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Cleveland Clinic Journal of Medicine

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Latest Articles

  • You have access
    A clinical trial and another clinical practice bites the dust, or should there not be an appendix?
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine June 2022, 89 (6) 288-289; DOI: https://doi.org/10.3949/ccjm.89b.06022

    Studies over the past 2 decades have assessed an alternative approach to acute appendicitis: treatment with systemic antibiotics and observation.

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    Appendicitis management: Is it time for a change?
    Anthony DeRoss, MD, FACS, FAAP and Alisan Fathalizadeh, MD
    Cleveland Clinic Journal of Medicine June 2022, 89 (6) 309-313; DOI: https://doi.org/10.3949/ccjm.89a.21012

    Antibiotic therapy has been a successful alternative to surgery for more than 60 years, but surgery is still the primary treatment.

  • You have access
    Dyspnea and cough in a lung transplant recipient
    Kamal A. Shair, MD, MEng and Razvan M. Chirila, MD
    Cleveland Clinic Journal of Medicine June 2022, 89 (6) 321-326; DOI: https://doi.org/10.3949/ccjm.89a.20137

    The patient developed sudden shortness of breath at rest, a decline in home spirometry values, and dry cough and fatigue.

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    Chronic anal pain: A review of causes, diagnosis, and treatment
    Charles H. Knowles, PhD, FRCS, FACCRS (Hons) and Richard C. Cohen, MD, FRCS
    Cleveland Clinic Journal of Medicine June 2022, 89 (6) 336-343; DOI: https://doi.org/10.3949/ccjm.89a.21102

    The authors identify and review 3 main diagnostic categories: local causes, functional anorectal pain, and neuropathic pain syndromes.

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    Unilateral pulmonary edema
    Abraham Joseph, MBBS, MD and Jonathan Rohde, DNP, MSN, APRN, CNP
    Cleveland Clinic Journal of Medicine June 2022, 89 (6) 328; DOI: https://doi.org/10.3949/ccjm.89c.06001
  • You have access
    Spotty skin pigmentation in Carney complex
    Azusa Sano, MD, Yosuke Ono, MD, PhD, Naoya Fujita, MD and Yuji Tanaka, MD, PhD
    Cleveland Clinic Journal of Medicine June 2022, 89 (6) 307-308; DOI: https://doi.org/10.3949/ccjm.89a.21069

    Characteristic skin findings and their locations can indicate underlying hereditary lentiginosis syndromes.

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    Atypical erythema as a clinical presentation of tinea incognito
    Ana Ravić Nikolić, MD, PhD and Gordana Ristić
    Cleveland Clinic Journal of Medicine June 2022, 89 (6) 295-296; DOI: https://doi.org/10.3949/ccjm.89a.21091

    The lesions were originally diagnosed as contact allergic dermatitis and treated with topical corticosteroids, but culture revealed Trichophyton rubrum.

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    Skin-colored papules on the cheeks, acrochordons on the axillae
    Irene López Riquelme, MD, María Ayala Blanca, MD, PhD and Elisabeth Gómez Moyano, MD, PhD
    Cleveland Clinic Journal of Medicine June 2022, 89 (6) 297-299; DOI: https://doi.org/10.3949/ccjm.89a.21087

    Biopsy revealed dermal follicular structures surrounded by a perifollicular fibrous sheath and a densely fibrous stroma, consistent with a fibrofolliculoma.

  • Anticoagulation management of post-cardiac surgery new-onset atrial fibrillation
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    Anticoagulation management of post-cardiac surgery new-onset atrial fibrillation
    Ghaith Alhatemi, MD, Mohamed Zghouzi, MD, Yasar Sattar, MD, Bachar Ahmad, BSc, Waqas Ullah, MD and M. Chadi Alraies, MD, MPH
    Cleveland Clinic Journal of Medicine June 2022, 89 (6) 329-335; DOI: https://doi.org/10.3949/ccjm.89a.21003

    A review of studies and recommendations for this condition.

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    Pigmented lesion on nail bed: Pseudo-Hutchinson sign
    Yahya Daneshbod, MD, Majid Akrami, MD, Sara Fanaee, MD, Komeil Mirzaei Baboli, MD and Hadi Mirfazaelian, MD
    Cleveland Clinic Journal of Medicine June 2022, 89 (6) 303-304; DOI: https://doi.org/10.3949/ccjm.89a.21070

    The discoloration had been present since the patient was 14, and it had not changed in appearance.

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