Latest Articles

  • POLST: An improvement over traditional advance directives
    Patricia A. Bomba, MD, FACP, Marian Kemp, RN and Judith S. Black, MD, MHA
    Cleveland Clinic Journal of Medicine July 2012, 79 (7) 457-464; DOI: https://doi.org/10.3949/ccjm.79a.11098

    Physician Orders for Life-Sustaining Treatment (POLST) is a process that translates a patient’s goals for care at the end of life into medical orders.

  • Challenges in the management of aortic stenosis
    Amar Krishnaswamy, MD and Brian P. Griffin, MD
    Cleveland Clinic Journal of Medicine July 2012, 79 (7) 483-486; DOI: https://doi.org/10.3949/ccjm.79a.12059

    Unfortunately, physicians who manage aortic stenosis do not encounter straightforward classic cases very often.

  • Managing the patient with newly diagnosed Parkinson disease
    Hubert H. Fernandez, MD, Nestor Galvez-Jimenez, MD and Carlos Singer, MD
    Cleveland Clinic Journal of Medicine July 2012, 79 (7 suppl 2) S3-S7; DOI: https://doi.org/10.3949/ccjm.79.s2a.01
  • Acute community-acquired bacterial meningitis in adults: An evidence-based review
    Adarsh Bhimraj, MD
    Cleveland Clinic Journal of Medicine June 2012, 79 (6) 393-400; DOI: https://doi.org/10.3949/ccjm.79gr.12003

    Can we rule it out based on the history and physical examination? Is lumbar puncture needed, and should computed tomography of the head be done first? Which drugs should we start empirically?

  • Sudden hypoxia during knee surgery
    Ursula A. Galway, MD and David Gugliotti, MD
    Cleveland Clinic Journal of Medicine June 2012, 79 (6) 401-409; DOI: https://doi.org/10.3949/ccjm.79a.09129

    Fat embolism syndrome is an unpredictable condition with varied presentation.

  • UV protection and sunscreens: What to tell patients
    UV protection and sunscreens: What to tell patients
    Paul C. Jou, MD, MS, Ron J. Feldman, MD, PhD and Kenneth J. Tomecki, MD
    Cleveland Clinic Journal of Medicine June 2012, 79 (6) 427-436; DOI: https://doi.org/10.3949/ccjm.79a.11110

    Some measures are straightforward, but sunscreens have been a source of confusion in their labeling and SPF ratings.

  • Superior vena cava syndrome
    Khaldoon Shaheen, MD and M. Chadi Alraies, MD, FACP
    Cleveland Clinic Journal of Medicine June 2012, 79 (6) 410-412; DOI: https://doi.org/10.3949/ccjm.79a.11106

    A 60-year-old man developed superior vena cava syndrome due to thrombosis of a central venous catheter used for dialysis.

  • Anemia, leukocytosis, abdominal pain, flushing, and bone and skin lesions
    Iván Álvarez-Twose, MD, Sergio Vañó-Galván, MD, PhD, Laura Sanchez-Muñoz, MD, PhD, Soledad Fernandez-Zapardiel, MD and Luis Escribano, MD, PhD
    Cleveland Clinic Journal of Medicine June 2012, 79 (6) 384-386; DOI: https://doi.org/10.3949/ccjm.79a.10137

    Physical examination revealed hepatosplenomegaly and an erythematous, maculopapular, confluent rash on the trunk. What is the most likely diagnosis?

  • Fire, skin, and fat: Inflammation, psoriasis, and cardiovascular disease
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine June 2012, 79 (6) 376; DOI: https://doi.org/10.3949/ccjm.79b.12006

    The connection between psoriasis and atherosclerosis is not well understood, but we should be vigilant about cardiovascular risk factors in these patients.

  • How to avoid damaging ultraviolet light
    Cleveland Clinic Journal of Medicine June 2012, 79 (6) 437;

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