Latest Articles

  • A clinical trial and another clinical practice bites the dust, or should there not be an appendix?
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine June 2022, 89 (6) 288-289; DOI: https://doi.org/10.3949/ccjm.89b.06022

    Studies over the past 2 decades have assessed an alternative approach to acute appendicitis: treatment with systemic antibiotics and observation.

  • Appendicitis management: Is it time for a change?
    Anthony DeRoss, MD, FACS, FAAP and Alisan Fathalizadeh, MD
    Cleveland Clinic Journal of Medicine June 2022, 89 (6) 309-313; DOI: https://doi.org/10.3949/ccjm.89a.21012

    Antibiotic therapy has been a successful alternative to surgery for more than 60 years, but surgery is still the primary treatment.

  • Esophageal adenocarcinoma: A dire need for early detection and treatment
    Esophageal adenocarcinoma: A dire need for early detection and treatment
    Abel Joseph, MD, Siva Raja, MD, PhD, Suneel Kamath, MD, Sunguk Jang, MD, Daniela Allende, MD, Mike McNamara, MD, Gregory Videtic, MD, Sudish Murthy, MD and Amit Bhatt, MD
    Cleveland Clinic Journal of Medicine May 2022, 89 (5) 269-279; DOI: https://doi.org/10.3949/ccjm.89a.21053

    A clinical overview focused on screening, multidisciplinary evaluation, and treatment of early esophageal adenocarcinoma.

  • Psychogenic nonepileptic seizure: An empathetic, practical approach
    Becky Bikat S. Tilahun, PhD and Jocelyn F. Bautista, MD
    Cleveland Clinic Journal of Medicine May 2022, 89 (5) 252-259; DOI: https://doi.org/10.3949/ccjm.89a.21109

    Barriers to care include clinician misperceptions, lack of acceptance of the diagnosis, poor patient engagement with treatment, and lack of access to care.

  • Lacrimal gland involvement in a patient with sarcoidosis
    Tanmayi Pai, MD, Mohamed S. Muneer, MD, Kafayat Oyemade, Diva R. Salomao, MD, Vivek Gupta, MD and Dana Harris, MD
    Cleveland Clinic Journal of Medicine May 2022, 89 (5) 239-240; DOI: https://doi.org/10.3949/ccjm.89a.21037

    The differential diagnosis included infection, malignancy, and inflammatory disorders such as immunoglobulin G4-related disease and sarcoidosis.

  • There should be more GOLD in the EMR
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine May 2022, 89 (5) 232-233; DOI: https://doi.org/10.3949/ccjm.89b.05022

    We can do better at making the clinical note a useful tool for communication in the electronic medical record.

  • A brownish erythematous patch in the nipple-areola complex
    Irene López Riquelme, MD, Elisabeth Gómez Moyano, MD, PhD, María Ayala Blanca, PhD and Leandro Martínez Pilar, MD, PhD
    Cleveland Clinic Journal of Medicine May 2022, 89 (5) 241-242; DOI: https://doi.org/10.3949/ccjm.89a.21059

    Biopsy revealed neoplastic cells throughout the epidermis and granular layer, with abundant pale cytoplasm, intraglandular extension, and chronic inflammation in the papillary dermis.

  • Palliative care: An update for internists
    Rachel D. Havyer, MD, FAAHPM, Nauzley Abedini, MD, MSc, Robert L. Jayes, MD, Brenda Matti-Orozco, MD, Daniel H. Pomerantz, MD, MPH and Aziz A. Ansari, DO, SFHM, FAAHPM, FACP
    Cleveland Clinic Journal of Medicine May 2022, 89 (5) 262-268; DOI: https://doi.org/10.3949/ccjm.89a.21075

    A review of recent research to guide symptom management, advance-care planning, and communication training to maximize compassionate care.

  • Managing stage 1 hypertension: Consider the risks, stop the progression
    Abel Hooker, MD, Kevin G. Buda, DO and Maarya Pasha, MD
    Cleveland Clinic Journal of Medicine May 2022, 89 (5) 244-248; DOI: https://doi.org/10.3949/ccjm.89a.21101

    Guidelines on managing patients with stage 1 hypertension and a low 10-year risk of atherosclerotic cardiovascular disease.

  • The underappreciated role of documentation in improving COPD care
    Solmaz Ehteshami-Afshar, MD, MSc and Naseema Merchant, MD
    Cleveland Clinic Journal of Medicine May 2022, 89 (5) 249-251; DOI: https://doi.org/10.3949/ccjm.89a.21044

    Despite the importance of providing guideline-concordant care, there are still barriers to implementing evidence-based recommendations in providing care for patients with chronic obstructive pulmonary disease.

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