Latest Articles

  • Which patients with presumed acute infectious diarrhea in an outpatient setting should undergo gastrointestinal pathogen panel testing?
    Brittany Jackson, MD, Sabrina Billings, MD, Dana M. Harris, MD, Jane Hata, PhD and Mary S. Hedges, MD
    Cleveland Clinic Journal of Medicine February 2025, 92 (2) 83-86; DOI: https://doi.org/10.3949/ccjm.92a.24084

    Use of a gastrointestinal pathogen panel is warranted in certain individuals, such as those with fever, visible blood in the stool, sepsis, or a compromised immune system.

  • Hypoglycemia after bariatric surgery: Management updates
    Anira Iqbal, MD and Vinni Makin, MBBS, MD
    Cleveland Clinic Journal of Medicine February 2025, 92 (2) 103-108; DOI: https://doi.org/10.3949/ccjm.92a.24033

    The authors discuss how to differentiate post-bariatric surgery hypoglycemia from other causes of hypoglycemia, highlight the evolving role of continuous glucose monitors in detecting it, and summarize management options.

  • Respiratory virus season: Strategies for successful navigation
    Pooja Cerrato, PharmD, BCPS and Steven Mawhorter, MD, DTM&H
    Cleveland Clinic Journal of Medicine February 2025, 92 (2) 95-102; DOI: https://doi.org/10.3949/ccjm.92a.24103

    The authors review the burden, prevention, diagnosis, and treatment of influenza, COVID-19, and respiratory syncytial virus infection.

  • Wolff-Parkinson-White syndrome: Diagnostic and management strategies
    Masihullah Barat, MD, David Torres Barba, MD, PhD and Gordon Ho, MD
    Cleveland Clinic Journal of Medicine February 2025, 92 (2) 119-127; DOI: https://doi.org/10.3949/ccjm.92a.24059

    The challenge lies in managing those with the Wolff-Parkinson-White pattern on electrocardiogram but no symptoms.

  • Thyroid obstacle course: Many challenges from a single gland
    Timothy W. Bodnar, MD and Sima Saberi, MD
    Cleveland Clinic Journal of Medicine February 2025, 92 (2) 87-93; DOI: https://doi.org/10.3949/ccjm.92a.24076

    The patient presented to his primary care clinician for new irritability, anxiety, and insomnia. Laboratory testing revealed a low thyroid-stimulating hormone level.

  • Don’t judge a book by its cover: Unusual presentations of pericardial disease
    Don’t judge a book by its cover: Unusual presentations of pericardial disease
    William A. Schiavone, DO and David S. Majdalany, MD
    Cleveland Clinic Journal of Medicine February 2025, 92 (2) 109-116; DOI: https://doi.org/10.3949/ccjm.92a.24065

    Taking a good history, performing a good physical examination, and properly reading an electrocardiogram and chest radiograph are the best starting points for diagnosing pericardial and mediastinal disease.

  • Common electrolyte imbalance, uncommon cause
    Saurav Shishir Agrawal, MD, DM, Sunil Kumar, MD, N. K. Soni, MD and Swati Paliwal, MD
    Cleveland Clinic Journal of Medicine January 2025, 92 (1) 13-15; DOI: https://doi.org/10.3949/ccjm.92a.24013

    A 47-year-old woman presented with 10 days of weakness, wide purple striae on the abdomen, and hyperpigmentation on the knuckles.

  • Insomnia in older adults: A review of treatment options
    Roberto León-Barriera, MD, Margaret M. Chaplin, MD, Jasleen Kaur, MD and Vania Modesto-Lowe, MD, MPH
    Cleveland Clinic Journal of Medicine January 2025, 92 (1) 43-50; DOI: https://doi.org/10.3949/ccjm.92a.24073

    Cognitive behavioral therapy for insomnia is the gold standard in all age groups, but it is time-intensive and does not offer immediate results.

  • Risk-factor modification to prevent recurrent atrial fibrillation after catheter ablation
    Risk-factor modification to prevent recurrent atrial fibrillation after catheter ablation
    Jack Hartnett, MB, BCh, BAO, MSc, Nour Chouman, MD and Eoin Donnellan, MD
    Cleveland Clinic Journal of Medicine January 2025, 92 (1) 53-61; DOI: https://doi.org/10.3949/ccjm.92a.24011

    The authors review the evidence supporting periprocedural modification of risk factors such as hypertension, diabetes mellitus, and obesity to reduce atrial fibrillation recurrence after catheter ablation.

  • Classic diabetic ketoacidosis and the euglycemic variant: Something old, something new
    Adi E. Mehta, MD and Robert Zimmerman, MD
    Cleveland Clinic Journal of Medicine January 2025, 92 (1) 33-39; DOI: https://doi.org/10.3949/ccjm.92a.24075

    The authors review differences in the pathophysiology and management of classic diabetic ketoacidosis and the euglycemic variant, the latter of which has become more common with the increasing use of sodium-glucose cotransporter 2 inhibitors.

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