Latest Articles

  • Gas under the right diaphragm
    Hiroki Matsuura, MD and Hidenori Hata, MD, PhD
    Cleveland Clinic Journal of Medicine February 2018, 85 (2) 98-100; DOI: https://doi.org/10.3949/ccjm.85a.16139

    The patient was found to have volvulus and obstruction of the bowel.

  • Frailty and cardiovascular disease: A two-way street?
    Emer Joyce, MD, PhD
    Cleveland Clinic Journal of Medicine January 2018, 85 (1) 65-68; DOI: https://doi.org/10.3949/ccjm.85a.17075

    Frailty may be both a cause and a consequence of cardiovascular disease.

  • Dysmorphic red blood cell formation
    José Lucas Daza, MD, Marcelo De Rosa, MD and Graciela De Rosa, MD
    Cleveland Clinic Journal of Medicine January 2018, 85 (1) 12-13; DOI: https://doi.org/10.3949/ccjm.85a.17029

    A 23-year-old woman presented with hematuria and dysmorphic red blood cells in the urinary sediment.

  • Do cardiac risk stratification indexes accurately estimate perioperative risk in noncardiac surgery patients?
    Rohan Mandaliya, MD, FACP and Geno Merli, MD, MACP
    Cleveland Clinic Journal of Medicine January 2018, 85 (1) 35-39; DOI: https://doi.org/10.3949/ccjm.85a.16117

    Neither of the 2 indexes most often used is completely accurate, and neither is better than the other.

  • High users of healthcare: Strategies to improve care, reduce costs
    Neil Siekman, MD and Rick Hilger, MD
    Cleveland Clinic Journal of Medicine January 2018, 85 (1) 25-31; DOI: https://doi.org/10.3949/ccjm.85a.16082

    A minority of patients called “high users” consume a lot of healthcare, especially in the emergency department. But therein lies an opportunity.

  • A 50-year-old woman with new-onset seizure
    John R. Queen, MD and Samantha Bogner, CNP, RN
    Cleveland Clinic Journal of Medicine January 2018, 85 (1) 41-46; DOI: https://doi.org/10.3949/ccjm.85a.16050

    After prodromal symptoms, she lost consciousness for about 1 minute, with jerking.

  • What is the hepatitis B vaccination regimen in chronic kidney disease?
    Kheng Yong Ong, BSc (Pharm) (Hons), Hong Yun Wong, BSc (Pharm) (Hons) and Giat Yeng Khee, PharmD
    Cleveland Clinic Journal of Medicine January 2018, 85 (1) 32-34; DOI: https://doi.org/10.3949/ccjm.85a.17017

    For those with advanced chronic kidney disease, the authors recommend a higher dose, more doses, or both.

  • Preventing cardiovascular disease in older adults: One size does not fit all
    Ariela R. Orkaby, MD, MPH, Oyere Onuma, MD, MSc, Saadia Qazi, DO, MPH, J. Michael Gaziano, MD, MPH and Jane A. Driver, MD, MPH
    Cleveland Clinic Journal of Medicine January 2018, 85 (1) 55-64; DOI: https://doi.org/10.3949/ccjm.85a.16119

    The balance of risk and benefit may differ considerably for 2 patients of the same age if one is fi t and the other is frail.

  • A New Year’s transition and looking forward
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine January 2018, 85 (1) 6-7; DOI: https://doi.org/10.3949/ccjm.85b.01018

    Time to take stock of advances in—and obstacles to—the delivery of quality healthcare.

  • Detecting and managing device leads inadvertently placed in the left ventricle
    Detecting and managing device leads inadvertently placed in the left ventricle
    Richard G. Trohman, MD, MBA and Parikshit S. Sharma, MD, MPH
    Cleveland Clinic Journal of Medicine January 2018, 85 (1) 69-75; DOI: https://doi.org/10.3949/ccjm.85a.17012

    How it happens, how to prevent it, how to detect and correct it immediately, and how to manage cases discovered long after.

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