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Cleveland Clinic Journal of Medicine
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Cleveland Clinic Journal of Medicine

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Latest Articles

  • You have access
    Hold ACE inhibitors and ARBs before noncardiac surgery? Emerging evidence suggests a patient-specific approach
    CME article
    Maureen Keshock, MD, MHSA, Elise Zhang, MS-3, Christopher Whinney, MD and Kenneth C. Cummings, MD, MS
    Cleveland Clinic Journal of Medicine October 2025, 92 (10) 619-626; DOI: https://doi.org/10.3949/ccjm.92a.25035

    Judicious withholding of ACE inhibitors and ARBs in vulnerable populations—and promptly resuming them—may strike the safest balance between renal protection and hemodynamic stability.

  • You have access
    Glucagon-like peptide-1 receptor agonists and pancreatitis: A reconcilable divorce
    Cleveland Clinic Journal of Medicine October 2025, 92 (10) 593;
  • You have access
    Do patients with severe community-acquired bacterial pneumonia benefit from systemic corticosteroids?
    Alejandro Chapa-Rodriguez, MD, Tark Abou-Elmagd, MD, MSc, MBBCh, Cody O’Rear, DO and Shraddha Narechania, MD
    Cleveland Clinic Journal of Medicine October 2025, 92 (10) 600-604; DOI: https://doi.org/10.3949/ccjm.92a.25023

    Recent evidence has swung the pendulum back in favor of using corticosteroids in patients with severe community-acquired pneumonia.

  • Acute respiratory distress syndrome: Why a definition matters
    You have access
    Acute respiratory distress syndrome: Why a definition matters
    Christine Girard, MD, Divyajot Sadana, MD, Shewit Giovanni, MD, MS, Heather Torbic, PharmD, BCPS, BCCCP and Abhijit Duggal, MD, MPH, MSc
    Cleveland Clinic Journal of Medicine September 2025, 92 (9) 565-571; DOI: https://doi.org/10.3949/ccjm.92a.24115

    The new definition brings acute respiratory distress syndrome into the realm of physicians working on hospital general medicine wards.

  • You have access
    Half-moccasin distribution of acute tinea pedis
    Yusuke Ito, MD
    Cleveland Clinic Journal of Medicine September 2025, 92 (9) 529-530; DOI: https://doi.org/10.3949/ccjm.92a.24085

    An 84-year-old woman presented with a week-long history of pruritus on the sole of her right foot.

  • You have access
    Benzodiazepines: Caught between patient needs and guidelines
    Jasleen Kaur, MD, Vania Modesto-Lowe, MD, MPH and Margaret M. Chaplin, MD
    Cleveland Clinic Journal of Medicine September 2025, 92 (9) 531-535; DOI: https://doi.org/10.3949/ccjm.92a.25019

    Negative sentiment about benzodiazepines has intensified in recent years, and there is increasing emphasis on deprescribing even for people who have had no ill effects from them.

  • You have access
    Collaborative musculoskeletal care: The role for chiropractors
    Samuel M. Schut, DC, Logan J. Benjamin, DC, MPH and Timothy J. Williamson, DC, MS
    Cleveland Clinic Journal of Medicine September 2025, 92 (9) 550-554; DOI: https://doi.org/10.3949/ccjm.92a.25014

    Integrating chiropractors into multidisciplinary care settings can help support guideline-concordant care and may free up internists to see more patients with other problems.

  • You have access
    Flexibility is warranted in applying prescribing guidelines
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine September 2025, 92 (9) 520-521; DOI: https://doi.org/10.3949/ccjm.92b.09025

    Discontinuation of benzodiazepines in chronic users may be associated with a small increase in mortality and a higher risk of adverse events, especially in the short term after cessation.

  • You have access
    An overview of over-the-counter contraceptives: Spotlight on daily oral norgestrel
    Rujuta Takalkar, BS, Andrea Lorenzo, MD, MS and Suneela Vegunta, MD, NCMP
    Cleveland Clinic Journal of Medicine September 2025, 92 (9) 572-576; DOI: https://doi.org/10.3949/ccjm.92a.24108

    Oral norgestrel, the first daily oral contraceptive pill available over the counter in the United States, is a safe, effective addition to existing over-the-counter contraceptive options.

  • You have access
    How can I help my pregnant patients quit using tobacco?
    Moronkeji Fagbemi, MD, Ivie Odiase, MD and Anna Fagbemi, MD
    Cleveland Clinic Journal of Medicine September 2025, 92 (9) 542-545; DOI: https://doi.org/10.3949/ccjm.92a.25008

    Clinicians should screen for tobacco use and follow-up with pregnancy-specific messaging during each visit, building on any motivation the patient has to quit.

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