Latest Articles

  • Hidden lesion easily missed on chest radiography
    Kamolyut Lapumnuaypol, MD and Jessica M. Stempel, MD
    Cleveland Clinic Journal of Medicine April 2018, 85 (4) 270-273; DOI: https://doi.org/10.3949/ccjm.85a.17067

    Chest radiography showed an opacity behind the heart, and CT angiography revealed it to be an aortic aneurysm.

  • Make no bones about it!
    Elizabeth Matzkin, MD
    Cleveland Clinic Journal of Medicine April 2018, 85 (4) 321-322; DOI: https://doi.org/10.3949/ccjm.85a.17071

    It is important to diagnose and treat the female athlete triad to maintain optimal bone health.

  • Methemoglobinemia in an HIV patient
    Riva Raiker, MD, William C. Lippert, MD, MPH and Romil Chadha, MD, MPH, FACP, SFHM
    Cleveland Clinic Journal of Medicine March 2018, 85 (3) 186-187; DOI: https://doi.org/10.3949/ccjm.85a.17004

    He had restarted his home dapsone prophylaxis, but his dyspnea worsened and his urine became dark.

  • Ascites from intraperitoneal urine leakage after pelvic radiation
    Tatsuya Fujikawa, MD, PhD and Yasuharu Tokuda, MD, PhD
    Cleveland Clinic Journal of Medicine March 2018, 85 (3) 188-189; DOI: https://doi.org/10.3949/ccjm.85a.17028

    Six years earlier, the patient had undergone hysterectomy and chemoradiotherapy for cervical cancer.

  • Update on VTE, Supplement 3 December 2017
    Cleveland Clinic Journal of Medicine March 2018, 85 (3) 189;

    Errors occurred in: Bartholomew JR. Update on the management of venous thromboembolism. Cleve Clin J Med 2017; 84(suppl 3): 39–46.

  • Primary care management of chronic pelvic pain in women
    Rachel Bonnema, MD, MS, MEGAN Mcnamara, MD, MSc, Jennifer Harsh, PhD, LMFT and Elizabeth Hopkins, PT, DPT
    Cleveland Clinic Journal of Medicine March 2018, 85 (3) 215-223; DOI: https://doi.org/10.3949/ccjm.85a.16038

    While referral may eventually be indicated, primary care doctors can take steps to diagnose and manage the condition.

  • Acute cardiorenal syndrome: Mechanisms and clinical implications
    Acute cardiorenal syndrome: Mechanisms and clinical implications
    Guramrinder S. Thind, MD, Mark Loehrke, MD, FACP and Jeffrey L. Wilt, MD, FACP, FCCP
    Cleveland Clinic Journal of Medicine March 2018, 85 (3) 231-239; DOI: https://doi.org/10.3949/ccjm.85a.17019

    Volume overload is central to its pathogenesis, and accurate assessment of volume status is critical.

  • Which test for CAD should be used in patients with left bundle branch block?
    Bo Xu, MBBS (Hons), Paul Cremer, MD, Wael Jaber, MD, Stuart Moir, MBBS, PhD, Serge C. Harb, MD and L. Leonardo Rodriguez, MD
    Cleveland Clinic Journal of Medicine March 2018, 85 (3) 224-230; DOI: https://doi.org/10.3949/ccjm.85a.17051

    CT angiography is the fi rst-line test in those under 65; for older patients there are SPECT and dobutamine echocardiography.

  • Alzheimer dementia: Starting, stopping drug therapy
    Luke D. Kim, MD, FACP, CMD and Ronan M. Factora, MD, FACP, AGSF
    Cleveland Clinic Journal of Medicine March 2018, 85 (3) 209-214; DOI: https://doi.org/10.3949/ccjm.85a.16080

    It is reasonable to consider discontinuing therapy when a patient has progressed to advanced dementia.

  • Hypertension in older adults: What is the target blood pressure?
    Anu Garg, MD and Barbara J. Messinger-Rapport, MD, PhD
    Cleveland Clinic Journal of Medicine March 2018, 85 (3) 193-195; DOI: https://doi.org/10.3949/ccjm.85a.17064

    Goal: systolic pressure below 130 mm Hg if the patient can take multiple medications and be followed closely.

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