Latest Articles

  • Ulcerative leg nodules in a transplant recipient
    Ai-Ping Chua, MB, BS, Steven D. Billings, MD, Marie M. Budev, DO, MPH and Atul C. Mehta, MB, BS
    Cleveland Clinic Journal of Medicine October 2009, 76 (10) 575-576; DOI: https://doi.org/10.3949/ccjm.76a.09006

    Three weeks after undergoing bilateral lung transplantation, the patient has developed new nodules on his leg. What is the cause?

  • Update on 2009 pandemic influenza A (H1N1) virus
    Steven M. Gordon, MD
    Cleveland Clinic Journal of Medicine October 2009, 76 (10) 577-582; DOI: https://doi.org/10.3949/ccjm.76a.05009

    The approaches to vaccination, prophylaxis, and treatment will be more complex this year. Unsuspected cases of influenza in hospitalized patients or health care workers working with influenza pose the greatest threat for transmission of influenza within the hospital. Health care workers need to stay home when sick.

  • Autoimmune pancreatitis: A mimic of pancreatic cancer
    Ryan Law, DO, Mary Bronner, MD, David Vogt, MD and Tyler Stevens, MD
    Cleveland Clinic Journal of Medicine October 2009, 76 (10) 607-615; DOI: https://doi.org/10.3949/ccjm.76a.09039

    The accurate and timely diagnosis of this benign disease may preempt the misdiagnosis of cancer and decrease the number of unnecessary pancreatic resections.

  • Nephrolithiasis: Treatment, causes, and prevention
    Phillip M. Hall, MD
    Cleveland Clinic Journal of Medicine October 2009, 76 (10) 583-591; DOI: https://doi.org/10.3949/ccjm.76a.09043

    Kidney stones are not all the same, and neither are their treatment, causes, or prevention. Paradoxically, calcium restriction is not warranted for patients who have calcium stones, and may even be harmful.

  • Should catheter ablation be the first line of treatment for atrial fibrillation?
    Bruce D. Lindsay, MD
    Cleveland Clinic Journal of Medicine September 2009, 76 (9) 503-506; DOI: https://doi.org/10.3949/ccjm.76a.09070

    Antiarrhythmic drugs should remain the first line of treatment until trials prove otherwise.

  • Role of MRI in breast cancer management
    Louie Enriquez, MD and Jay Listinsky, MD, PhD
    Cleveland Clinic Journal of Medicine September 2009, 76 (9) 525-532; DOI: https://doi.org/10.3949/ccjm.76a.06043

    MRI might be indicated for workup of possible breast cancer, but not for screening except in women at high risk.

  • Beta-blockers for hypertension: Are they going out of style?
    Qi Che, MD, PhD, Martin J. Schreiber, MD and Mohammed A. Rafey, MD, MS
    Cleveland Clinic Journal of Medicine September 2009, 76 (9) 533-542; DOI: https://doi.org/10.3949/ccjm.76a.09030

    The outcomes of clinical trials have been disappointing, and the value of beta-blockers in treating hypertensive patients who do not have compelling indications for them has been questioned.

  • Diabetic ketoacidosis (July 2009)
    Ian Jenkins, MD
    Cleveland Clinic Journal of Medicine September 2009, 76 (9) 507; DOI: https://doi.org/10.3949/ccjm/76c/090001

    A reader comments on the need to avoid unnecessary testing in medicine, as illustrated in an article about a man with uncontrolled diabetes (July 2009).

  • Vertebroplasty, evidence, and health care reform: What is quality care?
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine September 2009, 76 (9) 497-502; DOI: https://doi.org/10.3949/ccjm/76a.09001

    Two recent trials found that a popular procedure for fixing vertebral fractures lacks efficacy. Like it or not, in the future, such evidence is going to affect whether insurers pay for care.

  • Influenza in long-term care facilities: Preventable, detectable, treatable
    Sherif B. Mossad, MD
    Cleveland Clinic Journal of Medicine September 2009, 76 (9) 513-521; DOI: https://doi.org/10.3949/ccjm.76a.09022

    Vaccination is the most important preventive measure. Early detection, infection control measures, prompt treatment, and preventive treatment of contacts can also help curtail an outbreak.

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