Latest Articles

  • Does measuring natriuretic peptides have a role in patients with chronic kidney disease?
    Victor Hajjar, MD and Martin J. Schreiber, MD
    Cleveland Clinic Journal of Medicine August 2009, 76 (8) 476-478; DOI: https://doi.org/10.3949/ccjm.76a.08065

    Measuring them can help diagnose decompensated heart failure and predict the risk of death and hospitalization, but whether it helps in chronic kidney disease is unclear.

  • 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.

  • 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.

  • Painful eye with a facial rash
    José Luis Vallejo-García, MD, Sergio Vañó-Galván, MD, Omar Rayward, MD and Paula Moreno-Martin, MD
    Cleveland Clinic Journal of Medicine July 2009, 76 (7) 410-412; DOI: https://doi.org/10.3949/ccjm.76a.08083

    Six days ago, the patient had an intense headache; 4 days ago, painful herpetiform lesions appeared on his face. What is the diagnosis?

  • Clinical approach to colonic ischemia
    Clinical approach to colonic ischemia
    Kareem Elder, MD, Bret A. Lashner, MD and Firas Al Solaiman, MD
    Cleveland Clinic Journal of Medicine July 2009, 76 (7) 401-409; DOI: https://doi.org/10.3949/ccjm.76a.08089

    Ischemic colitis is one of the diagnoses that should be considered when patients present with abdominal pain, diarrhea, and intestinal bleeding.

  • In reply: Radiologic workup of a palpable breast mass (March 2009)
    Melanie Chellman-Jeffers, MD
    Cleveland Clinic Journal of Medicine July 2009, 76 (7) 385-389; DOI: https://doi.org/10.3949/ccjm/76c/070002
  • 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?

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