Latest Articles

  • Cancer screening: A modest proposal for prevention
    Myung S. Kim, MD, Go Nishikawa, MD and Vinay Prasad, MD, MPH
    Cleveland Clinic Journal of Medicine March 2019, 86 (3) 157-160; DOI: https://doi.org/10.3949/ccjm.86a.18092

    Large-scale cancer screening programs have the unintended consequences of false-positive results and overdiagnosis.

  • Assessing liver fibrosis without biopsy in patients with HCV or NAFLD
    Tavankit Singh, MD, Daniela S. Allende, MD and Arthur J. McCullough, MD
    Cleveland Clinic Journal of Medicine March 2019, 86 (3) 179-186; DOI: https://doi.org/10.3949/ccjm.86a.17118

    Biopsy is still the gold standard, but methods based on clinical information and on imaging are emerging.

  • Human papillomavirus in 2019: An update on cervical cancer prevention and screening guidelines
    Human papillomavirus in 2019: An update on cervical cancer prevention and screening guidelines
    Salina Zhang, BS and Pelin Batur, MD, NCMP, CCD
    Cleveland Clinic Journal of Medicine March 2019, 86 (3) 173-178; DOI: https://doi.org/10.3949/ccjm.86a.18018

    Recommendations on counseling, vaccination, screening, and follow-up for abnormal screening results.

  • A paraneoplastic potassium and acid-base disturbance
    Samuel P. Wiles, MD, Matthew Kiczek, DO and Gregory W. Rutecki, MD
    Cleveland Clinic Journal of Medicine March 2019, 86 (3) 187-197; DOI: https://doi.org/10.3949/ccjm.86a.18014

    A 55-year-old smoker with COPD presents with malaise, paresthesias, and severe hypertension. What is the cause?

  • Laboratory tests in rheumatology: A rational approach
    Ernest Suresh, MD, FRCP (LONDON)
    Cleveland Clinic Journal of Medicine March 2019, 86 (3) 198-210; DOI: https://doi.org/10.3949/ccjm.86a.18076

    Negative results are not always reassuring, and false-positive results pose risks.

  • Norwegian scabies
    Hiroki Matsuura, MD, Akemi Senoo, MD, PhD, Mari Saito, MD and Yuko Fujimoto, MD
    Cleveland Clinic Journal of Medicine March 2019, 86 (3) 163-164; DOI: https://doi.org/10.3949/ccjm.86a.18081

    Norwegian scabies is extremely contagious, and outbreaks can spread in institutions.

  • Does early repolarization on ECG increase the risk of cardiac death in healthy people?
    Ziad Sayedahmad, MD, Fahed Darmoch, MD, Yasser Al-Khadra, MD, Amjad Kabach, MD and M. Chadi Alraies, MD
    Cleveland Clinic Journal of Medicine March 2019, 86 (3) 165-166; DOI: https://doi.org/10.3949/ccjm.86a.17032

    No. In patients without symptoms, early repolarization is nearly always a benign incidental finding.

  • Our Peer-Reviewers for 2018
    Cleveland Clinic Journal of Medicine February 2019, 86 (2) 140;
  • Repeating blood cultures after initial bacteremia: When and how often?
    Ammara Mushtaq, MD, Bryce X. Bredell, MS and Ayman O. Soubani, MD
    Cleveland Clinic Journal of Medicine February 2019, 86 (2) 89-92; DOI: https://doi.org/10.3949/ccjm.86a.18001

    Repeating blood cultures after an initial positive result is superfluous except in certain situations.

  • Follow-up blood cultures are often needed after bacteremia
    Marisa Tungsiripat, MD
    Cleveland Clinic Journal of Medicine February 2019, 86 (2) 93-94; DOI: https://doi.org/10.3949/ccjm.86a.18114

    Without follow-up cultures, the adequacy of treatment can be difficult to assess.

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