Latest Articles

  • Should metformin be used in every patient with type 2 diabetes?
    Vinni Makin, MBBS, MD, FACE and M. Cecilia Lansang, MD, MPH
    Cleveland Clinic Journal of Medicine January 2019, 86 (1) 17-20; DOI: https://doi.org/10.3949/ccjm.86a.18039

    Most patients should receive it, with exceptions. Nevertheless, it is underused.

  • Who needs to carry an epinephrine autoinjector?
    T. Ted Song, DO, FAAAI, FACP and Phil Lieberman, MD
    Cleveland Clinic Journal of Medicine January 2019, 86 (1) 66-72; DOI: https://doi.org/10.3949/ccjm.86a.17123

    Patients who have had anaphylaxis or who are at risk of it should carry an epinephrine autoinjector with them at all times.

  • Hypertension guidelines: Treat patients, not numbers
    Wesam Aleyadeh, MD, Erika Hutt-Centeno, MD, Haitham M. Ahmed, MD, MPH and Nishant P. Shah, MD
    Cleveland Clinic Journal of Medicine January 2019, 86 (1) 47-56; DOI: https://doi.org/10.3949/ccjm.86a.18027

    When treating high blood pressure, how low should we try to go? Debate continues.

  • When can I stop dual antiplatelet therapy in patients with drug-eluting stents?
    Juan Simon Rico-Mesa, MD, Carlos Uribe, MD, FACC, FSCAI, Megha Prasad, MD and Sushil Allen Luis, MBBS, FRACP
    Cleveland Clinic Journal of Medicine January 2019, 86 (1) 13-16; DOI: https://doi.org/10.3949/ccjm.86a.17033

    The decision requires balancing the risk of thrombosis against the risk of bleeding. A cardiologist can help.

  • MGUS: It’s about the protein, not just the marrow
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine January 2019, 86 (1) 4-5; DOI: https://doi.org/10.3949/ccjm.86b.01019

    What is a cause of a high erythrocyte sedimentation rate with a normal C-reactive protein and a low anion gap?

  • Emphysematous cystitis
    Waiel Abusnina, MD, Mena Shehata, MD, Sammy Nassri, MD and Fuad Zeid, MD
    Cleveland Clinic Journal of Medicine January 2019, 86 (1) 10-11; DOI: https://doi.org/10.3949/ccjm.86a.18063

    The patient had fallen in her home and remained on the floor for 2 days until neighbors heard her cries and called 911.

  • Cannabis for peripheral neuropathy: The good, the bad, and the unknown
    Vania Modesto-Lowe, MD, MPH, Rachel Bojka, MS, PA-C and Camille Alvarado, DO, MPH
    Cleveland Clinic Journal of Medicine December 2018, 85 (12) 943-949; DOI: https://doi.org/10.3949/ccjm.85a.17115

    Even where it is legal, doctors should recommend it only after careful consideration.

  • Narcolepsy: Diagnosis and management
    Erin C. Golden, MD and Melissa C. Lipford, MD
    Cleveland Clinic Journal of Medicine December 2018, 85 (12) 959-969; DOI: https://doi.org/10.3949/ccjm.85a.17086

    Treatments can offer enhanced quality of life.

  • Cannabis for chronic pain: Not a simple solution
    Xavier F. Jimenez, MD
    Cleveland Clinic Journal of Medicine December 2018, 85 (12) 950-952; DOI: https://doi.org/10.3949/ccjm.85a.18089

    Real concerns include amotivation, worsening psychiatric states, chronic disability, and chemical dependence.

  • Acute necrotizing esophagitis
    Takeshi Kondo, MD
    Cleveland Clinic Journal of Medicine December 2018, 85 (12) 912-913; DOI: https://doi.org/10.3949/ccjm.85a.18054

    Poorly controlled diabetes, confusion, coffee-ground emesis.

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