Latest Articles

  • Gastric outlet obstruction: A red flag, potentially manageable
    Andree H. Koop, MD, William C. Palmer, MD and Fernando F. Stancampiano, MD
    Cleveland Clinic Journal of Medicine May 2019, 86 (5) 345-353; DOI: https://doi.org/10.3949/ccjm.86a.18035

    Presume the cause to be a malignant tumor untill proven otherwise.

  • Can procalcitonin guide decisions about antibiotic management?
    Robert J. Fakheri, MD
    Cleveland Clinic Journal of Medicine May 2019, 86 (5) 307-311; DOI: https://doi.org/10.3949/ccjm.86a.18074

    Yes, but clinical judgment must still be exercised.

  • The old humanities and the new science at 100: Osler’s enduring message
    Salvatore Mangione, MD and Marc J. Kahn, MD, MBA, MACP
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 232-235; DOI: https://doi.org/10.3949/ccjm.86a.19019

    One hundred years after his death, what can Osler teach the high-tech physician of today?

  • Gastroparesis in a patient with diabetic ketoacidosis
    Ahmad Muneer Sharayah, MD, Noor Hajjaj, MD, Ramy Osman, MD and Douglas Livornese, MD
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 238-239; DOI: https://doi.org/10.3949/ccjm.86a.18116

    Computed tomography showed new, severe gastric distention. A scan 11 months previously had been normal.

  • How should I treat acute agitation in pregnancy?
    Joshua D. Niforatos, MTS, Jonathon W. Wanta, MD, Anna P. Shapiro, MD, Justin A. Yax, Do, DTMH and Adele C. Viguera, MD, MPH
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 243-247; DOI: https://doi.org/10.3949/ccjm.86a.18041

    This is an obstetric emergency. Intervention should progress in a stepwise manner.

  • Is neuroimaging necessary to evaluate syncope?
    Erika Hutt-Centeno, MD, Robert Wilson, DO and Kenneth A. Mayuga, MD, FHRS, FACC, FACP
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 240-242; DOI: https://doi.org/10.3949/ccjm.86a.18016

    If the diagnosis is unclear after the history and examination, then electroencephalography during tilt-table testing can help.

  • Rapidly progressive pleural effusion January 2019
    Scott Davidson, MD
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 236; DOI: https://doi.org/10.3949/ccjm.86c.04001

    Readers comment about deviation from guidelines during treatment of a patient with rapidly progressive pleural effusion (January 2019) and the effect of metformin on vitamin B12 levels (January 2019).

  • Spontaneous coronary artery dissection: An often unrecognized cause of acute coronary syndrome
    Spontaneous coronary artery dissection: An often unrecognized cause of acute coronary syndrome
    Nureddin K. Almaddah, MD, Mohamed S. Morsy, MD, Dwight Dishmon, MD and Rami N. Khouzam, MD, FACC, FACP, FASNC, FASE, FSCAI
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 252-256; DOI: https://doi.org/10.3949/ccjm.86a.18078

    SCAD accounts for up to 35% of acute myocardial infarctions in women 50 or younger, and even more in pregnant women.

  • In reply: Rapidly progressive pleural effusion January 2019
    Zaid Zoumot, MBSS, Samar Farha, MD and Ali Wahla, MBSS
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 236; DOI: https://doi.org/10.3949/ccjm.86c.04002
  • Can a humanities background prevent physician burnout?
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 225-226; DOI: https://doi.org/10.3949/ccjm.86b.04019

    Osler urged physicians to study the humanities. Can it prevent professional dissatisfaction and burnout?

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