Latest Articles

  • Phenytoin-induced gingival overgrowth
    Mitesh Karn, Ranjan Sah and Shabal Sapkota, MD
    Cleveland Clinic Journal of Medicine September 2022, 89 (9) 488-489; DOI: https://doi.org/10.3949/ccjm.89a.21107

    A young man presented with lower-extremity weakness and slurred speech. He has been on seizure prophylaxis after experiencing a seizure following hemicraniectomy for subdural hematoma.

  • Primary and secondary prevention of atherosclerotic cardiovascular disease: A case-based approach
    Essa H. Hariri, MD, MS, Mazen M. Al Hammoud, BS, Steven E. Nissen, MD and Donald F. Hammer, MD
    Cleveland Clinic Journal of Medicine September 2022, 89 (9) 513-522; DOI: https://doi.org/10.3949/ccjm.89a.21103

    The authors present commonly encountered clinical scenarios that pose challenges in decision-making in primary and secondary prevention.

  • Steroids in the acutely ill: Evolving recommendations and practice
    Stephen M. Pastores, MD, MACP, FCCP, FCCM
    Cleveland Clinic Journal of Medicine September 2022, 89 (9) 505-511; DOI: https://doi.org/10.3949/ccjm.89gr.22002

    New information has been generated with regard to what causes critical illness-related corticosteroid insufficiency, how to diagnose it, who should receive corticosteroid treatment, and what regimens to use.

  • Mucinous ascites: Pseudomyxoma peritonei
    Sansrita Nepal, MD, Adam Schwertner, MD and John M. Cunningham, MD
    Cleveland Clinic Journal of Medicine September 2022, 89 (9) 491-493; DOI: https://doi.org/10.3949/ccjm.89a.21086

    A 59-year-old man presented with progressive abdominal distention that limited daily activities and oral intake. The ascitic fluid was markedly viscous and jelly-like.

  • Cirrhotic coagulopathy: A rebalanced hemostasis
    Cirrhotic coagulopathy: A rebalanced hemostasis
    Achintya D. Singh, MD, MBBS, Simon R. Mucha, MD and Christina C. Lindenmeyer, MD
    Cleveland Clinic Journal of Medicine September 2022, 89 (9) 523-533; DOI: https://doi.org/10.3949/ccjm.89a.21018

    Cirrhosis affects all 3 phases of coagulation, leading to a delicate new equilibrium, easily disturbed and tipped toward either bleeding or thrombosis by acute events such as infection, renal failure, and invasive procedures.

  • The role of GLP-1 receptor agonists in managing type 2 diabetes
    The role of GLP-1 receptor agonists in managing type 2 diabetes
    Noura Nachawi, MD, Pratibha PR Rao, MD, MPH and Vinni Makin, MBBS, MD, FACE
    Cleveland Clinic Journal of Medicine August 2022, 89 (8) 457-464; DOI: https://doi.org/10.3949/ccjm.89a.21110

    A review of the evidence regarding the benefits and adverse effects of GLP-1 receptor agonists in patients with type 2 diabetes mellitus or obesity.

  • Is exercise restriction necessary in patients with pericarditis?
    Felix Berglund, MD and Allan L. Klein, MD
    Cleveland Clinic Journal of Medicine August 2022, 89 (8) 437-441; DOI: https://doi.org/10.3949/ccjm.89a.21120

    The authors review current recommendations and illustrate possible approaches through a case scenario.

  • Altered mental status in a man with metabolic syndrome
    Bernie P. Wu, BS, Molly Wheeler, PharmD, Jennifer K. Hockings, PharmD, PhD, Andrew Coulter, MD and Leopoldo Pozuelo, MD
    Cleveland Clinic Journal of Medicine August 2022, 89 (8) 445-450; DOI: https://doi.org/10.3949/ccjm.89a.21050

    A 25-year-old man with bipolar I disorder, hypertension, posttraumatic stress disorder, and obesity was found unresponsive with shallow breathing and foaming at the mouth.

  • Unilateral atrophic kidney in a 45-year-old woman
    Mohammad A. Sohail, MD, John Sedor, MD, Lee Kirksey, MD, MBA, Steven C. Blaha, MD and Heather Hofmann, MD, FACP
    Cleveland Clinic Journal of Medicine August 2022, 89 (8) 465-471; DOI: https://doi.org/10.3949/ccjm.89a.21015

    The patient presented with 2 days of constant, sharp, nonradiating flank pain on the right side, worse with movement and coughing, and severe enough to limit ambulation.

  • The double-tongue sign
    Nami Yoshimura, MD, Takashi Watari, MD, MHQS, MCTM, PhD, Keisuke Misao, MD, Toshihiro Imada, MD and Junji Mashino, MD
    Cleveland Clinic Journal of Medicine August 2022, 89 (8) 435-436; DOI: https://doi.org/10.3949/ccjm.89a.21080

    Computed tomography showed enlarged mylohyoid and geniohyoid muscles, surrounding inflammatory findings, and small gas retentions.

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