Latest Articles

  • Difficulty swallowing solid foods; food ‘getting stuck in the chest’
    Maqsood A. Khan, MD, Bijo K. John, MD, Bret A. Lashner, MD and Donald F. Kirby, MD
    Cleveland Clinic Journal of Medicine June 2010, 77 (6) 354-363; DOI: https://doi.org/10.3949/ccjm.77a.09144

    A 61-year-old woman has had alarming symptoms for the last 4 weeks. Which test will you order now?

  • Incidence, outcomes, and management of bleeding in non-ST-elevation acute coronary syndromes
    Antonio Gutierrez, MD and Sunil V. Rao, MD
    Cleveland Clinic Journal of Medicine June 2010, 77 (6) 369-379; DOI: https://doi.org/10.3949/ccjm.77a.09142

    Powerful antithrombotic and antiplatelet drugs and percutaneous interventions pose risks of bleeding. Fortunately, the risk can be managed.

  • LVH and hypertension: Is treating the pressure not enough?
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine June 2010, 77 (6) 344; DOI: https://doi.org/10.3949/ccjm.77a.06001

    I am not sure the weight of current evidence supports routinely screening hypertensive patients for left ventricular hypertrophy using echocardiography, but the concept warrants consideration and study.

  • Should patients with mild asthma use inhaled steroids?
    Susan Razavi Abouhassan, MD and David M. Lang, MD
    Cleveland Clinic Journal of Medicine June 2010, 77 (6) 364-368; DOI: https://doi.org/10.3949/ccjm.77a.09074

    Yes—but only if we consider the severity of the asthma, the goals of therapy, and the benefits and risks.

  • Left ventricular hypertrophy: An overlooked cardiovascular risk factor
    Left ventricular hypertrophy: An overlooked cardiovascular risk factor
    Michael A. Bauml, MD and Donald A. Underwood, MD
    Cleveland Clinic Journal of Medicine June 2010, 77 (6) 381-387; DOI: https://doi.org/10.3949/ccjm.77a.09158

    Antihypertensive treatment that causes left ventricular hypertrophy to regress also decreases rates of cardiovascular morbidity and death, independently of how much the blood pressure is lowered.

  • An erythematous plaque on the arm
    Salvador Arias-Santiago, MD, José Aneiros-Fernández, MD, Husein Husein El-Ahmed, MD, Pilar Burkhardt-Pérez, MD and Ramón Naranjo-Sintes, PhD
    Cleveland Clinic Journal of Medicine June 2010, 77 (6) 351-352; DOI: https://doi.org/10.3949/ccjm.77a.09073

    A 68-year-old farmer presents with an asymptomatic lesion that appeared spontaneously 5 months ago and has grown progressively. What is the diagnosis?

  • The complexities of vitamin D
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine May 2010, 77 (5) 288; DOI: https://doi.org/10.3949/ccjm/77a/05001

    Patients with conditions as diverse as systemic lupus erythematosus and congestive heart failure seem to fare worse if they have lower vitamin D levels. But the seeming simplicity of this association belies several levels of complexity, with resultant clinical controversy.

  • A rash on the legs and palms
    Joshua M. Berlin, MD and Sandra M. Goldberg, MMS, PA-C
    Cleveland Clinic Journal of Medicine May 2010, 77 (5) 294-295; DOI: https://doi.org/10.3949/ccjm.77a.09082

    The patient has been treated with topical and oral corticosteroids with no improvement. What is the most likely diagnosis?

  • Does vitamin D deficiency play a role in the pathogenesis of chronic heart failure? Do supplements improve survival?
    Victor Hajjar, MD, Jeremiah P. Depta, MD and Maria M. Mountis, DO
    Cleveland Clinic Journal of Medicine May 2010, 77 (5) 290-293; DOI: https://doi.org/10.3949/ccjm.77a.08078

    Vitamin D deficiency may play a role in the pathogenesis of chronic heart failure, but whether giving patients supplements improves their survival is not clear.

  • Preventing and treating orthostatic hypotension: As easy as A, B, C
    Juan J. Figueroa, MD, Jeffrey R. Basford, MD, PhD and Phillip A. Low, MD
    Cleveland Clinic Journal of Medicine May 2010, 77 (5) 298-306; DOI: https://doi.org/10.3949/ccjm.77a.09118

    Easy-to-remember management recommendations, using a combination of effective drug and nondrug treatments.

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