Latest Articles

  • Does stenting of severe renal artery stenosis improve outcomes compared with medical therapy alone?
    Amjad Kabach, MD, Osama Qasim Agha, MD, Motaz Baibars, MD, FACP, Abdul Hamid Alraiyes, MD and M. Chadi Alraies, MD, FACP
    Cleveland Clinic Journal of Medicine August 2015, 82 (8) 491-494; DOI: https://doi.org/10.3949/ccjm.82a.14076

    Added to drug therapy, it can modestly improve blood pressure control, but has no significant effect on outcomes.

  • Geriatrics update 2015: Vaccination, frailty, chronic disease guidelines, and cognition
    Barbara J. Messinger-Rapport, MD, PhD, FACP, CMD and Ronan Factora, MD, FACP
    Cleveland Clinic Journal of Medicine August 2015, 82 (8) 498-505; DOI: https://doi.org/10.3949/ccjm.82gr.15003

    Chronic disease-management guidelines are starting to recognize vulnerable elderly patients.

  • A continuous cardiac murmur
    Rebecca Napier, MD, Jonathan D. Gardner, MD, Susan Noe, MD, FACC, FACP and Joe B. Calkins, MD, FACC, FACP, FASE
    Cleveland Clinic Journal of Medicine July 2015, 82 (7) 414-418; DOI: https://doi.org/10.3949/ccjm.82a.14068

    A 45-year-old woman presents with progressive shortness of breath and a continuous murmur over the entire precordium.

  • An unusual cause of vitamin B12 and iron deficiency
    Shelley Maithel, BA, Alex K. Duong, Jonathan Zhang, MD and Douglas L. Nguyen, MD
    Cleveland Clinic Journal of Medicine July 2015, 82 (7) 406-408; DOI: https://doi.org/10.3949/ccjm.82a.14151

    Testing for ova and parasites was negative, but video capsule endoscopy revealed a tapeworm in the distal duodenum.

  • Urologic applications of botulinum toxin
    Ashley King, MD, Adrienne Quirouet, MD and Courtenay K. Moore, MD
    Cleveland Clinic Journal of Medicine July 2015, 82 (7) 456-464; DOI: https://doi.org/10.3949/ccjm.82a.13166

    Botulinum toxin is approved for neurogenic detrusor overactivity and overactive bladder refractory to drug therapy.

  • Care of the aging HIV patient
    Jason M. Blaylock, MD and Glenn W. Wortmann, MD
    Cleveland Clinic Journal of Medicine July 2015, 82 (7) 445-455; DOI: https://doi.org/10.3949/ccjm.82a.14094

    Today, more than 50% of all HIV-infected people in the United States are over age 50.

  • Bell palsy: Clinical examination and management
    Bell palsy: Clinical examination and management
    Donika K. Patel, DO and Kerry H. Levin, MD
    Cleveland Clinic Journal of Medicine July 2015, 82 (7) 419-426; DOI: https://doi.org/10.3949/ccjm.82a.14101

    Bell palsy is characterized by acute facial mononeuropathy of unclear cause presenting with unilateral facial weakness.

  • Electrocardiographic changes in amitriptyline overdose
    Farayi Mbuvah, MD, Frunze Petrosyan, MD, Nirosshan Thiruchelvam, MD and Gaurav Kistangari, MD
    Cleveland Clinic Journal of Medicine July 2015, 82 (7) 396-398; DOI: https://doi.org/10.3949/ccjm.82a.13135

    A 49-year-old woman was unresponsive after taking an unknown quantity of amitriptyline.

  • Umbilical hernia in a patient with cirrhosis
    Pieter Martens, MD and Wim Laleman, MD, PhD
    Cleveland Clinic Journal of Medicine July 2015, 82 (7) 404-405; DOI: https://doi.org/10.3949/ccjm.82a.14012

    Ascites is the major predisposing factor, since it causes muscle wasting and increases intra-abdominal pressure.

  • Should thiopurine methyltransferase (TPMT) activity be determined before prescribing azathioprine, mercaptopurine, or thioguanine?
    Jennifer DiPiero, MEd, Kathryn Teng, MD and J. Kevin Hicks, PharmD, PhD
    Cleveland Clinic Journal of Medicine July 2015, 82 (7) 409-413; DOI: https://doi.org/10.3949/ccjm.82a.14106

    Testing can identify patients at risk of life-threatening myelosuppression on these drugs.

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