Latest Articles

  • It’s all in the P wave
    Sridhar Venkatachalam, MD, MRCP and Curtis Rimmerman, MD, MBA, FACC
    Cleveland Clinic Journal of Medicine February 2013, 80 (2) 80-82; DOI: https://doi.org/10.3949/ccjm.80a.12044

    A 49-year-old man with rheumatic mitral valve stenosis presents with worsening exertional dyspnea, fatigue, and cough. What can his electrocardiogram tell us?

  • Cardiac tamponade: 12 pearls in diagnosis and management
    William A. Schiavone, DO, FACC
    Cleveland Clinic Journal of Medicine February 2013, 80 (2) 109-116; DOI: https://doi.org/10.3949/ccjm.80a.12052

    Tamponade shares symptoms and signs with other, more common diseases. Consider it when the patient has chest trauma or a chronic medical illness that can involve the pericardium.

  • Recent recommendations on steroid-induced osteoporosis: More targeted, but more complicated
    Chad L. Deal, MD
    Cleveland Clinic Journal of Medicine February 2013, 80 (2) 117-125; DOI: https://doi.org/10.3949/ccjm.80a.11094

    Whenever a patient begins glucocorticoid treatment, we need to think about bone loss. The current guidelines from the American College of Rheumatology are more targeted than in the past but may be harder to use.

  • Should we still use electrocardiography to diagnose pericardial disease?
    M. Chadi Alraies, MD, FACP and Allan L. Klein, MD, FRCP(C), FACC, FAHA, FASE
    Cleveland Clinic Journal of Medicine February 2013, 80 (2) 97-100; DOI: https://doi.org/10.3949/ccjm.80a.11144

    Acute pericarditis has a unique clinical presentation, physical findings, and electrocardiographic changes.

  • Dermatitis in an intestinal transplant candidate
    Sarah Taimur, MD and Lucileia Johnson, MD
    Cleveland Clinic Journal of Medicine February 2013, 80 (2) 90; DOI: https://doi.org/10.3949/ccjm.80a.12101

    Cultures of biopsy specimens were negative. What is the cause of this patient’s lesions?

  • Resistant hypertension: Diagnostic strategies and management
    Emmanuel Bravo, MD
    Cleveland Clinic Journal of Medicine February 2013, 80 (2) 91-96; DOI: https://doi.org/10.3949/ccjm.80gr.12005

    A 37-year-old woman was referred for help with managing difficult-to-control hypertension. Does she have resistant hypertension? How should her condition be managed?

  • Functional anatomy of the facial nerve revealed by Ramsay Hunt syndrome
    Don Gilden, MD
    Cleveland Clinic Journal of Medicine February 2013, 80 (2) 78-79; DOI: https://doi.org/10.3949/ccjm.80a.12126

    Facial paralysis in association with a rash on the ear, tongue, or hard palate reflects geniculate zoster and requires immediate antiviral treatment.

  • Fecal microbiota transplantation for recurrent <em>C difficile </em>infection: Ready for prime time?
    Fecal microbiota transplantation for recurrent C difficile infection: Ready for prime time?
    Markus D. Agito, MD, Ashish Atreja, MD, MPH, FACP and Maged K. Rizk, MD
    Cleveland Clinic Journal of Medicine February 2013, 80 (2) 101-108; DOI: https://doi.org/10.3949/ccjm.80a.12110

    If you had a serious disease, would you agree to an alternative treatment that is cheap, safe, and effective—but seems disgusting? Would you recommend it to patients?

  • Odynophagia, peripheral facial nerve paralysis, mucocutaneous lesions
    Emiliano Grillo, MD, Angela Miguel-Morrondo, MD, Sergio Vañó-Galván, MD, PhD and Pedro Jaén, MD, PhD
    Cleveland Clinic Journal of Medicine February 2013, 80 (2) 76-77; DOI: https://doi.org/10.3949/ccjm.80a.12098

    A 54-year-old woman presented with a 7-day history of odynophagia, pharyngeal swelling, and painful skin lesions on her ear. What does she have?

  • Improving outcomes and lowering costs by applying advanced models of in-home care
    Peter A. Boling, MD, Rashmi V. Chandekar, MD, Beth Hungate, MS, ANP-BC, Martha Purvis, MSN, Rachel Selby-Penczak, MD and Linda J. Abbey, MD
    Cleveland Clinic Journal of Medicine January 2013, 80 (1 e-suppl 1) e-S7-e-S14; DOI: https://doi.org/10.3949/ccjm.80.e-s1.03

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