Latest Articles

  • Rapidly progressive pleural effusion January 2019
    Scott Davidson, MD
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 236; DOI: https://doi.org/10.3949/ccjm.86c.04001

    Readers comment about deviation from guidelines during treatment of a patient with rapidly progressive pleural effusion (January 2019) and the effect of metformin on vitamin B12 levels (January 2019).

  • In reply: Rapidly progressive pleural effusion January 2019
    Zaid Zoumot, MBSS, Samar Farha, MD and Ali Wahla, MBSS
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 236; DOI: https://doi.org/10.3949/ccjm.86c.04002
  • Metformin for type 2 diabetes January 2019
    Robert S. Moskowitz, MD, FACP
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 237; DOI: https://doi.org/10.3949/ccjm.86c.04003

    Readers comment about deviation from guidelines during treatment of a patient with rapidly progressive pleural effusion (January 2019) and the effect of metformin on vitamin B12 levels (January 2019).

  • A woman, age 35, with new-onset ascites
    William C. Lippert, MD, MPH, Eun Y. Lee, MD and Aibek E. Mirrakhimov, MD
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 257-262; DOI: https://doi.org/10.3949/ccjm.86a.17082

    She also has jaundice, hepatomegaly, and multiple abnormal laboratory results. What is the next step?

  • Unusual effects of common antibiotics
    Maria Elena Ruiz, MD and Glenn W. Wortmann, MD
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 277-281; DOI: https://doi.org/10.3949/ccjm.86a.17050

    Less recognized but potentially serious adverse effects of commonly prescribed antibiotics.

  • In reply: Metformin for type 2 diabetes January 2019
    Vinni Makin, MBBS, MD, FACE and M. Cecilia Lansang, MD, MPH
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 237; DOI: https://doi.org/10.3949/ccjm.86c.04004
  • Cancer screening: A modest proposal for prevention
    Myung S. Kim, MD, Go Nishikawa, MD and Vinay Prasad, MD, MPH
    Cleveland Clinic Journal of Medicine March 2019, 86 (3) 157-160; DOI: https://doi.org/10.3949/ccjm.86a.18092

    Large-scale cancer screening programs have the unintended consequences of false-positive results and overdiagnosis.

  • Assessing liver fibrosis without biopsy in patients with HCV or NAFLD
    Tavankit Singh, MD, Daniela S. Allende, MD and Arthur J. McCullough, MD
    Cleveland Clinic Journal of Medicine March 2019, 86 (3) 179-186; DOI: https://doi.org/10.3949/ccjm.86a.17118

    Biopsy is still the gold standard, but methods based on clinical information and on imaging are emerging.

  • Human papillomavirus in 2019: An update on cervical cancer prevention and screening guidelines
    Human papillomavirus in 2019: An update on cervical cancer prevention and screening guidelines
    Salina Zhang, BS and Pelin Batur, MD, NCMP, CCD
    Cleveland Clinic Journal of Medicine March 2019, 86 (3) 173-178; DOI: https://doi.org/10.3949/ccjm.86a.18018

    Recommendations on counseling, vaccination, screening, and follow-up for abnormal screening results.

  • A paraneoplastic potassium and acid-base disturbance
    Samuel P. Wiles, MD, Matthew Kiczek, DO and Gregory W. Rutecki, MD
    Cleveland Clinic Journal of Medicine March 2019, 86 (3) 187-197; DOI: https://doi.org/10.3949/ccjm.86a.18014

    A 55-year-old smoker with COPD presents with malaise, paresthesias, and severe hypertension. What is the cause?

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