Latest Articles

  • Cirrhotic coagulopathy: A rebalanced hemostasis
    Cirrhotic coagulopathy: A rebalanced hemostasis
    Achintya D. Singh, MD, MBBS, Simon R. Mucha, MD and Christina C. Lindenmeyer, MD
    Cleveland Clinic Journal of Medicine September 2022, 89 (9) 523-533; DOI: https://doi.org/10.3949/ccjm.89a.21018

    Cirrhosis affects all 3 phases of coagulation, leading to a delicate new equilibrium, easily disturbed and tipped toward either bleeding or thrombosis by acute events such as infection, renal failure, and invasive procedures.

  • The role of GLP-1 receptor agonists in managing type 2 diabetes
    The role of GLP-1 receptor agonists in managing type 2 diabetes
    Noura Nachawi, MD, Pratibha PR Rao, MD, MPH and Vinni Makin, MBBS, MD, FACE
    Cleveland Clinic Journal of Medicine August 2022, 89 (8) 457-464; DOI: https://doi.org/10.3949/ccjm.89a.21110

    A review of the evidence regarding the benefits and adverse effects of GLP-1 receptor agonists in patients with type 2 diabetes mellitus or obesity.

  • Is exercise restriction necessary in patients with pericarditis?
    Felix Berglund, MD and Allan L. Klein, MD
    Cleveland Clinic Journal of Medicine August 2022, 89 (8) 437-441; DOI: https://doi.org/10.3949/ccjm.89a.21120

    The authors review current recommendations and illustrate possible approaches through a case scenario.

  • Altered mental status in a man with metabolic syndrome
    Bernie P. Wu, BS, Molly Wheeler, PharmD, Jennifer K. Hockings, PharmD, PhD, Andrew Coulter, MD and Leopoldo Pozuelo, MD
    Cleveland Clinic Journal of Medicine August 2022, 89 (8) 445-450; DOI: https://doi.org/10.3949/ccjm.89a.21050

    A 25-year-old man with bipolar I disorder, hypertension, posttraumatic stress disorder, and obesity was found unresponsive with shallow breathing and foaming at the mouth.

  • Unilateral atrophic kidney in a 45-year-old woman
    Mohammad A. Sohail, MD, John Sedor, MD, Lee Kirksey, MD, MBA, Steven C. Blaha, MD and Heather Hofmann, MD, FACP
    Cleveland Clinic Journal of Medicine August 2022, 89 (8) 465-471; DOI: https://doi.org/10.3949/ccjm.89a.21015

    The patient presented with 2 days of constant, sharp, nonradiating flank pain on the right side, worse with movement and coughing, and severe enough to limit ambulation.

  • The double-tongue sign
    Nami Yoshimura, MD, Takashi Watari, MD, MHQS, MCTM, PhD, Keisuke Misao, MD, Toshihiro Imada, MD and Junji Mashino, MD
    Cleveland Clinic Journal of Medicine August 2022, 89 (8) 435-436; DOI: https://doi.org/10.3949/ccjm.89a.21080

    Computed tomography showed enlarged mylohyoid and geniohyoid muscles, surrounding inflammatory findings, and small gas retentions.

  • Circulating lipids are not all bad: An LDL mimic that may be only skin deep
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine August 2022, 89 (8) 422-423; DOI: https://doi.org/10.3949/ccjm.89b.08022

    Although lipoprotein-X separates out by density in the low-density lipoprotein (LDL) fraction and thus may appear as LDL in the laboratory report, it is biologically unique.

  • An unexpected turn
    Cleveland Clinic Journal of Medicine August 2022, 89 (8) 455;

    The following article in the July 2022 issue contained an error: Ganeshan S, Kelemen B, Dhaliwal G, Zier L. An unexpected turn: A 71-year-old man with myocardial infarction. Cleve Clin J Med. 2022;89(7):401–407. doi:10.3949/ccjm.89a.21030

  • Xanthomas: Differentiating atherogenic from nonatherogenic
    Vy Mai, MD and Hossein Akhondi, MD
    Cleveland Clinic Journal of Medicine August 2022, 89 (8) 429-431; DOI: https://doi.org/10.3949/ccjm.89a.21088

    The patient had tendinous xanthomas on the dorsal joints of the hand and eruptive xanthomas on the buttock, as well as xanthoma striatum palmare on the volar aspect of the hand.

  • What are the considerations in patient selection and timing of risk-reducing mastectomy?
    Holly J. Pederson, MD, Allison W. Kurian, MD, MSc and Zahraa Al Hilli, MD
    Cleveland Clinic Journal of Medicine August 2022, 89 (8) 442-444; DOI: https://doi.org/10.3949/ccjm.89a.21114

    The option of risk-reducing mastectomy is for those at highest risk, and multidisciplinary conversations setting patient expectations are critical for optimal patient outcomes.

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