Latest Articles

  • Recognizing and treating cutaneous signs of liver disease
    Ribhi Hazin, MD, Tarek I. Abu-Rajab Tamimi, MD, Jamil Y. Abuzetun, MD and Nizar N. Zein, MD
    Cleveland Clinic Journal of Medicine October 2009, 76 (10) 599-606; DOI: https://doi.org/10.3949/ccjm.76A.08113

    If we can recognize these manifestations early, we will be better able to promptly diagnose and treat the underlying liver disease as well as the skin lesions.

  • Less-invasive ways to remove stones from the kidneys and ureters
    Less-invasive ways to remove stones from the kidneys and ureters
    Mary K. Samplaski, MD, Brian H. Irwin, MD and Mihir Desai, MD
    Cleveland Clinic Journal of Medicine October 2009, 76 (10) 592-598; DOI: https://doi.org/10.3949/ccjm.76a.09014

    Lithotripsy, ureteroscopy, and percutaneous nephrolithotomy all have advantages and disadvantages in different situations. But not all patients with stones need intervention.

  • Ulcerative leg nodules in a transplant recipient
    Ai-Ping Chua, MB, BS, Steven D. Billings, MD, Marie M. Budev, DO, MPH and Atul C. Mehta, MB, BS
    Cleveland Clinic Journal of Medicine October 2009, 76 (10) 575-576; DOI: https://doi.org/10.3949/ccjm.76a.09006

    Three weeks after undergoing bilateral lung transplantation, the patient has developed new nodules on his leg. What is the cause?

  • Update on 2009 pandemic influenza A (H1N1) virus
    Steven M. Gordon, MD
    Cleveland Clinic Journal of Medicine October 2009, 76 (10) 577-582; DOI: https://doi.org/10.3949/ccjm.76a.05009

    The approaches to vaccination, prophylaxis, and treatment will be more complex this year. Unsuspected cases of influenza in hospitalized patients or health care workers working with influenza pose the greatest threat for transmission of influenza within the hospital. Health care workers need to stay home when sick.

  • Vertebroplasty, evidence, and health care reform: What is quality care?
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine September 2009, 76 (9) 497-502; DOI: https://doi.org/10.3949/ccjm/76a.09001

    Two recent trials found that a popular procedure for fixing vertebral fractures lacks efficacy. Like it or not, in the future, such evidence is going to affect whether insurers pay for care.

  • Influenza in long-term care facilities: Preventable, detectable, treatable
    Sherif B. Mossad, MD
    Cleveland Clinic Journal of Medicine September 2009, 76 (9) 513-521; DOI: https://doi.org/10.3949/ccjm.76a.09022

    Vaccination is the most important preventive measure. Early detection, infection control measures, prompt treatment, and preventive treatment of contacts can also help curtail an outbreak.

  • Ablation of atrial fibrillation: What can we tell our patients?
    Punam Chowdhury, MD, William R. Lewis, MD, Robert A. Schweikert, MD and Jennifer E. Cummings, MD
    Cleveland Clinic Journal of Medicine September 2009, 76 (9) 543-550; DOI: https://doi.org/10.3949/ccjm.76a.08091

    More patients are asking their physicians about radiofrequency ablation. Although it has shown promising clinical results, some patients may have unrealistic expectations.

  • In reply: Diabetic ketoacidosis (July 2009)
    J. Harry isaacson, MD
    Cleveland Clinic Journal of Medicine September 2009, 76 (9) 507; DOI: https://doi.org/10.3949/ccjm/76c/090002
  • Should catheter ablation be the first line of treatment for atrial fibrillation?
    Bruce D. Lindsay, MD
    Cleveland Clinic Journal of Medicine September 2009, 76 (9) 503-506; DOI: https://doi.org/10.3949/ccjm.76a.09070

    Antiarrhythmic drugs should remain the first line of treatment until trials prove otherwise.

  • Role of MRI in breast cancer management
    Louie Enriquez, MD and Jay Listinsky, MD, PhD
    Cleveland Clinic Journal of Medicine September 2009, 76 (9) 525-532; DOI: https://doi.org/10.3949/ccjm.76a.06043

    MRI might be indicated for workup of possible breast cancer, but not for screening except in women at high risk.

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