Latest Articles

  • An unusual cause of bruising
    Tahani Atieh, DO and Alan Lichtin, MD
    Cleveland Clinic Journal of Medicine August 2019, 86 (8) 535-542; DOI: https://doi.org/10.3949/ccjm.86a.18119

    The coagulation assay, particularly the prothrombin time and aPTT, is key in initially assessing a bleeding abnormality.

  • When does acute pyelonephritis require imaging?
    Mary E. Lacy, MD, Navneet Sidhu, MD and Justin Miller, MD
    Cleveland Clinic Journal of Medicine August 2019, 86 (8) 515-517; DOI: https://doi.org/10.3949/ccjm.86a.18096

    Imaging is recommended for those at risk of complications.

  • Infective endocarditis: Beyond the usual tests
    Infective endocarditis: Beyond the usual tests
    Nkemdilim Mgbojikwe, MD, Steven R. Jones, MD, Thorsten M. Leucker, MD, PhD and Daniel J. Brotman, MD
    Cleveland Clinic Journal of Medicine August 2019, 86 (8) 559-567; DOI: https://doi.org/10.3949/ccjm.86a.18120

    Newer imaging tests are increasingly used as alternatives or adjuncts to echocardiography for selected patients.

  • Aspirin: 4,000 years and still learning
    Kenneth C. Cummings, MD, MS, FASA
    Cleveland Clinic Journal of Medicine August 2019, 86 (8) 522-524; DOI: https://doi.org/10.3949/ccjm.86a.19041

    What we know about aspirin—and what we still need to learn.

  • Adults with autism spectrum disorder: Updated considerations for healthcare providers
    Carol Swetlik, MD, MS, Sarah E. Earp, MD and Kathleen N. Franco, MD
    Cleveland Clinic Journal of Medicine August 2019, 86 (8) 543-553; DOI: https://doi.org/10.3949/ccjm.86a.18100

    Social support, community programs, and behavioral therapies can help. Caregivers may also need support.

  • Deciding when a picture is worth a thousand words and several thousand dollars
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine August 2019, 86 (8) 509-510; DOI: https://doi.org/10.3949/ccjm.86b.08019

    Physical examination is cheap but not highly reproducible. Imaging is expensive but may be more sensitive and specific.

  • Gastroparesis
    Amos Lal, MD, Pantea Ebrahimpour, MD and Nitin Trivedi, MD, FACP, FACE
    Cleveland Clinic Journal of Medicine August 2019, 86 (8) 514; DOI: https://doi.org/10.3949/ccjm.86c.08001

    A reader raises questions about diabetic gastroparesis (April 2019).

  • Pediatric cholestatic liver disease: Successful transition of care
    Pediatric cholestatic liver disease: Successful transition of care
    Praveen Kumar Conjeevaram Selvakumar, MD, Vera Hupertz, MD, Naveen Mittal, MD, Kris V. Kowdley, MD and Naim Alkhouri, MD
    Cleveland Clinic Journal of Medicine July 2019, 86 (7) 454-464; DOI: https://doi.org/10.3949/ccjm.86a.18140

    Many more children with liver disease are surviving into adulthood and transitioning to adult care.

  • Do patients on biologic drugs for rheumatic disease need PCP prophylaxis?
    Joy-Ann Tabanor, MBBS and Santhanam Lakshminarayanan, MBBS
    Cleveland Clinic Journal of Medicine July 2019, 86 (7) 449-453; DOI: https://doi.org/10.3949/ccjm.86a.18084

    Consider it in those with granulomatosis with polyangiitis or pulmonary disease, or those on high-dose steroids.

  • Clinical trials: More to learn than the results
    Brian F. Mandell, MD
    Cleveland Clinic Journal of Medicine July 2019, 86 (7) 437-438; DOI: https://doi.org/10.3949/ccjm.86b.07019

    The details of the GIACTA trial challenge and reaffirm some of our clinical impressions about giant cell arteritis.

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