Latest Articles

  • Prevention of venous thromboembolism in the cancer surgery patient
    Amir K. Jaffer, MD, Alex C. Spyropoulos, MD, Daniel J. Brotman, MD, Alpesh N. Amin, MD, MBA, Steven B. Deitelzweig, MD and Sylvia C. McKean, MD
    Cleveland Clinic Journal of Medicine April 2008, 75 (4 suppl 3) S17-S26;
  • Accuracy of the physical examination in evaluating pleural effusion
    Accuracy of the physical examination in evaluating pleural effusion
    Enrique Diaz-Guzman, MD and Marie M. Budev, DO, MPH
    Cleveland Clinic Journal of Medicine April 2008, 75 (4) 297-303;

    A careful physical examination is a valuable and noninvasive means of assessing pleural effusions and should be routinely performed in every patient in whom this condition is suspected.

  • A new series, an old concept, continued value
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine April 2008, 75 (4) 257;

    This month we introduce a new series, The Physical Examination, kicked off by a paper on evaluating pleural effusions. We encourage you to submit your suggestions for topics.

  • Interpreting the Charisma Study
    Mihir R. Bakhru, MD and Deepak L. Bhatt, MD
    Cleveland Clinic Journal of Medicine April 2008, 75 (4) 289-295;

    In patients at risk of myocardial infarction or stroke, two antiplatelet drugs are not always better than one.

  • Diffuse alveolar hemorrhage: Diagnosing it and finding the cause
    Octavian C. Ioachimescu, MD and James K. Stoller, MD
    Cleveland Clinic Journal of Medicine April 2008, 75 (4) 258-280;

    Diffuse alveolar hemorrhage can complicate a large number of clinical conditions. It may present in different ways and may be life-threatening, and it poses an important challenge for the clinician.

  • A review of spinal arachnoid cysts
    Gwyneth Hughes, MD, Kene Ugokwe, MD and Edward C. Benzel, MD
    Cleveland Clinic Journal of Medicine April 2008, 75 (4) 311-315;

    The symptoms of spinal arachnoid cysts are variable and nonspecific, so these cysts are commonly misdiagnosed as herniated disks. Many are discovered incidentally.

  • What role will ‘gliptins’ play in glycemic control?
    Zachary Bloomgarden, MD and Andrew Drexler, MD
    Cleveland Clinic Journal of Medicine April 2008, 75 (4) 305-310;

    Sitagliptin (Januvia) is now available, vildagliptin (Galvus) is awaiting approval, and other “gliptins” are under development. Their greatest appeal appears to be their ability to stimulate insulin production with little risk of hypoglyecmia.

  • Antibiotic prophylaxis dosage error
    Cleveland Clinic Journal of Medicine April 2008, 75 (4) 318;

    Correction to Kim A, Keys T. Infective endocarditis prophylaxis before dental procedures: new guidelines spark controversy. Cleve Clin J Med 2008; 75:89–92.

  • Dropped gallstones disguised as a liver abscess
    Syed Kashif Mahmood, MD, J. Walton Tomford, MD, Steven Rosenblatt, MD and Steven Gordon, MD
    Cleveland Clinic Journal of Medicine April 2008, 75 (4) 316-318;

    The patient, who underwent laparoscopic cholecystectomy 3 months ago, now has abdominal pain and a spot on computed tomography that could be a liver abscess. But is it?

  • A 61-year-old with bipolar disorder and cognitive impairment: Dementia or polypharmacy?
    Mamta Bhatnagar, MD and Robert Palmer, MD, MPH
    Cleveland Clinic Journal of Medicine April 2008, 75 (4) 284-288;

    He reports poor concentration, using wrong words, forgetting names, and sleepiness. What is the cause?

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