Latest Articles

  • Altered mental status in a man with metabolic syndrome
    Bernie P. Wu, BS, Molly Wheeler, PharmD, Jennifer K. Hockings, PharmD, PhD, Andrew Coulter, MD and Leopoldo Pozuelo, MD
    Cleveland Clinic Journal of Medicine August 2022, 89 (8) 445-450; DOI: https://doi.org/10.3949/ccjm.89a.21050

    A 25-year-old man with bipolar I disorder, hypertension, posttraumatic stress disorder, and obesity was found unresponsive with shallow breathing and foaming at the mouth.

  • Unilateral atrophic kidney in a 45-year-old woman
    Mohammad A. Sohail, MD, John Sedor, MD, Lee Kirksey, MD, MBA, Steven C. Blaha, MD and Heather Hofmann, MD, FACP
    Cleveland Clinic Journal of Medicine August 2022, 89 (8) 465-471; DOI: https://doi.org/10.3949/ccjm.89a.21015

    The patient presented with 2 days of constant, sharp, nonradiating flank pain on the right side, worse with movement and coughing, and severe enough to limit ambulation.

  • The double-tongue sign
    Nami Yoshimura, MD, Takashi Watari, MD, MHQS, MCTM, PhD, Keisuke Misao, MD, Toshihiro Imada, MD and Junji Mashino, MD
    Cleveland Clinic Journal of Medicine August 2022, 89 (8) 435-436; DOI: https://doi.org/10.3949/ccjm.89a.21080

    Computed tomography showed enlarged mylohyoid and geniohyoid muscles, surrounding inflammatory findings, and small gas retentions.

  • Circulating lipids are not all bad: An LDL mimic that may be only skin deep
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine August 2022, 89 (8) 422-423; DOI: https://doi.org/10.3949/ccjm.89b.08022

    Although lipoprotein-X separates out by density in the low-density lipoprotein (LDL) fraction and thus may appear as LDL in the laboratory report, it is biologically unique.

  • An unexpected turn
    Cleveland Clinic Journal of Medicine August 2022, 89 (8) 455;

    The following article in the July 2022 issue contained an error: Ganeshan S, Kelemen B, Dhaliwal G, Zier L. An unexpected turn: A 71-year-old man with myocardial infarction. Cleve Clin J Med. 2022;89(7):401–407. doi:10.3949/ccjm.89a.21030

  • Mondor disease of the breast
    Toshiyuki Yamaguchi, MD
    Cleveland Clinic Journal of Medicine July 2022, 89 (7) 371-372; DOI: https://doi.org/10.3949/ccjm.89a.21097

    A 43-year-old woman had 2 weeks of pain and skin tightness over the right breast. Ultrasonography revealed a noncompressible, dilated, subcutaneous vein without flow.

  • An unexpected turn: A 71-year-old man with myocardial infarction
    An unexpected turn: A 71-year-old man with myocardial infarction
    Smitha Ganeshan, MD, MBA, Benjamin Kelemen, MD, Gurpreet Dhaliwal, MD and Lucas Zier, MD, MS
    Cleveland Clinic Journal of Medicine July 2022, 89 (7) 401-407; DOI: https://doi.org/10.3949/ccjm.89a.21030

    The patient’s temperature was elevated, pulse rate 98 beats per minute, respiratory rate 16 breaths per minute, and blood pressure 100/60 mm Hg. Cardiac and pulmonary examinations were normal.

  • Dactylitis from Mycobacterium intracellulare infection
    Hayato Shimizu, MD, Takumi Hashimura, MD and Hiroaki Nishioka, MD, PhD
    Cleveland Clinic Journal of Medicine July 2022, 89 (7) 360-362; DOI: https://doi.org/10.3949/ccjm.89a.21067

    A 69-year-old man presents with 6 months of progressive swelling of the right middle finger, with no systemic symptoms.

  • Metastatic bone disease: Early referral for multidisciplinary care
    Amir Hossain Gahanbani Ardakani, BSc, MBBS, Martina Faimali, MBBS, FRCS (Tr&Orth), Lukas Nystrom, MD, Nathan Mesko, MD, Muntzer Mughal, MBChB, ChM, FRCS, Howard Ware, MBBS, FRCS (Tr&Orth) and Panagiotis Gikas, BSc, MBBS Hons, MD (Res), PhD, FRCS (Tr&Orth)
    Cleveland Clinic Journal of Medicine July 2022, 89 (7) 393-399; DOI: https://doi.org/10.3949/ccjm.89a.21062

    A lack of awareness and recognition of symptoms continues to delay referral to specialist teams. The authors provide guidance for early diagnosis and referral.

  • Women’s health update: A literature review impacting primary care
    Brigid M. Dolan, MD, MEd, Sarah Merriam, MD, MS, Christine A. Prifti, MD and Judith M. Walsh, MD, MPH
    Cleveland Clinic Journal of Medicine July 2022, 89 (7) 373-381; DOI: https://doi.org/10.3949/ccjm.89a.21123

    The authors review cardiovascular disease, bone health, breast cancer risk, cervical cancer prevention, postpartum depression, pelvic pain, and emergency contraception.

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