Latest Articles

  • An ulcerated plaque on the hand
    Husein Husein-El Ahmed, MD, José Aneiros-Fernández, MD, Salvador Arias-Santiago, MD, Rosa Ortega Del Olmo, MD and Ramón Naranjo-Sintes, PhD
    Cleveland Clinic Journal of Medicine September 2010, 77 (9) 585-586; DOI: https://doi.org/10.3949/ccjm.77a.10004

    A 73-year-old farmer has a lesion on the dorsum of his hand that bleeds intermittently. What is it?

  • The shrinking woman
    Hung-Yi Chu, MD and Pauling Chu, MD, PhD
    Cleveland Clinic Journal of Medicine September 2010, 77 (9) 583-584; DOI: https://doi.org/10.3949/ccjm.77a.10010

    A 45-year-old woman on dialysis has lost 20 cm in height over the past 8 years, despite two parathyroidectomy procedures. Would a third one help?

  • Exchanging the skin bleb for the test tube
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine September 2010, 77 (9) 566; DOI: https://doi.org/10.3949/ccjm.77a.09001

    New blood tests are a positive step towards accurate recognition and treatment of patients with latent tuberculosis.

  • Timeliness of treatment is more important than choice of reperfusion therapy
    Eric R. Bates, MD
    Cleveland Clinic Journal of Medicine September 2010, 77 (9) 567-569; DOI: https://doi.org/10.3949/ccjm.77a.10085

    The most important modifiable predictor of outcome in ST-segment elevation MI is the time to treatment, a biological truth that continues to be supported by clinical evidence.

  • Combined reperfusion strategies in ST-segment elevation MI: Rationale and current role
    Elias B. Hanna, MD, Thomas A. Hennebry, MD and Mazen S. Abu-Fadel, MD
    Cleveland Clinic Journal of Medicine September 2010, 77 (9) 629-638; DOI: https://doi.org/10.3949/ccjm.77a.10024

    In geographic areas where percutaneous coronary intervention (PCI) is not immediately available, the best strategy may be to give thrombolysis immediately and then to transfer the patient to a PCI hospital.

  • Hepatitis C virus: Prevention, screening, and interpretation of assays
    Mazen Albeldawi, MD, Ernesto Ruiz-Rodriguez, MD and William D. Carey, MD
    Cleveland Clinic Journal of Medicine September 2010, 77 (9) 616-626; DOI: https://doi.org/10.3949/ccjm.77a.09162

    Patients at risk of hepatitis C virus infection should be screened for it so that they can be treated and potentially cured, or can at least avoid transmitting the disease to others.

  • Noninvasive tests for liver disease, fibrosis, and cirrhosis: Is liver biopsy obsolete?
    Noninvasive tests for liver disease, fibrosis, and cirrhosis: Is liver biopsy obsolete?
    Emily Carey, DO and William D. Carey, MD
    Cleveland Clinic Journal of Medicine August 2010, 77 (8) 519-527; DOI: https://doi.org/10.3949/ccjm.77a.09138

    The need for liver biopsy is diminishing, thanks to accurate blood tests and imaging studies.

  • Painful red nodule on the right hand
    Salvador Arias-Santiago, MD, José Aneiros-Fernández, MD, Husein Husein-El Ahmed, MD, María Sierra Girón-Prieto, MD, Leopoldo Muñoz-Medina, PhD and Ramón Naranjo-Sintes, PhD
    Cleveland Clinic Journal of Medicine August 2010, 77 (8) 512-514; DOI: https://doi.org/10.3949/ccjm.77a.09101

    A healthy man presents with a tender subcutaneous nodule on his hand that appeared after cleaning his aquarium. What is the most likely diagnosis?

  • Can patients with COPD or asthma take a beta-blocker
    Elsy Viviana Navas, MD and David O. Taylor, MD
    Cleveland Clinic Journal of Medicine August 2010, 77 (8) 498-499; DOI: https://doi.org/10.3949/ccjm.77a.09133

    Yes, if they really need one. We would choose a cardioselective agent.

  • Do incretin drugs for type 2 diabetes increase the risk of acute pancreatitis?
    Leann Olansky, MD
    Cleveland Clinic Journal of Medicine August 2010, 77 (8) 503-505; DOI: https://doi.org/10.3949/ccjm.77a.09167

    Probably not. The risk is higher in type 2 diabetes regardless of treatment.

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