Latest Articles

  • Human papillomavirus March 2019
    Robert Lichtenberg, MD
    Cleveland Clinic Journal of Medicine May 2019, 86 (5) 300; DOI: https://doi.org/10.3949/ccjm.86c.05001

    Readers comment on aleukemic leukemia cutis (February 2019) and on human papillomavirus vaccination (March 2019).

  • Personalizing guideline-driven cancer screening
    Gautam Mankaney, MD and Carol A. Burke, MD
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 228-230; DOI: https://doi.org/10.3949/ccjm.86a.19037

    Screening can lead to early diagnosis and prevent death from cancer, but the topic provokes controversy.

  • Unusual effects of common antibiotics
    Maria Elena Ruiz, MD and Glenn W. Wortmann, MD
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 277-281; DOI: https://doi.org/10.3949/ccjm.86a.17050

    Less recognized but potentially serious adverse effects of commonly prescribed antibiotics.

  • In reply: Metformin for type 2 diabetes January 2019
    Vinni Makin, MBBS, MD, FACE and M. Cecilia Lansang, MD, MPH
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 237; DOI: https://doi.org/10.3949/ccjm.86c.04004
  • Acute kidney injury after hip or knee replacement: Can we lower the risk?
    Edward J. Filippone, MD, FASN and Anju Yadav, MD
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 263-276; DOI: https://doi.org/10.3949/ccjm.86a.18044

    Various risk factors have been identified, and some are potentially modifiable.

  • 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.

  • 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).

  • 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.

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