Latest Articles

  • Renal disease and the surgical patient: Minimizing the impact
    Kanav Sharma, MBBS, MPH and Barbara Slawski, MD, MS, SFHM
    Cleveland Clinic Journal of Medicine July 2018, 85 (7) 559-567; DOI: https://doi.org/10.3949/ccjm.85a.17009

    Chronic kidney disease is associated with adverse surgical outcomes, including acute kidney injury.

  • What should I address at follow-up of patients who survive critical illness?
    Dmitriy M. Golovyan, MD, Sikandar H. Khan, DO, Sophia Wang, MD and Babar A. Khan, MBBS
    Cleveland Clinic Journal of Medicine July 2018, 85 (7) 523-526; DOI: https://doi.org/10.3949/ccjm.85a.17104

    Cognitive decline, psychiatric disturbances, and physical weakness can persist 1 year or longer.

  • When does S aureus bacteremia require transesophageal echocardiography?
    Aibek E. Mirrakhimov, MD, Michael E. Jesinger, MD, Taha Ayach, MD and Adam Gray, MD
    Cleveland Clinic Journal of Medicine July 2018, 85 (7) 517-520; DOI: https://doi.org/10.3949/ccjm.85a.16095

    TTE is a good starting point, but TEE is indicated in patients with a high pretest probability of endocarditis.

  • Is a detailed neurologic physical examination always necessary?
    Richard J. Lederman, MD, PhD
    Cleveland Clinic Journal of Medicine June 2018, 85 (6) 444-445; DOI: https://doi.org/10.3949/ccjm.85a.17110

    In medicine, we need all the help we can get.

  • Hydroxychloroquine: An old drug with new relevance
    Eugen Alexander Shippey, MD, Vanya D. Wagler, DO, FACP, FACR and Angelique N. Collamer, MD, FACP, FACR
    Cleveland Clinic Journal of Medicine June 2018, 85 (6) 459-467; DOI: https://doi.org/10.3949/ccjm.85a.17034

    This antimalarial drug is now approved to treat discoid lupus, systemic lupus erythematosus, and rheumatoid arthritis.

  • Central nervous system lymphoma mimicking Bell palsy
    Kiyoshi Shikino, MD, PhD, Shingo Suzuki, MD, PhD, Takanori Uehara, MD, PhD and Masatomi Ikusaka, MD, PhD
    Cleveland Clinic Journal of Medicine June 2018, 85 (6) 442-443; DOI: https://doi.org/10.3949/ccjm.85a.17061

    Failure of presumed Bell palsy to improve should prompt an evaluation for an underlying condition.

  • Is Pap testing still needed after hysterectomy?
    Halle G. Sobel, MD, Elise Everett, MD and Laura D. Lipold, MD
    Cleveland Clinic Journal of Medicine June 2018, 85 (6) 456-458; DOI: https://doi.org/10.3949/ccjm.85a.17063

    There is no need to continue Pap testing after hysterectomy for a benign indication.

  • In reply: ‘Non-criteria’ antiphospholipid antibodies and thrombosis (February 2018)
    Maya Serhal, MD, Heather Gornik, MD, RVT, RPVI and Natalie Evans, MD, RPVI
    Cleveland Clinic Journal of Medicine June 2018, 85 (6) 432; DOI: https://doi.org/10.3949/ccjm.85c.06002
  • Reverse T3 or perverse T3? Still puzzling after 40 years
    Cristiane Gomes-Lima, MD and Kenneth D. Burman, MD
    Cleveland Clinic Journal of Medicine June 2018, 85 (6) 450-455; DOI: https://doi.org/10.3949/ccjm.85a.17079

    Few situations require measuring reverse T3; diagnosis of euthyroid sick syndrome may be one of them.

  • Thoracic aortic aneurysm: How to counsel, when to refer
    Thoracic aortic aneurysm: How to counsel, when to refer
    Frank Cikach, MD, Milind Y. Desai, MD, FACC, FAHA, FESC, Eric E. Roselli, MD, FACS and Vidyasagar Kalahasti, MD
    Cleveland Clinic Journal of Medicine June 2018, 85 (6) 481-492; DOI: https://doi.org/10.3949/ccjm.85a.17039

    Be alert for clues on chest imaging, and consider screening fi rst-degree relatives of patients known to have aortic disease.

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