Latest Articles

  • Cognitive impairment in ICU survivors: Assessment and therapy
    Rachel Wergin, MS and Ariel Modrykamien, MD, FCCP, FACP
    Cleveland Clinic Journal of Medicine October 2012, 79 (10) 705-712; DOI: https://doi.org/10.3949/ccjm.79a.12038

    Cognitive impairment occurs in up to one-third of patients after a stay in the intensive care unit. Prevention is the prevailing strategy, since data on treatment are scarce.

  • V1: The most important lead in inferior STEMI
    Vijaiganesh Nagarajan, MD, MRCP and Donald A. Underwood, MD
    Cleveland Clinic Journal of Medicine October 2012, 79 (10) 682-683; DOI: https://doi.org/10.3949/ccjm.79a.11135

    A 63-year-old woman with diabetes and hypertension developed chest tightness. Her electrocardiogram showed ST-segment elevation in leads II, III, aVF, V1, and V2.

  • Hypertension in the elderly: Some practical considerations
    Kashif N. Chaudhry, MD, Patricia Chavez, MD, Jerzy Gasowski, MD, Tomasz Grodzicki, MD and Franz H. Messerli, MD, FACC, FACP
    Cleveland Clinic Journal of Medicine October 2012, 79 (10) 694-704; DOI: https://doi.org/10.3949/ccjm.79a.12017

    Treatment is challenging because of comorbidities and age-related changes. Some common scenarios are presented.

  • Hypertensive chronic kidney disease in African Americans: Strategies for improving care
    David Martins, MD, MS, Lawrence Agodoa, MD and Keith C. Norris, MD, FACP, FASN
    Cleveland Clinic Journal of Medicine October 2012, 79 (10) 726-734; DOI: https://doi.org/10.3949/ccjm.79a.11109

    Factors responsible for its rapid progression in African Americans are detectable by screening and modifiable with prompt therapy.

  • A 60-year-old man with abdominal bruising
    Deepan Dalal, MD and Sharon E. Mace, MD, FACEP, FAAP
    Cleveland Clinic Journal of Medicine October 2012, 79 (10) 688-689; DOI: https://doi.org/10.3949/ccjm.79a.10039

    A man with liver cancer developed abdominal ecchymoses resembling the Cullen sign and flank ecchymoses resembling the Grey Turner sign.

  • The ‘T’ in ITP remains
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine September 2012, 79 (9) 595; DOI: https://doi.org/10.3949/ccjm.79b.12009

    The “I” has changed its meaning and the “P” is not necessary to make the diagnosis, but the disease formerly known as idiopathic thrombocytopenic purpura (ITP) remains important to diagnose.

  • Fever, dyspnea, and hepatitis in an Iraq veteran
    Ramiro L. Gutiérrez, MD, MPH and Joshua D. Hartzell, MD
    Cleveland Clinic Journal of Medicine September 2012, 79 (9) 623-630; DOI: https://doi.org/10.3949/ccjm.79a.11136

    About 8 weeks after returning home, he presents with a cough, myalgia, headaches, fever, chills, drenching night sweats, and dyspnea on exertion. What is the most likely diagnosis?

  • The role of aldosterone receptor antagonists in the management of heart failure: An update
    Vijaiganesh Nagarajan, MD, Mohammed Chamsi-Pasha, MD and W. H. Wilson Tang, MD
    Cleveland Clinic Journal of Medicine September 2012, 79 (9) 631-639; DOI: https://doi.org/10.3949/ccjm.79a.12014

    Spironolactone (Aldactone) and eplerenone (Inspra) are now part of standard therapy. Still, they must be used cautiously, as they can cause hyperkalemia.

  • The apples and oranges of cost-effectiveness: A rejoinder
    Vinay Prasad, MD
    Cleveland Clinic Journal of Medicine September 2012, 79 (9) 610-611; DOI: https://doi.org/10.3949/ccjm.79a.12129

    The author of the commentary replies.

  • The apples and oranges of cost-effectiveness: A rejoinder
    Chiedozie I. Udeh, MD, MHLTHEC and Belinda L. Udeh, PhD, MPH
    Cleveland Clinic Journal of Medicine September 2012, 79 (9) 608-610; DOI: https://doi.org/10.3949/ccjm.79a.12123

    A recent CCJM commentary used straw men to indict cost-effectiveness research.

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