Latest Articles

  • Is exercise restriction necessary in patients with pericarditis?
    Felix Berglund, MD and Allan L. Klein, MD
    Cleveland Clinic Journal of Medicine August 2022, 89 (8) 437-441; DOI: https://doi.org/10.3949/ccjm.89a.21120

    The authors review current recommendations and illustrate possible approaches through a case scenario.

  • Altered mental status in a man with metabolic syndrome
    Bernie P. Wu, BS, Molly Wheeler, PharmD, Jennifer K. Hockings, PharmD, PhD, Andrew Coulter, MD and Leopoldo Pozuelo, MD
    Cleveland Clinic Journal of Medicine August 2022, 89 (8) 445-450; DOI: https://doi.org/10.3949/ccjm.89a.21050

    A 25-year-old man with bipolar I disorder, hypertension, posttraumatic stress disorder, and obesity was found unresponsive with shallow breathing and foaming at the mouth.

  • Unilateral atrophic kidney in a 45-year-old woman
    Mohammad A. Sohail, MD, John Sedor, MD, Lee Kirksey, MD, MBA, Steven C. Blaha, MD and Heather Hofmann, MD, FACP
    Cleveland Clinic Journal of Medicine August 2022, 89 (8) 465-471; DOI: https://doi.org/10.3949/ccjm.89a.21015

    The patient presented with 2 days of constant, sharp, nonradiating flank pain on the right side, worse with movement and coughing, and severe enough to limit ambulation.

  • The double-tongue sign
    Nami Yoshimura, MD, Takashi Watari, MD, MHQS, MCTM, PhD, Keisuke Misao, MD, Toshihiro Imada, MD and Junji Mashino, MD
    Cleveland Clinic Journal of Medicine August 2022, 89 (8) 435-436; DOI: https://doi.org/10.3949/ccjm.89a.21080

    Computed tomography showed enlarged mylohyoid and geniohyoid muscles, surrounding inflammatory findings, and small gas retentions.

  • Circulating lipids are not all bad: An LDL mimic that may be only skin deep
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine August 2022, 89 (8) 422-423; DOI: https://doi.org/10.3949/ccjm.89b.08022

    Although lipoprotein-X separates out by density in the low-density lipoprotein (LDL) fraction and thus may appear as LDL in the laboratory report, it is biologically unique.

  • An unexpected turn
    Cleveland Clinic Journal of Medicine August 2022, 89 (8) 455;

    The following article in the July 2022 issue contained an error: Ganeshan S, Kelemen B, Dhaliwal G, Zier L. An unexpected turn: A 71-year-old man with myocardial infarction. Cleve Clin J Med. 2022;89(7):401–407. doi:10.3949/ccjm.89a.21030

  • Which ICU patients need stress ulcer prophylaxis?
    Mariam Saeed, MD, Stephanie Bass, PharmD and Neal F. Chaisson, MD
    Cleveland Clinic Journal of Medicine July 2022, 89 (7) 363-367; DOI: https://doi.org/10.3949/ccjm.89a.21085

    An examination of the controversy surrounding stress ulcer prophylaxis in critically ill patients, with guidance for its appropriate use in this setting.

  • Unraveling a challenging diagnosis: Role of a TNF inhibitor
    Soumya Chatterjee, MD, MS, FRCP, FACP, FACR
    Cleveland Clinic Journal of Medicine July 2022, 89 (7) 368-370; DOI: https://doi.org/10.3949/ccjm.89a.21128

    Painful swelling of the dorsum of the right hand had been diagnosed as chronic cutaneous sarcoidosis with tenosynovitis, treated unsuccessfully with prednisone and methotrexate.

  • Nontuberculous mycobacterial musculoskeletal infections: Recognizable, when suspected
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine July 2022, 89 (7) 355-356; DOI: https://doi.org/10.3949/ccjm.89b.07022

    Two articles in this issue offer valuable insight into when to suspect these infections in patients who present with swollen, indurated, peripheral soft-tissue structures.

  • Mondor disease of the breast
    Toshiyuki Yamaguchi, MD
    Cleveland Clinic Journal of Medicine July 2022, 89 (7) 371-372; DOI: https://doi.org/10.3949/ccjm.89a.21097

    A 43-year-old woman had 2 weeks of pain and skin tightness over the right breast. Ultrasonography revealed a noncompressible, dilated, subcutaneous vein without flow.

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