Latest Articles

  • Postoperative troponin surveillance: A diagnostic dilemma
    Steven L. Cohn, MD, FACP, SFHM
    Cleveland Clinic Journal of Medicine September 2015, 82 (9) 603-605; DOI: https://doi.org/10.3949/ccjm.82a.15113

    Postoperative troponin elevations are linked to bad outcomes. But does screening for troponin elevations improve outcomes?

  • Perioperative MI: Data, practice, and questions
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine September 2015, 82 (9) 552-554; DOI: https://doi.org/10.3949/ccjm.82b.09015

    What should be done when an elevated troponin is detected in a postoperative patient who is otherwise doing perfectly well?

  • Herpes zoster triplex
    Shota Takashima, MD and Mitsuhito Ota, MD, PhD
    Cleveland Clinic Journal of Medicine September 2015, 82 (9) 579; DOI: https://doi.org/10.3949/ccjm.82a.14173

    A 77-year-old man presented with painful eruptions on the left chest, right lower groin, and left thigh.

  • Ankle pain in a young woman with Gaucher disease
    Ajoe John Kattoor, MD, Thomas W. Bauer, MD, PhD, Mark Berkowitz, MD, Joshua M. Polster, MD and Alan E. Lichtin, MD
    Cleveland Clinic Journal of Medicine September 2015, 82 (9) 607-613; DOI: https://doi.org/10.3949/ccjm.82a.14108

    Gaucher disease causes hepatomegaly, splenomegaly, bone marrow disease, bone pain, bone infarcts, and lytic lesions.

  • What is the difference between palliative care and hospice care?
    Mellar P. Davis, MD, FCCP, FAAHPM, Terence Gutgsell, MD and Pamela Gamier, RN, BSN, CHPN
    Cleveland Clinic Journal of Medicine September 2015, 82 (9) 569-571; DOI: https://doi.org/10.3949/ccjm.82a.14145

    The two have different indications and goals and are often provided in different settings.

  • Does stenting of severe renal artery stenosis improve outcomes compared with medical therapy alone?
    Amjad Kabach, MD, Osama Qasim Agha, MD, Motaz Baibars, MD, FACP, Abdul Hamid Alraiyes, MD and M. Chadi Alraies, MD, FACP
    Cleveland Clinic Journal of Medicine August 2015, 82 (8) 491-494; DOI: https://doi.org/10.3949/ccjm.82a.14076

    Added to drug therapy, it can modestly improve blood pressure control, but has no significant effect on outcomes.

  • Geriatrics update 2015: Vaccination, frailty, chronic disease guidelines, and cognition
    Barbara J. Messinger-Rapport, MD, PhD, FACP, CMD and Ronan Factora, MD, FACP
    Cleveland Clinic Journal of Medicine August 2015, 82 (8) 498-505; DOI: https://doi.org/10.3949/ccjm.82gr.15003

    Chronic disease-management guidelines are starting to recognize vulnerable elderly patients.

  • The role of sentinel lymph node biopsy after excision of melanomas (May 2015)
    David L. Keller, MD
    Cleveland Clinic Journal of Medicine August 2015, 82 (8) 479; DOI: https://doi.org/10.3949/ccjm.82c:08005

    Readers comment on eruptive xanthoma (April 2015), risk of falls in older adults (May 2015), and sentinel lymph node biopsy after excision of melanoma (May 2015).

  • Stenting may benefit select patients with severe renal artery stenosis
    M. A. C. Onuigbo, MD, MSc, FWACP, FASN, MBA
    Cleveland Clinic Journal of Medicine August 2015, 82 (8) 495-497; DOI: https://doi.org/10.3949/ccjm.82a.14128

    Treatment of severe renal artery stenosis must be individualized.

  • Starting insulin in patients with type 2 diabetes: An individualized approach
    Andrei Brateanu, MD, FACP, Giavanna Russo-Alvarez, PharmD, BCACP and Craig Nielsen, MD, FACP
    Cleveland Clinic Journal of Medicine August 2015, 82 (8) 513-519; DOI: https://doi.org/10.3949/ccjm.82a.14069

    Take into account the patient’s age, life expectancy, concurrent illnesses, risk of hypoglycemia, and other factors.

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