Latest Articles

  • A 71-year-old woman with shock and a high INR
    Raja Y. Zaghlol, MD, Michael E. Tierney, MD, BMedSc, Louay Y. Zaghlol and Ayman A. Zayed, MD, MSc, FACE, FACP
    Cleveland Clinic Journal of Medicine April 2018, 85 (4) 303-312; DOI: https://doi.org/10.3949/ccjm.85a.17031

    She presents with an acute change in mental status, blood pressure 80/40 mm Hg, pulse 130, INR 6.13.

  • Gas under the right diagphragm (February 2018)
    Cleveland Clinic Journal of Medicine April 2018, 85 (4) 332;

    Errors occurred in Matsuura H, Hata H. Gas under the right diaphragm. Cleve Clin J Med 2018; 85(2):98–100.

  • Gallstones: Watch and wait, or intervene?
    Gallstones: Watch and wait, or intervene?
    Mounir Ibrahim, MD, Shashank Sarvepalli, MD, Gareth Morris-Stiff, MD, PhD, Maged Rizk, MD, Amit Bhatt, MD, R. Matthew Walsh, MD, Umar Hayat, MD, Ari Garber, MD, EdD, John Vargo, MD and Carol A. Burke, MD
    Cleveland Clinic Journal of Medicine April 2018, 85 (4) 323-331; DOI: https://doi.org/10.3949/ccjm.85a.17035

    Consider laparoscopic cholecystectomy for symptomatic cholelithiasis, expectant management for asymptomatic cases.

  • Are serum troponin levels elevated in conditions other than acute coronary syndrome?
    Kiran Sebastian, MD, Alexander Wester, BS, Anupama Kottam, MD and Ayman O. Soubani, MD
    Cleveland Clinic Journal of Medicine April 2018, 85 (4) 274-277; DOI: https://doi.org/10.3949/ccjm.85a.17011

    Yes. Troponin elevation is a nonspecific sign.

  • The female athlete triad: It takes a team
    Jaya Mehta, MD, Bithika Thompson, MD and Juliana M. Kling, MD, MPH
    Cleveland Clinic Journal of Medicine April 2018, 85 (4) 313-320; DOI: https://doi.org/10.3949/ccjm.85a.16137

    An energy deficit from increased exercise, decreased intake, or both can suppress the menstrual cycle and lead to bone loss.

  • Hyperkeratotic fissured plaques on both hands: Mechanic’s hands
    Anuradha Bishnoi, MD and Davinder Parsad, MD
    Cleveland Clinic Journal of Medicine April 2018, 85 (4) 268-269; DOI: https://doi.org/10.3949/ccjm.85a.17045

    This sign is seen in about 30% of patients with antisynthetase syndrome.

  • Perioperative interruption of dual antiplatelet therapy (November 2017)
    Elias B. Hanna, MD and Eliana Hanna Deschamps, MD
    Cleveland Clinic Journal of Medicine April 2018, 85 (4) 261; DOI: https://doi.org/10.3949/ccjm.85c.04001

    Readers comment on perioperative interruption of dual antiplatelet therapy (November 2017).

  • Hidden lesion easily missed on chest radiography
    Kamolyut Lapumnuaypol, MD and Jessica M. Stempel, MD
    Cleveland Clinic Journal of Medicine April 2018, 85 (4) 270-273; DOI: https://doi.org/10.3949/ccjm.85a.17067

    Chest radiography showed an opacity behind the heart, and CT angiography revealed it to be an aortic aneurysm.

  • Make no bones about it!
    Elizabeth Matzkin, MD
    Cleveland Clinic Journal of Medicine April 2018, 85 (4) 321-322; DOI: https://doi.org/10.3949/ccjm.85a.17071

    It is important to diagnose and treat the female athlete triad to maintain optimal bone health.

  • Physical examination in dyspnea (December 2017)
    Cleveland Clinic Journal of Medicine April 2018, 85 (4) 332;

    Errors occurred in Shellenberger RA, Balakrishnan B, Avula S, Ebel A, Shaik S. Diagnostic value of the physical examination in patients with dyspnea. Cleve Clin J Med 2017; 84(12):943–950.

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