Latest Articles

  • Cutaneous metastasis from gastric carcinoma
    Li-wen Zhang, MD, Wen-ju Wang, MD, Tao Chen, MD, PhD and Rong-hua Xu, MD
    Cleveland Clinic Journal of Medicine September 2023, 90 (9) 533-534; DOI: https://doi.org/10.3949/ccjm.90a.22085

    The patient presented with asymptomatic nodules and alopecia of the scalp 3 years after treatment for gastric adenocarcinoma.

  • 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.

  • ‘Kissing tonsils’ and splenic infarction from infectious mononucleosis
    Nicholas L. Kensey, DO and James Higgs, MD
    Cleveland Clinic Journal of Medicine August 2023, 90 (8) 463-464; DOI: https://doi.org/10.3949/ccjm.90a.22079

    A 36-year-old male presented with severe pain in the left upper quadrant after 10 days of cough, sore throat, and fever.

  • Unilateral green pleural effusion in a 22-year-old woman
    Sauradeep Sarkar, MD, Utsav Shrestha, MD, Huda Elzahrany, MD and Bathmapriya Balakrishnan, BMedSci, BMBS, FCCP
    Cleveland Clinic Journal of Medicine August 2023, 90 (8) 491-498; DOI: https://doi.org/10.3949/ccjm.90a.22097

    Chills, night sweats, palpitations, and a 5-lb weight loss, preceded by 6 months of progressive dyspnea, fatigue, and reduced exercise tolerance. What is the diagnosis?

  • Hoarseness: When to observe and when to refer
    Hoarseness: When to observe and when to refer
    Ellen L. Ferraro, MD, Rebecca Chota Nelson, MD and Paul C. Bryson, MD, MBA
    Cleveland Clinic Journal of Medicine August 2023, 90 (8) 475-481; DOI: https://doi.org/10.3949/ccjm.90a.23010

    A concise, illustrated review of basic laryngeal anatomy and function, symptoms of vocal-fold pathology, and current guidelines from the American Academy of Otolaryngology–Head and Neck Surgery.

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