Latest Articles

  • When can I stop dual antiplatelet therapy in patients with drug-eluting stents?
    Juan Simon Rico-Mesa, MD, Carlos Uribe, MD, FACC, FSCAI, Megha Prasad, MD and Sushil Allen Luis, MBBS, FRACP
    Cleveland Clinic Journal of Medicine January 2019, 86 (1) 13-16; DOI: https://doi.org/10.3949/ccjm.86a.17033

    The decision requires balancing the risk of thrombosis against the risk of bleeding. A cardiologist can help.

  • MGUS: It’s about the protein, not just the marrow
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine January 2019, 86 (1) 4-5; DOI: https://doi.org/10.3949/ccjm.86b.01019

    What is a cause of a high erythrocyte sedimentation rate with a normal C-reactive protein and a low anion gap?

  • Emphysematous cystitis
    Waiel Abusnina, MD, Mena Shehata, MD, Sammy Nassri, MD and Fuad Zeid, MD
    Cleveland Clinic Journal of Medicine January 2019, 86 (1) 10-11; DOI: https://doi.org/10.3949/ccjm.86a.18063

    The patient had fallen in her home and remained on the floor for 2 days until neighbors heard her cries and called 911.

  • Rapidly progressive pleural effusion
    Zaid Zoumot, MBBS, Ali S. Wahla, MBBS and Samar Farha, MD
    Cleveland Clinic Journal of Medicine January 2019, 86 (1) 21-27; DOI: https://doi.org/10.3949/ccjm.86a.18067

    A 33-year-old nonsmoker presents with severe pleuritic chest pain; the differential diagnosis is broad.

  • Common benign breast concerns for the primary care physician
    Christine Lara Klassen, MD, Stephanie L. Hines, MD and Karthik Ghosh, MD
    Cleveland Clinic Journal of Medicine January 2019, 86 (1) 57-65; DOI: https://doi.org/10.3949/ccjm.86a.17100

    Because breast cancer is so common, women with breast problems often fear the worst. They needn’t.

  • Monoclonal gammopathy of undetermined significance: A primary care guide
    Monoclonal gammopathy of undetermined significance: A primary care guide
    Jack Khouri, MD, Christy Samaras, DO, Jason Valent, MD, Alex Mejia Garcia, MD, Beth Faiman, PhD, CNP, Saveta Mathur, CNP, Kim Hamilton, CNP, Megan Nakashima, MD and Matt Kalaycio, MD
    Cleveland Clinic Journal of Medicine January 2019, 86 (1) 39-46; DOI: https://doi.org/10.3949/ccjm.86a.17133

    Low-risk MGUS may not require subspecialty referral and can be followed by the outpatient provider.

  • Do all hospital inpatients need cardiac telemetry?
    Motaz Baibars, MD, Yasser Al-Khadra, MD, Zaher Fanari, MD, Homam Moussa Pacha, MD, Mohamad Soud, MD and M. Chadi Alraies, MD
    Cleveland Clinic Journal of Medicine December 2018, 85 (12) 925-927; DOI: https://doi.org/10.3949/ccjm.85a.17114

    Routine cardiac telemetry raises costs and does little.

  • Cannabis for peripheral neuropathy: The good, the bad, and the unknown
    Vania Modesto-Lowe, MD, MPH, Rachel Bojka, MS, PA-C and Camille Alvarado, DO, MPH
    Cleveland Clinic Journal of Medicine December 2018, 85 (12) 943-949; DOI: https://doi.org/10.3949/ccjm.85a.17115

    Even where it is legal, doctors should recommend it only after careful consideration.

  • Narcolepsy: Diagnosis and management
    Erin C. Golden, MD and Melissa C. Lipford, MD
    Cleveland Clinic Journal of Medicine December 2018, 85 (12) 959-969; DOI: https://doi.org/10.3949/ccjm.85a.17086

    Treatments can offer enhanced quality of life.

  • Cannabis for chronic pain: Not a simple solution
    Xavier F. Jimenez, MD
    Cleveland Clinic Journal of Medicine December 2018, 85 (12) 950-952; DOI: https://doi.org/10.3949/ccjm.85a.18089

    Real concerns include amotivation, worsening psychiatric states, chronic disability, and chemical dependence.

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