Latest Articles

  • What is the utility of measuring the serum ammonia level in patients with altered mental status?
    Hesham M. Elgouhari, MD and Robert O’Shea, MD, MSCE
    Cleveland Clinic Journal of Medicine April 2009, 76 (4) 252-254; DOI: https://doi.org/10.3949/ccjm.76a.08072

    If you already know that the patient has decompensated liver disease, then measuring the ammonia level has little value.

  • Polly can make you sick: Pet bird-associated diseases
    Keels S. Jorn, MD, Kristine M. Thompson, MD, Jan M. Larson, MD and Janis E. Blair, MD
    Cleveland Clinic Journal of Medicine April 2009, 76 (4) 235-243; DOI: https://doi.org/10.3949/ccjm.76a.08018

    Bird owners are at risk of a number of bacterial, protozoal, fungal, viral, and parasitic zoonoses. We review the presentation, evaluation, and basic treatment of these diseases.

  • What can we expect from omega-3 fatty acids?
    Eric J. Chan, MD and Leslie Cho, MD
    Cleveland Clinic Journal of Medicine April 2009, 76 (4) 245-251; DOI: https://doi.org/10.3949/ccjm.76a.08042

    Many patients are taking fish oil supplements, either on their own initiative or on their physicians’ advice. Driving this trend is accumulating evidence that these lipids actually reduce cardiovascular risk.

  • Barium esophagography (February 2009)
    David L. Keller, MD
    Cleveland Clinic Journal of Medicine April 2009, 76 (4) 218; DOI: https://doi.org/10.3949/ccjm.76c.04001
  • Platelet response in practice: Applying new insights and tools for testing and treatment
    Deepak L. Bhatt, MD, MPH, Kandice Kottke-Marchant, MD, PhD, John H. Alexander, MD, MHSc, W. Frank Peacock, MD and Marc S. Sabatine, MD, MPH
    Cleveland Clinic Journal of Medicine April 2009, 76 (4 suppl 1) S24-S32; DOI: https://doi.org/10.3949/ccjm.76.s1.04
  • In reply: Shingles vaccine (January 2009)
    Aparajita Singh, MD, MPH
    Cleveland Clinic Journal of Medicine March 2009, 76 (3) 152; DOI: https://doi.org/10.3949/ccjm.76c.03003
  • The radiologic workup of a palpable breast mass
    Lauren Stein, MD and Melanie Chellman-Jeffers, MD
    Cleveland Clinic Journal of Medicine March 2009, 76 (3) 175-180; DOI: https://doi.org/10.3949/ccjm.76a.08015

    The discovery of a breast mass is a common occurrence, and it is distressing for any woman. The choice of initial imaging study is most often guided by the patient’s age.

  • A 43-year-old woman with chest pressure
    Deborah Mickelson, DO, Ehab N. Mady, DO and Kathryn Teng, MD
    Cleveland Clinic Journal of Medicine March 2009, 76 (3) 191-198; DOI: https://doi.org/10.3949/ccjm.76a.07006

    She has acute chest discomfort, a 25-pack-year smoking history, and a family history of myocardial infarction and deep vein thrombosis. What is the cause of her symptoms?

  • Shingles vaccine (January 2009)
    Ronald Hirsch, MD
    Cleveland Clinic Journal of Medicine March 2009, 76 (3) 152; DOI: https://doi.org/10.3949/ccim.76c.03002
  • Optic neuritis and risk of MS: Differential diagnosis and management
    Benjamín J. Osborne, MD and Nicholas J. Volpe, MD
    Cleveland Clinic Journal of Medicine March 2009, 76 (3) 181-190; DOI: https://doi.org/10.3949/ccjm.76a.07268

    Optic neuritis, a demyelinating inflammatory condition that causes acute vision loss, is associated with multiple sclerosis. Recognizing its classic clinical manifestations early is important so that diagnostic testing and treatment can be started.

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