Latest Articles

  • Defining disease activity and damage in patients with small-vessel vasculitis
    Peter A. Merkel, MD, MPH
    Cleveland Clinic Journal of Medicine November 2012, 79 (11 suppl 3) S11-S15; DOI: https://doi.org/10.3949/ccjm.79.s3.03
  • Nail pigmentation and fatigue
    Claudio Guarneri, MD, Valentina Bevelacqua, MD, PhD and Giuseppe Nunnari, MD, PhD, MPH
    Cleveland Clinic Journal of Medicine November 2012, 79 (11) 785-786; DOI: https://doi.org/10.3949/ccjm.79a.12011

    A number of conditions can cause discoloration of the nails. What is the diagnosis?

  • Treating vasculitis with conventional immunosuppressive agents
    David Jayne, MD, FRCP
    Cleveland Clinic Journal of Medicine November 2012, 79 (11 suppl 3) S46-S49; DOI: https://doi.org/10.3949/ccjm.79.s3.10
  • Should N-acetylcysteine be used routinely to prevent contrast-induced acute kidney injury?
    Senthil K. Sivalingam, MD, Mini V. Hariharan, MBBS, Gregory L. Braden, MD and Benjamin J. Freda, DO
    Cleveland Clinic Journal of Medicine November 2012, 79 (11) 746-749; DOI: https://doi.org/10.3949/ccjm.79a.12088

    Its routine use is not supported at this time, but there is evidence to suggest giving it to patients with baseline renal dysfunction.

  • Androgen deficiency in older men: Indications, advantages, and pitfalls of testosterone replacement therapy
    John J. McGill, MD, Daniel A. Shoskes, MD and Edmund S. Sabanegh, MD
    Cleveland Clinic Journal of Medicine November 2012, 79 (11) 797-806; DOI: https://doi.org/10.3949/ccjm.79a.12010

    This, the second of two articles on hypogonadism in men, focuses on the appropriate use of testosterone therapy.

  • A rash after streptococcal infection
    Naveen K. Voore, MD, Alexis Davis, MD and Joseph Fuscaldo, MD
    Cleveland Clinic Journal of Medicine November 2012, 79 (11) 759-760; DOI: https://doi.org/10.3949/ccjm.79a.12042

    The patient, a 39-year-old woman, had been taking amoxicillin for streptococcal pharyngitis. What caused the rash?

  • Male hypogonadism: More than just a low testosterone
    Male hypogonadism: More than just a low testosterone
    Kevin M. Pantalone, DO, ECNU, CCD and Charles Faiman, MD, FRCPC, MACE
    Cleveland Clinic Journal of Medicine October 2012, 79 (10) 717-725; DOI: https://doi.org/10.3949/ccjm.79a.11174

    Confronted with a low serum testosterone level, physicians should not jump to the diagnosis of hypogonadism. Confirmation and thorough evaluation are warranted.

  • Home testing: The metamorphosis of attitudes about HIV infection
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine October 2012, 79 (10) 669-674; DOI: https://doi.org/10.3949/ccjm.79b.12010

    Most of us have not spent the past 25 years on the front line against the AIDS epidemic, but we all have been touched by it.

  • Cognitive impairment in ICU survivors: Assessment and therapy
    Rachel Wergin, MS and Ariel Modrykamien, MD, FCCP, FACP
    Cleveland Clinic Journal of Medicine October 2012, 79 (10) 705-712; DOI: https://doi.org/10.3949/ccjm.79a.12038

    Cognitive impairment occurs in up to one-third of patients after a stay in the intensive care unit. Prevention is the prevailing strategy, since data on treatment are scarce.

  • V1: The most important lead in inferior STEMI
    Vijaiganesh Nagarajan, MD, MRCP and Donald A. Underwood, MD
    Cleveland Clinic Journal of Medicine October 2012, 79 (10) 682-683; DOI: https://doi.org/10.3949/ccjm.79a.11135

    A 63-year-old woman with diabetes and hypertension developed chest tightness. Her electrocardiogram showed ST-segment elevation in leads II, III, aVF, V1, and V2.

Pages