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Cleveland Clinic Journal of Medicine
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Cleveland Clinic Journal of Medicine

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Latest Articles

  • SGLT-2 inhibitors in heart failure and chronic kidney disease: A review for internists
    You have access
    SGLT-2 inhibitors in heart failure and chronic kidney disease: A review for internists
    Rahul Jaswaney, MD, Samantha Sokoloff, MD, Val Rakita, MD and Daniel J. Rubin, MD, MSc
    Cleveland Clinic Journal of Medicine July 2024, 91 (7) 415-423; DOI: https://doi.org/10.3949/ccjm.91a.23093

    This review summarizes recent data and guidelines regarding SGLT-2 inhibitors in heart failure and chronic kidney disease and provides practical guidance for their use.

  • You have access
    Lymphedema vs lipedema: Similar but different
    Laura Daniela Lomeli, BA, Vinni Makin, MD, John R. Bartholomew, MD and Bartolome Burguera, MD, PhD
    Cleveland Clinic Journal of Medicine July 2024, 91 (7) 425-436; DOI: https://doi.org/10.3949/ccjm.91a.23084

    Lymphedema, lipedema, and even simple obesity in the extremities can resemble each other superficially and are often confused for one another, but they differ in important ways.

  • Diabetes technology: A primer for clinicians
    You have access
    Diabetes technology: A primer for clinicians
    Jayachidambaram Ambalavanan, MD, Diana Isaacs, PharmD, BCPS, BCACP, BC-ADM, CDCES and M. Cecilia Lansang, MD, MPH
    Cleveland Clinic Journal of Medicine June 2024, 91 (6) 353-360; DOI: https://doi.org/10.3949/ccjm.91a.23073

    This review of the basics of various diabetes management devices is intended to enhance clinicians’ comfort level in helping patients use these technologies.

  • You have access
    Low back pain: Spondylitis?
    Aditi Patel, MD and Jean Schils, MD
    Cleveland Clinic Journal of Medicine June 2024, 91 (6) 339-340; DOI: https://doi.org/10.3949/ccjm.91a.23086

    A 37-year-old woman was referred to a rheumatology clinic due to symptoms concerning for spondylitis after noting intermittent back pain with right-sided groin pain.

  • You have access
    Should an NPO order be placed for my patient with acute pancreatitis?
    Aaron Pathak, BA, Siena Blackwell, BSN and Robert Jay Sealock, MD
    Cleveland Clinic Journal of Medicine June 2024, 91 (6) 341-343; DOI: https://doi.org/10.3949/ccjm.91a.24009

    Resting the pancreas with extended periods of nothing by mouth status or total parenteral nutrition is no longer considered the standard of care.

  • You have access
    A hidden cause of hypokalemia
    Kanza Haq, MD, Zein Alabdin Hannouneh, MD, C. Elena Cervantes, MD and Mohamad Hanouneh, MD
    Cleveland Clinic Journal of Medicine June 2024, 91 (6) 345-351; DOI: https://doi.org/10.3949/ccjm.91a.24002

    A 21-year-old man presented with increasing fatigue and psychosis symptoms. Laboratory testing results were consistent with a metabolic disorder.

  • You have access
    Preexposure prophylaxis for preventing HIV infection: Routine practice in primary care
    Amy L. Wiser, MD, IBCLC
    Cleveland Clinic Journal of Medicine June 2024, 91 (6) 361-371; DOI: https://doi.org/10.3949/ccjm.91a.23079

    Knowing how to conduct a thorough sexual history and prescribe PrEP medications can contribute to reducing the incidence of new HIV infection.

  • You have access
    Gastroparesis for the nongastroenterologist
    Jorge Araujo-Duran, MD, Arjun Chatterjee, MD and Samita Garg, MD
    Cleveland Clinic Journal of Medicine June 2024, 91 (6) 373-383; DOI: https://doi.org/10.3949/ccjm.91a.23078

    The authors explore how primary care clinicians can use current recommendations to manage patients with mild to moderate gastroparesis.

  • You have access
    Pursuing the diagnosis of low back pain
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine June 2024, 91 (6) 334-335; DOI: https://doi.org/10.3949/ccjm.91b.06024

    The recommended conservative approach eschewing initial imaging in patients with acute or subacute low back pain is unlikely to miss a significant clinical problem in those with no “red flags,” though the evaluation should be tempered in patients with chronic low back pain.

  • You have access
    Simultaneous hemorrhage and venous thrombosis in a patient with systemic lupus erythematosus
    Binoy Yohannan, MD, Natalie A. Montanez, FNP-C and Miguel A. Escobar, MD
    Cleveland Clinic Journal of Medicine May 2024, 91 (5) 308-317; DOI: https://doi.org/10.3949/ccjm.91a.23059

    After undergoing hip arthroplasty, the patient had hematoma formation in the pelvis, active bleeding from the surgical site, and a prolonged activated partial thromboplastin time. Careful evaluation led to the diagnosis of an acquired bleeding disorder.

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