Latest Articles

  • The new data on prostate cancer screening: What should we do now?
    Timothy Gilligan, MD, MS
    Cleveland Clinic Journal of Medicine August 2009, 76 (8) 446-448; DOI: https://doi.org/10.3949/ccjm.76a.09079

    Does screening have a benefit? We have new data, but do we have the answer?

  • Recurrent pyelonephritis as a sign of ‘sponge kidney’
    Hung-Yi Chu, MD, Ming-Tso Yan, MD and Shih-Hua Lin, MD
    Cleveland Clinic Journal of Medicine August 2009, 76 (8) 479-480; DOI: https://doi.org/10.3949/ccjm.76a.08110

    Intravenous urography is the gold standard for the diagnosis of medullary sponge kidney. Computed tomography and ultrasonography have limited ability to clearly show tubular ectasia.

  • How menopause affects oral health, and what we can do about it
    How menopause affects oral health, and what we can do about it
    Maria Clarinda A. Buencamino, MD, Leena Palomo, DDS, MSD and Holly L. Thacker, MD, CDD
    Cleveland Clinic Journal of Medicine August 2009, 76 (8) 467-475; DOI: https://doi.org/10.3949/ccjm.76a.08095

    After menopause, women become more susceptible to periodontal disease. The problem may stem in large part from estrogen deficiency.

  • What is the role of probiotics in the treatment of acute Clostridium difficile-associated diarrhea?
    Kennon Miller, MD and Thomas Fraser, MD
    Cleveland Clinic Journal of Medicine July 2009, 76 (7) 391-392; DOI: https://doi.org/10.3949/ccjm.76a.08112

    Overall, the evidence does not support using probiotics to treat Clostridium difficile-associated diarrhea. More studies are needed to determine if they are helpful and, if so, which ones and at what dosages.

  • Back pain made simple: An approach based on principles and evidence
    Samir D. Bhangle, MD, Sunil Sapru, MD and Richard S. Panush, MD, MACP, MACR
    Cleveland Clinic Journal of Medicine July 2009, 76 (7) 393-399; DOI: https://doi.org/10.3949/ccjm.76a.08099

    Low back pain is a common and costly medical condition with only a weak correlation between symptoms and pathologic changes. The authors offer a simple, evidence-based approach.

  • A 48-year-old man with uncontrolled diabetes
    Mengjun Hu, BS and J. Harry Isaacson, MD
    Cleveland Clinic Journal of Medicine July 2009, 76 (7) 413-416; DOI: https://doi.org/10.3949/ccjm.76a.09025

    His type 2 diabetes has been well controlled for 6 years. Now, his blood sugar levels have been rising for the past week, and he has large amounts of glucose and ketones in the urine. What has happened?

  • Alternative modes of mechanical ventilation: A review for the hospitalist
    Eduardo Mireles-Cabodevila, MD, Enrique Diaz-Guzman, MD, Gustavo A. Heresi, MD and Robert L. Chatburn, BS, RRT-NPS
    Cleveland Clinic Journal of Medicine July 2009, 76 (7) 417-430; DOI: https://doi.org/10.3949/ccjm.76a.08043

    Newer ventilators can be set to modes other than the pressure-control and volume-control modes of older machines. We review how they work and contrast their theoretical benefits and actual evidence of benefit.

  • Radiologic workup of a palpable breast mass (March 2009)
    David L. Keller, MD
    Cleveland Clinic Journal of Medicine July 2009, 76 (7) 385; DOI: https://doi.org/10.3949/ccjm/76c/070001

    A reader comments about an article on the radiologic workup of a palpable breast mass (March 2009).

  • The blade, the flea, and the colon
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine July 2009, 76 (7) 384; DOI: https://doi.org/10.3949/ccjm.76a.07001

    Ischemic colitis often gives the internist and surgeon a chance to commiserate on the power of informed watchful waiting.

  • Black esophagus
    Sudha Akkinepally, MD, Vijayarama Poreddy, MD and Alejandro Moreno, MD, MPH
    Cleveland Clinic Journal of Medicine July 2009, 76 (7) 400; DOI: https://doi.org/10.3949/ccjm.76a.08102

    A 60-year-old man with gastrointestinal bleeding due to alcoholic cirrhosis has necrosis of the distal esophagus.

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