Latest Articles

  • When should brain imaging precede lumbar puncture in cases of suspected bacterial meningitis?
    Aibek E. Mirrakhimov, MD, Adam Gray, MD and Taha Ayach, MD
    Cleveland Clinic Journal of Medicine February 2017, 84 (2) 111-113; DOI: https://doi.org/10.3949/ccjm.84a.16028

    Few patients need it. Empiric antibiotic and corticosteroid therapy must not be delayed.

  • Heartburn or heart attack? A mimic of MI
    Willis S. Bowman, MD, Amir Farid, MD and Paul Aronowitz, MD
    Cleveland Clinic Journal of Medicine September 2017, 84 (9) 664-665; DOI: https://doi.org/10.3949/ccjm.84a.16093

    The diagnosis: milk-alkali syndrome, complicated by thiazide use.

  • Bedbugs: Awareness is key
    Whitney A. High, MD, JD, MEng
    Cleveland Clinic Journal of Medicine March 2017, 84 (3) 212-213; DOI: https://doi.org/10.3949/ccjm.84a.17001

    Bedbugs are back, and they are everywhere. Not all who are bitten have reactions.

  • When should an indwelling pleural catheter be considered for malignant pleural effusion?
    Abdul Hamid Alraiyes, MD, FCCP, Kassem Harris, MD, FCCP and Thomas R. Gildea, MD, MS, FCCP
    Cleveland Clinic Journal of Medicine December 2016, 83 (12) 891-894; DOI: https://doi.org/10.3949/ccjm.83a.15075

    Consider catheter placement if symptoms and effusions recur or if pleurodesis fails.

  • Abdominal pain under immunosuppressive conditions
    Takayo Ota, MD, PhD, Masanobu Nakano, MSc, Noriko Tanaka, MD, Tomohiro Suzumura, MD, PhD, Nozomi Miyatake, BPharm, Yoshikazu Hasegawa, MD, PhD, Tomohiro Ozaki, MD, Hiroshi Tsukuda, MD and Masahiro Fukuoka, MD, PhD
    Cleveland Clinic Journal of Medicine December 2016, 83 (12) 874-875; DOI: https://doi.org/10.3949/ccjm.83a.15143

    A cancer patient receiving corticosteroids for a brain metastasis developed emphysematous cystitis and psoas muscle abscess.

  • Taurine, energy drinks, and neuroendocrine effects
    Jonathan J. Caine, MD and Thomas D. Geracioti, MD
    Cleveland Clinic Journal of Medicine December 2016, 83 (12) 895-904; DOI: https://doi.org/10.3949/ccjm.83a.15050

    Taurine is a major ingredient in popular energy drinks, but little is known about its neuroendocrine effects.

  • Hiding in clear sight: Complications of immunosuppressive therapies
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine December 2016, 83 (12) 862-863; DOI: https://doi.org/10.3949/ccjm.83b.12016

    Immunosuppressive drugs can mask the signs of deep infection and thus delay its diagnosis.

  • Minocycline-induced hyperpigmentation
    Mahmoud Abdelghany, MD and Alan J. Kivitz, MD
    Cleveland Clinic Journal of Medicine December 2016, 83 (12) 876-877; DOI: https://doi.org/10.3949/ccjm.83a.16058

    The patient presented with extensive bluish skin discoloration that had started 1 year earlier as a small area and then spread.

  • Phlegmasia cerulea dolens from radiation-induced venous stenosis
    Suman Paul, MBBS, PhD and Mujeeb Sheikh, MD
    Cleveland Clinic Journal of Medicine December 2016, 83 (12) 865-867; DOI: https://doi.org/10.3949/ccjm.83a.15166

    The patient had received pelvic radiation 10 years earlier for prostate cancer.

  • What stool testing is appropriate when diarrhea develops in a hospitalized patient?
    Sheena K. Ramdeen, MD, MPH and Glenn W. Wortmann, MD, FIDSA, FACP
    Cleveland Clinic Journal of Medicine December 2016, 83 (12) 882-884; DOI: https://doi.org/10.3949/ccjm.83a.16039

    Most cases are not due to infection, but Clostridium difficile is the most common infectious cause.

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