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Cleveland Clinic Journal of Medicine

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Latest Articles

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    A clinical trial and another clinical practice bites the dust, or should there not be an appendix?
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine June 2022, 89 (6) 288-289; DOI: https://doi.org/10.3949/ccjm.89b.06022

    Studies over the past 2 decades have assessed an alternative approach to acute appendicitis: treatment with systemic antibiotics and observation.

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    Appendicitis management: Is it time for a change?
    Anthony DeRoss, MD, FACS, FAAP and Alisan Fathalizadeh, MD
    Cleveland Clinic Journal of Medicine June 2022, 89 (6) 309-313; DOI: https://doi.org/10.3949/ccjm.89a.21012

    Antibiotic therapy has been a successful alternative to surgery for more than 60 years, but surgery is still the primary treatment.

  • You have access
    Dyspnea and cough in a lung transplant recipient
    Kamal A. Shair, MD, MEng and Razvan M. Chirila, MD
    Cleveland Clinic Journal of Medicine June 2022, 89 (6) 321-326; DOI: https://doi.org/10.3949/ccjm.89a.20137

    The patient developed sudden shortness of breath at rest, a decline in home spirometry values, and dry cough and fatigue.

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    Chronic anal pain: A review of causes, diagnosis, and treatment
    Charles H. Knowles, PhD, FRCS, FACCRS (Hons) and Richard C. Cohen, MD, FRCS
    Cleveland Clinic Journal of Medicine June 2022, 89 (6) 336-343; DOI: https://doi.org/10.3949/ccjm.89a.21102

    The authors identify and review 3 main diagnostic categories: local causes, functional anorectal pain, and neuropathic pain syndromes.

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    Unilateral pulmonary edema
    Abraham Joseph, MBBS, MD and Jonathan Rohde, DNP, MSN, APRN, CNP
    Cleveland Clinic Journal of Medicine June 2022, 89 (6) 328; DOI: https://doi.org/10.3949/ccjm.89c.06001
  • You have access
    Spotty skin pigmentation in Carney complex
    Azusa Sano, MD, Yosuke Ono, MD, PhD, Naoya Fujita, MD and Yuji Tanaka, MD, PhD
    Cleveland Clinic Journal of Medicine June 2022, 89 (6) 307-308; DOI: https://doi.org/10.3949/ccjm.89a.21069

    Characteristic skin findings and their locations can indicate underlying hereditary lentiginosis syndromes.

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    Atypical erythema as a clinical presentation of tinea incognito
    Ana Ravić Nikolić, MD, PhD and Gordana Ristić
    Cleveland Clinic Journal of Medicine June 2022, 89 (6) 295-296; DOI: https://doi.org/10.3949/ccjm.89a.21091

    The lesions were originally diagnosed as contact allergic dermatitis and treated with topical corticosteroids, but culture revealed Trichophyton rubrum.

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    A brownish erythematous patch in the nipple-areola complex
    Irene López Riquelme, MD, Elisabeth Gómez Moyano, MD, PhD, María Ayala Blanca, PhD and Leandro Martínez Pilar, MD, PhD
    Cleveland Clinic Journal of Medicine May 2022, 89 (5) 241-242; DOI: https://doi.org/10.3949/ccjm.89a.21059

    Biopsy revealed neoplastic cells throughout the epidermis and granular layer, with abundant pale cytoplasm, intraglandular extension, and chronic inflammation in the papillary dermis.

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    Palliative care: An update for internists
    Rachel D. Havyer, MD, FAAHPM, Nauzley Abedini, MD, MSc, Robert L. Jayes, MD, Brenda Matti-Orozco, MD, Daniel H. Pomerantz, MD, MPH and Aziz A. Ansari, DO, SFHM, FAAHPM, FACP
    Cleveland Clinic Journal of Medicine May 2022, 89 (5) 262-268; DOI: https://doi.org/10.3949/ccjm.89a.21075

    A review of recent research to guide symptom management, advance-care planning, and communication training to maximize compassionate care.

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    Managing stage 1 hypertension: Consider the risks, stop the progression
    Abel Hooker, MD, Kevin G. Buda, DO and Maarya Pasha, MD
    Cleveland Clinic Journal of Medicine May 2022, 89 (5) 244-248; DOI: https://doi.org/10.3949/ccjm.89a.21101

    Guidelines on managing patients with stage 1 hypertension and a low 10-year risk of atherosclerotic cardiovascular disease.

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