Latest Articles

  • Cirrhosis: Primary care approaches to screening, immunization, and lifestyle modifications
    Cirrhosis: Primary care approaches to screening, immunization, and lifestyle modifications
    Asim Kichloo, MD, Michael Aljadah, MD, Michael Albosta, MD, Zain El-Amir, MD, Ghazaleh Goldar, MD, Muhammed Zatmar Khan, MD, Dushyant Singh Dahiya, MD and Farah Wani, MD
    Cleveland Clinic Journal of Medicine November 2023, 90 (11) 693-701; DOI: https://doi.org/10.3949/ccjm.90a.21043

    The authors review management of cirrhosis and complications such as esophageal varices and hepatocellular carcinoma, as well as chemical and medication exposures.

  • COVID-19: A management update
    Kathryn Bash, MHSc, MSN, APRN-CNP, Gretchen Sacha, PharmD, BCCCP and Mani Latifi, MD
    Cleveland Clinic Journal of Medicine November 2023, 90 (11) 677-683; DOI: https://doi.org/10.3949/ccjm.90a.22102

    The authors examine current guidelines of the Infectious Diseases Society of America and the National Institutes of Health.

  • Elevated aminotransferases in a 62-year-old woman
    Shahana Prakash, MD, Steven Moore, MD, PhD, Anthony Snow, MD and Kyle E. Brown, MD, FAASLD
    Cleveland Clinic Journal of Medicine November 2023, 90 (11) 669-674; DOI: https://doi.org/10.3949/ccjm.90a.23011

    Her medical history included gastroesophageal reflux disease and Sjögren syndrome. She had recently returned from travel to Malaysia.

  • The new GFR equations: How will eliminating the race coefficient affect Black patients?
    Paul Merchant, MD, Crystal Gadegbeku, MD, FAHA, FACP, FASN, Ali Mehdi, MD, Med, FACP, FASN, George Thomas, MD, FACP, Georges Nakhoul, MD, MEd and Jonathan Taliercio, DO, FASN
    Cleveland Clinic Journal of Medicine November 2023, 90 (11) 685-691; DOI: https://doi.org/10.3949/ccjm.90a.22061

    The authors discuss the history of equations for the glomerular filtration rate and potential clinical consequences of the new equations.

  • Evaluating a low anion gap: A practical approach
    Lawrence A. Haber, MD, Gurpreet Dhaliwal, MD, Lowell Lo, MD and Gabrielle Rizzuto, MD, PhD
    Cleveland Clinic Journal of Medicine October 2023, 90 (10) 619-623; DOI: https://doi.org/10.3949/ccjm.90a.23035

    In teaching and in practice, little attention is given to a low anion gap, an oversight that can result in a missed opportunity to diagnose acute or chronic disorders requiring treatment.

  • Should midodrine be used as an intravenous vasopressor-sparing agent in septic shock?
    Simran Gupta, MD, Ayan Sen, MD and Aman Verma, DO
    Cleveland Clinic Journal of Medicine October 2023, 90 (10) 603-605; DOI: https://doi.org/10.3949/ccjm.90a.23040

    Research and robust data are still lacking regarding use of midodrine in this setting.

  • vOka vaccine-associated disseminated varicella zoster
    Peter R. Hyson, MD and Louis B. Polish, MD
    Cleveland Clinic Journal of Medicine October 2023, 90 (10) 599-600; DOI: https://doi.org/10.3949/ccjm.90a.23008

    The patient had received the live attenuated vaccine 1 month before presentation. He had no history of varicella infection.

  • A new paradigm for adult ADHD
    Vania Modesto-Lowe, MD, MPH and Samantha Frigon
    Cleveland Clinic Journal of Medicine October 2023, 90 (10) 592; DOI: https://doi.org/10.3949/ccjm.90c.10001
  • Should you use compression duplex ultrasonography to detect deep vein thrombosis to evaluate unexplained fevers?
    Daniel Rozenbaum, MD, Anirudh Yalamanchali, MD, MS and Deborah Hornacek, MD, FSVM
    Cleveland Clinic Journal of Medicine October 2023, 90 (10) 611-614; DOI: https://doi.org/10.3949/ccjm.90a.23018

    The authors provide recommendations on when to order imaging of the extremities in the evaluation of hospitalized patients with unexplained fever.

  • A useful gap
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine October 2023, 90 (10) 587-588; DOI: https://doi.org/10.3949/ccjm.90b.10023

    A very low anion gap can suggest a laboratory measurement error or provide a clue to clinically important protein abnormalities or ingestions that warrant specific investigation.

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