Latest Articles

  • Is anticoagulation appropriate for all patients with portal vein thrombosis?
    Bradley D. Confer, DO, Ibrahim Hanouneh, MD, Marcelo Gomes, MD and M. Chadi Alraies, MD
    Cleveland Clinic Journal of Medicine October 2013, 80 (10) 611-613; DOI: https://doi.org/10.3949/ccjm.80a.12136

    No. The decision is complex and depends on whether the thrombosis is acute or chronic and on other factors.

  • Cardiovascular disease in women: Prevention, symptoms, diagnosis, pathogenesis
    Cardiovascular disease in women: Prevention, symptoms, diagnosis, pathogenesis
    Sahar Naderi, MD, MHS and Leslie S. Cho, MD
    Cleveland Clinic Journal of Medicine September 2013, 80 (9) 577-587; DOI: https://doi.org/10.3949/ccjm.80a.13005

    Notable sex differences exist in the underlying mechanisms, presentation, and response to aspirin, statins, and exercise stress.

  • Chronic itch on the upper back, with pain
    Sergio Vañó-Galván, MD, PhD, Emiliano Grillo, MD, Mayte Truchuelo, MD and Pedro Jaén, MD, PhD
    Cleveland Clinic Journal of Medicine September 2013, 80 (9) 550-552; DOI: https://doi.org/10.3949/ccjm.80a.12135

    An otherwise healthy man has had itchy, grayish-brown patches on his back for 2 years, characteristic of notalgia paresthetica.

  • Which lower-extremity DVTs should be removed early?
    Samir K. Shah, MD and Daniel G. Clair, MD
    Cleveland Clinic Journal of Medicine September 2013, 80 (9) 546-547; DOI: https://doi.org/10.3949/ccjm.80a.12147

    This controversial therapy is best considered in cases of proximal deep vein thrombosis in younger patients.

  • Transient ischemic attack: Omen and opportunity
    Shruti Sonni, MD and David E. Thaler, MD, PhD
    Cleveland Clinic Journal of Medicine September 2013, 80 (9) 566-576; DOI: https://doi.org/10.3949/ccjm.80a.12141

    A transient ischemic attack (TIA) is often the precursor of stroke. As such, every TIA deserves to be taken seriously.

  • Fever, dyspnea, and a new heart murmur
    Gregory Jackson, MD, Christian Camargo, MD, Lee Fong Ling, MBBS, MMed, Vidyasagar Kalahasti, MD and Curtis M. Rimmerman, MD, MBA
    Cleveland Clinic Journal of Medicine September 2013, 80 (9) 559-561; DOI: https://doi.org/10.3949/ccjm.80a.12049

    In cases of recurrent persistent fever and a new heart murmur, infective endocarditis must always be considered.

  • Biomarkers in the emergency workup of chest pain: Uses, limitations, and future
    Wassim Mosleh, HBSc, Husam Abdel-Qadir, MD and Michael Farkouh, MD, MSc
    Cleveland Clinic Journal of Medicine September 2013, 80 (9) 589-598; DOI: https://doi.org/10.3949/ccjm.80a.12112

    Cardiac biomarkers are only one piece of the clinical picture, albeit an important one.

  • It is not a ‘mini’-stroke, it is a call to action
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine September 2013, 80 (9) 538; DOI: https://doi.org/10.3949/ccjm.80b.09013

    Although patients may call transient ischemic attacks “mini-strokes,” there is nothing mini about their significance.

  • Azithromycin and risk of sudden cardiac death: Guilty as charged or falsely accused?
    John R. Giudicessi, BA and Michael J. Ackerman, MD, PhD
    Cleveland Clinic Journal of Medicine September 2013, 80 (9) 539-544; DOI: https://doi.org/10.3949/ccjm.80a.13077

    We need not abandon this drug, but we should see if our patients have risk factors, and take precautions.

  • Lung air-fluid level in a smoker
    Fayez Kheir, MD, Abdul Hamid Alraiyes, MD, Daniel Salerno, MD, MS and M. Chadi Alraies, MD
    Cleveland Clinic Journal of Medicine August 2013, 80 (8) 500-501; DOI: https://doi.org/10.3949/ccjm.80a.12107

    A 49-year-old man with a 25-pack-year history had a striking finding on radiography.

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