Latest Articles

  • Calcified cysts in the upper abdomen
    Ming-Ju Tsai, MD and Hung-Chun Chen, MD, PhD
    Cleveland Clinic Journal of Medicine February 2010, 77 (2) 96-97; DOI: https://doi.org/10.3949/ccjm.77a.09050

    A plain chest radiograph reveals multiple calcified cysts in the upper abdomen of a man who has been on dialysis for 15 years. What is the most plausible diagnosis?

  • Preventing venous thromboembolism in long-term care residents: Cautious advice based on limited data
    Menaka Pai, MD, FRCP(C) and James D. Douketis, MD, FRCP(C), FACP, FCCP
    Cleveland Clinic Journal of Medicine February 2010, 77 (2) 123-130; DOI: https://doi.org/10.3949/ccjm.77a.09096

    More research is needed to ascertain which long-term care residents would benefit most from anticoagulant prophylaxis. In the absence of evidence-based guidelines, we advocate a selective approach.

  • Abdominal pain in a 20-year-old woman
    Lakshmi S. Pasumarthy, MD, Duane E. Ahlbrandt, MD and James W. Srour, MD
    Cleveland Clinic Journal of Medicine January 2010, 77 (1) 45-50; DOI: https://doi.org/10.3949/ccjm.77a.09067

    Her body mass index is 18.7, and she has lost 20 lb despite a good appetite. What is the cause?

  • Evidence, limes, and cement
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine January 2010, 77 (1) 7; DOI: https://doi.org/10.3949/ccjm/77a.01001

    Sometimes, the results of clinical trials do not immediately affect what physicians do because the results do not jibe with experience.

  • Food allergy and eosinophilic esophagitis: Learning what to avoid
    Sandra Hong, MD and Nicola M. Vogel, MD
    Cleveland Clinic Journal of Medicine January 2010, 77 (1) 51-59; DOI: https://doi.org/10.3949/ccjm.77a.09018

    What we know about the mechanisms of food allergies and eosinophilic esophagitis, how to diagnose them, and how to treat them.

  • Consternation and questions about two vertebroplasty trials
    Marcy B. Bolster, MD
    Cleveland Clinic Journal of Medicine January 2010, 77 (1) 12-16; DOI: https://doi.org/10.3949/ccjm.77a.09161

    Should we abandon this popular procedure? Or are there considerations that may mitigate the negative findings of these two trials?

  • Myelodysplastic syndromes: A practical approach to diagnosis and treatment
    Myelodysplastic syndromes: A practical approach to diagnosis and treatment
    Afsaneh Barzi, MD and Mikkael A. Sekeres, MD, MS
    Cleveland Clinic Journal of Medicine January 2010, 77 (1) 37-44; DOI: https://doi.org/10.3949/ccjm.77a.09069

    The myelodysplastic syndromes are clonal bone marrow disorders that lead to underproduction of normal blood cells. Primary care physicians tend to be the first to identify the problem.

  • Acetaminophen: Old drug, new warnings
    Amy Schilling, PharmD, Rebecca Corey, PharmD, BCPS, Mandy Leonard, PharmD, BCPS and Bijan Eghtesad, MD
    Cleveland Clinic Journal of Medicine January 2010, 77 (1) 19-27; DOI: https://doi.org/10.3949/ccjm.77a.09084

    Often, patients overdose because they take more than one acetaminophen product and are unaware that both products contain the drug.

  • Lesions on the hands, high aminotransferase levels
    Manuel Gil-Mosquera, MD, Sergio Vañó-Galván, MD, Ruth Gomez-Guerra, MD, Pedro Jaén, MD and Marina Gil-Mosquera, MD
    Cleveland Clinic Journal of Medicine January 2010, 77 (1) 34-36; DOI: https://doi.org/10.3949/ccjm.77a.08104

    A 64-year-old man presents with a 10-day history of painful vesicles and erosions on the dorsa of the hands that appeared after sun exposure. What is the diagnosis?

  • Vertebroplasty, cognitive dissonance, and evidence-based medicine: What do we do when the ‘evidence’ says we are wrong?
    R. Douglas Orr, MD
    Cleveland Clinic Journal of Medicine January 2010, 77 (1) 8-11; DOI: https://doi.org/10.3949/ccjm.77a.09146

    Two recent trials call into question the efficacy of vertebroplasty for treating osteoporotic vertebral compression fractures and are leading many of us to question our assumptions about vertebroplasty.

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