophic cardiomyopathy: A complex disease
    Laura Young, MD, Nicholas G. Smedira, MD, Albree Tower-Rader, MD, Harry Lever, MD and Milind Y. Desai, MD
    Cleveland Clinic Journal of Medicine May 2018, 85 (5) 399-411; DOI: https://doi.org/10.3949/ccjm.85a.17076

    Most people who carry its mutations are never affected, but, rarely, some patients die suddenly at a young age.

  • Infective endocarditis: Refer for expert team care as soon as possible
    Gösta B. Pettersson, MD, PhD, Brian Griffin, MD, Steven M. Gordon, MD and Eugene H. Blackstone, MD
    Cleveland Clinic Journal of Medicine May 2018, 85 (5) 365-366; DOI: https://doi.org/10.3949/ccjm.85a.18019

    Infectious endocarditis needs multidisciplinary care. if surgery is indicated, it is best done sooner.

  • How soon should patients with infective endocarditis be referred for valve surgery?
    Mohamad Soud, MD, Homam Moussa Pacha, MD and M. Chadi Alraies, MD
    Cleveland Clinic Journal of Medicine May 2018, 85 (5) 362-364; DOI: https://doi.org/10.3949/ccjm.85a.17052

    Refer sooner rather than later if the patient has heart failure, uncontrolled infection, or embolic risk.

  • In reply: Cardiorenal syndrome
    Guramrinder S. Thind, MD, Mark Loehrke, MD, FACP and Jeffrey L. Wilt, MD, FACP, FCCP
    Cleveland Clinic Journal of Medicine May 2018, 85 (5) 361; DOI: https://doi.org/10.3949/ccjm.85c.05002
  • Genitourinary syndrome of menopause: Common problem, effective treatments
    Nancy A. Phillips, MD and Gloria A. Bachmann, MD
    Cleveland Clinic Journal of Medicine May 2018, 85 (5) 390-398; DOI: https://doi.org/10.3949/ccjm.85a.15081

    Half of all postmenopausal women experience these symptoms. Most do not seek relief.

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