Latest Articles

  • A different approach to resistant hypertension
    Sheldon Hirsch, MD
    Cleveland Clinic Journal of Medicine June 2007, 74 (6) 449-456;

    More patients with resistant hypertension could control their blood pressure if physicians would perform a physical examination to determine the hemodynamic mechanism driving the hypertension. More patients would receive diuretics and beta-blockers, and in higher doses.

  • Radiologic diagnosis and management of acute lower gastrointestinal bleeding
    Siddharth A. Padia, MD, Bohdan Bybel, MD and James S. Newman, MD, PhD
    Cleveland Clinic Journal of Medicine June 2007, 74 (6) 417-420;

    When colonoscopy gives indeterminate results or cannot be performed, either radionuclide imaging or angiography is indicated.

  • Pneumococcal vaccination in adults: Recommendations, trends, and prospects
    Paul V. Targonski, MD, PhD and Gregory A. Poland, MD
    Cleveland Clinic Journal of Medicine June 2007, 74 (6) 401-414;

    Current vaccines against Streptococcus pneumoniae may not be ideal, but they are worth giving to elderly patients and others at risk.

  • A 58-year-old woman with mental status changes
    A 58-year-old woman with mental status changes
    Mihir R. Bakhru, MD, Ajay Kumar, MD and Ashish Aneja, MD
    Cleveland Clinic Journal of Medicine June 2007, 74 (6) 457-462;

    Thirty years ago she underwent gastric bypass surgery for obesity. Now she presents with mental status changes, a bicarbonate level of 16 mmol/L, and an anion gap of 15. What is the most likely cause of her acidosis?

  • A defense of apple pie
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine June 2007, 74 (6) 398;

    Vaccination against pneumococcal pneumonia is widely accepted, although we underuse it, and data to support its efficacy are scarce.

  • Perhaps it is time for a change in policy on lung cancer screening
    David F. Yankelevitz, MD
    Cleveland Clinic Journal of Medicine June 2007, 74 (6) 438-440;

    It is time to think seriously about using computed tomography as a screening test for lung cancer. We should include members of society beyond the scientific community in making this decision.

  • Heart failure in women is different than in men; should treatment be different?
    Ure Mezu, MD, Corinne Bott-Silverman, MD and Eileen Hsich, MD
    Cleveland Clinic Journal of Medicine June 2007, 74 (6) 423-435;

    Studies of heart failure treatment have included mostly men, and the results have been generalized to women even though there are pharmacologic and pathophysiologic differences between the sexes.

  • Anabolic steroid abuse: Psychiatric and physical costs
    Farid Talih, MD, Omar Fattal, MD and Donald Malone, MD
    Cleveland Clinic Journal of Medicine May 2007, 74 (5) 341-352;

    Anabolic-androgenic steroid abuse is no longer confined to professional athletes. Physicians should be aware of its signs and symptoms so that they can address its adverse effects and treat it.

  • Neurologic effects of hyponatremia and its treatment
    Peter Widdess-Walsh, MB, Vivek Sabharwal, MD, Sevag Demirjian, MD and Michael DeGeorgia, MD
    Cleveland Clinic Journal of Medicine May 2007, 74 (5) 377-383;

    Twenty-one days after surviving a hemorrhagic stroke, the patient develops new neurologic symptoms. A computed tomographic scan shows new cerebral edema. Her serum sodium concentration is 121 mmol/L.

  • Identifying and treating premature ejaculation: Importance of the sexual history
    Matt T. Rosenberg, MD, Milton M. Lakin, MD, David R. Staskin, MD, Richard E. Payne, MD and Richard Sadovsky, MD
    Cleveland Clinic Journal of Medicine May 2007, 74 (5 suppl 3) S47-S53;

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