Latest Articles

  • What is the most appropriate management of patients with acute decompensated heart failure who develop in-hospital hypotension?
    Lorenzo Braghieri, MD, Warren A. Skoza, MD, Osamah Z. Badwan, MD and Paulino Alvarez, MD
    Cleveland Clinic Journal of Medicine October 2023, 90 (10) 625-631; DOI: https://doi.org/10.3949/ccjm.90a.22095

    The authors offer a tailored approach to risk-stratification in these patients that focuses on early recognition and management of symptomatic and clinically significant hypotension.

  • Masked tinea
    Ayano Hamai, MD and Yukinori Harada, MD, PhD
    Cleveland Clinic Journal of Medicine October 2023, 90 (10) 601-602; DOI: https://doi.org/10.3949/ccjm.90a.23002

    A result of daily mask-wearing during a long hospitalization.

  • Portopulmonary hypertension: A focused review for the internist
    Portopulmonary hypertension: A focused review for the internist
    Mamta S. Chhabria, MD, Leela Krishna Teja Boppana, MD, Gaurav Manek, MD and Adriano R. Tonelli, MD, MSc
    Cleveland Clinic Journal of Medicine October 2023, 90 (10) 632-639; DOI: https://doi.org/10.3949/ccjm.90a.23023

    Key aspects of screening, diagnosis, and treatment, and a review of the various pulmonary hemodynamic patterns encountered in patients with liver disease.

  • When should pharmacologic therapies be used for uremic pericarditis?
    When should pharmacologic therapies be used for uremic pericarditis?
    Osamah Badwan, MD, Warren Skoza, MD, Lorenzo Braghieri, MD, Ian Persits, DO and Allan L. Klein, MD, FRCP (C), FACC, FAHA, FASE, FESC
    Cleveland Clinic Journal of Medicine September 2023, 90 (9) 549-554; DOI: https://doi.org/10.3949/ccjm.90a.23003

    If symptoms return or fail to improve with renal replacement therapy, drug therapy may be considered.

  • Why 25-dehydroxyvitamin D is a negative acute-phase reactant
    Maria J. Antonelli, MD, Irving Kushner, MD and Murray Epstein, MD, FASN, FACP
    Cleveland Clinic Journal of Medicine September 2023, 90 (9) 535; DOI: https://doi.org/10.3949/ccjm.90c.09001
  • Should I consider metformin therapy for weight loss in patients with obesity but without diabetes?
    Paloma Rodriguez, MD, Kevin M. Pantalone, DO, ECNU, FACE, Marcio L. Griebeler, MD and Bartolome Burguera, MD, PhD
    Cleveland Clinic Journal of Medicine September 2023, 90 (9) 545-548; DOI: https://doi.org/10.3949/ccjm.90a.22096

    The authors appraise the evidence to date for weight loss with metformin in this patient population.

  • Petaloid dermatosis affecting the scalp and genitalia
    Taylor A. Bullock, MD, Shruti Agrawal, MD and Wilma Bergfeld, MD
    Cleveland Clinic Journal of Medicine September 2023, 90 (9) 527-528; DOI: https://doi.org/10.3949/ccjm.90a.22100

    The patient had seen no improvement with a 2-week course of terbinafine cream.

  • If a patient has cirrhosis, should I correct coagulation abnormalities before a minor invasive procedure?
    Emily B. Wolf, MD, Marie Plante, MD and Razvan M. Chirila, MD
    Cleveland Clinic Journal of Medicine September 2023, 90 (9) 541-543; DOI: https://doi.org/10.3949/ccjm.90a.23005

    Hemostatic abnormalities in cirrhosis can include thrombocytopenia, prolonged prothrombin time, prolonged activated partial thromboplastin time, elevated international normalized ratio, and decreased fibrinogen.

  • A practical guide for buprenorphine initiation in the primary care setting
    Roberto León-Barriera, MD, Samantha Jayne Zwiebel, MD, MA and Vania Modesto-Lowe, MD, MPH
    Cleveland Clinic Journal of Medicine September 2023, 90 (9) 557-564; DOI: https://doi.org/10.3949/ccjm.90a.23022

    The authors review changes in prescribing laws and outline buprenorphine induction protocols that can be adopted in the primary care setting.

  • Mpox: Keep it on the differential
    Sara L. Clemens, MD and Stuart N. Isaacs, MD
    Cleveland Clinic Journal of Medicine September 2023, 90 (9) 565-575; DOI: https://doi.org/10.3949/ccjm.90a.23020

    During its current global outbreak, mpox has exhibited novel features that clinicians should be aware of to aid recognition.

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