Latest Articles

  • Recurrent pyelonephritis as a sign of ‘sponge kidney’
    Hung-Yi Chu, MD, Ming-Tso Yan, MD and Shih-Hua Lin, MD
    Cleveland Clinic Journal of Medicine August 2009, 76 (8) 479-480; DOI: https://doi.org/10.3949/ccjm.76a.08110

    Intravenous urography is the gold standard for the diagnosis of medullary sponge kidney. Computed tomography and ultrasonography have limited ability to clearly show tubular ectasia.

  • How menopause affects oral health, and what we can do about it
    How menopause affects oral health, and what we can do about it
    Maria Clarinda A. Buencamino, MD, Leena Palomo, DDS, MSD and Holly L. Thacker, MD, CDD
    Cleveland Clinic Journal of Medicine August 2009, 76 (8) 467-475; DOI: https://doi.org/10.3949/ccjm.76a.08095

    After menopause, women become more susceptible to periodontal disease. The problem may stem in large part from estrogen deficiency.

  • Painful eye with a facial rash
    José Luis Vallejo-García, MD, Sergio Vañó-Galván, MD, Omar Rayward, MD and Paula Moreno-Martin, MD
    Cleveland Clinic Journal of Medicine July 2009, 76 (7) 410-412; DOI: https://doi.org/10.3949/ccjm.76a.08083

    Six days ago, the patient had an intense headache; 4 days ago, painful herpetiform lesions appeared on his face. What is the diagnosis?

  • Clinical approach to colonic ischemia
    Clinical approach to colonic ischemia
    Kareem Elder, MD, Bret A. Lashner, MD and Firas Al Solaiman, MD
    Cleveland Clinic Journal of Medicine July 2009, 76 (7) 401-409; DOI: https://doi.org/10.3949/ccjm.76a.08089

    Ischemic colitis is one of the diagnoses that should be considered when patients present with abdominal pain, diarrhea, and intestinal bleeding.

  • In reply: Radiologic workup of a palpable breast mass (March 2009)
    Melanie Chellman-Jeffers, MD
    Cleveland Clinic Journal of Medicine July 2009, 76 (7) 385-389; DOI: https://doi.org/10.3949/ccjm/76c/070002
  • What is the role of probiotics in the treatment of acute Clostridium difficile-associated diarrhea?
    Kennon Miller, MD and Thomas Fraser, MD
    Cleveland Clinic Journal of Medicine July 2009, 76 (7) 391-392; DOI: https://doi.org/10.3949/ccjm.76a.08112

    Overall, the evidence does not support using probiotics to treat Clostridium difficile-associated diarrhea. More studies are needed to determine if they are helpful and, if so, which ones and at what dosages.

  • Back pain made simple: An approach based on principles and evidence
    Samir D. Bhangle, MD, Sunil Sapru, MD and Richard S. Panush, MD, MACP, MACR
    Cleveland Clinic Journal of Medicine July 2009, 76 (7) 393-399; DOI: https://doi.org/10.3949/ccjm.76a.08099

    Low back pain is a common and costly medical condition with only a weak correlation between symptoms and pathologic changes. The authors offer a simple, evidence-based approach.

  • A 48-year-old man with uncontrolled diabetes
    Mengjun Hu, BS and J. Harry Isaacson, MD
    Cleveland Clinic Journal of Medicine July 2009, 76 (7) 413-416; DOI: https://doi.org/10.3949/ccjm.76a.09025

    His type 2 diabetes has been well controlled for 6 years. Now, his blood sugar levels have been rising for the past week, and he has large amounts of glucose and ketones in the urine. What has happened?

  • Alternative modes of mechanical ventilation: A review for the hospitalist
    Eduardo Mireles-Cabodevila, MD, Enrique Diaz-Guzman, MD, Gustavo A. Heresi, MD and Robert L. Chatburn, BS, RRT-NPS
    Cleveland Clinic Journal of Medicine July 2009, 76 (7) 417-430; DOI: https://doi.org/10.3949/ccjm.76a.08043

    Newer ventilators can be set to modes other than the pressure-control and volume-control modes of older machines. We review how they work and contrast their theoretical benefits and actual evidence of benefit.

  • Radiologic workup of a palpable breast mass (March 2009)
    David L. Keller, MD
    Cleveland Clinic Journal of Medicine July 2009, 76 (7) 385; DOI: https://doi.org/10.3949/ccjm/76c/070001

    A reader comments about an article on the radiologic workup of a palpable breast mass (March 2009).

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