Latest Articles
- A 74-year-old woman with purple toes
While the patient was undergoing treatment for livedoid vasculopathy, her toes started to become purple and she experienced persistent “stinging” pain in her feet.
- Oral condylomata lata
The patient had a 3-month history of painless oral lumps and intermittent sore throat.
- How do I manage my patients with thyrotoxicosis until they see the endocrinologist?
Primary care physicians can start beta-blockers promptly for symptomatic relief, obtain radioactive iodine uptake and scan, and start methimazole if high uptake is noted.
- A man with chronic limb-threatening ischemia and no revascularization options: Can we save his foot?
The patient’s right foot was edematous with extensive, dry-appearing gangrene of the big toe, and no pedal pulses were felt.
- The history of blood cultures: From the research laboratory to the bedside
Efforts to prove that bacteria cause endocarditis paved the way for use of blood cultures in the clinic.
- The PRECISE trial: How should patients with chest pain be tested?
Can a risk score identify individuals with chest pain who can safely forego testing?
- It’s time for a little history of medicine—introducing a new feature in CCJM
This month, we debut a feature focused on topics in the history of medicine, authored by Cleveland Clinic rheumatologist Adam Brown, MD.
- Cervical cancer screening in high-risk patients: Clinical challenges in primary care
The authors provide up-to-date guidance on cervical cancer screening, surveillance, and management for high-risk patients.
- Skin manifestations in a patient with acute bacterial infective endocarditis
During a dialysis session, the patient experienced the onset of rigors accompanied by the appearance of painless purpuric lesions, which developed into petechiae.

