Latest Articles

  • If a patient has cirrhosis, should I correct coagulation abnormalities before a minor invasive procedure?
    Emily B. Wolf, MD, Marie Plante, MD and Razvan M. Chirila, MD
    Cleveland Clinic Journal of Medicine September 2023, 90 (9) 541-543; DOI: https://doi.org/10.3949/ccjm.90a.23005

    Hemostatic abnormalities in cirrhosis can include thrombocytopenia, prolonged prothrombin time, prolonged activated partial thromboplastin time, elevated international normalized ratio, and decreased fibrinogen.

  • A practical guide for buprenorphine initiation in the primary care setting
    Roberto León-Barriera, MD, Samantha Jayne Zwiebel, MD, MA and Vania Modesto-Lowe, MD, MPH
    Cleveland Clinic Journal of Medicine September 2023, 90 (9) 557-564; DOI: https://doi.org/10.3949/ccjm.90a.23022

    The authors review changes in prescribing laws and outline buprenorphine induction protocols that can be adopted in the primary care setting.

  • Mpox: Keep it on the differential
    Sara L. Clemens, MD and Stuart N. Isaacs, MD
    Cleveland Clinic Journal of Medicine September 2023, 90 (9) 565-575; DOI: https://doi.org/10.3949/ccjm.90a.23020

    During its current global outbreak, mpox has exhibited novel features that clinicians should be aware of to aid recognition.

  • Persistent rectal pain leading to diffuse pustules
    Lydia Cassard, BA, Taylor A. Bullock, MD, Wyatt Andrasik, MD and Anthony P. Fernandez, MD, PhD
    Cleveland Clinic Journal of Medicine September 2023, 90 (9) 537-539; DOI: https://doi.org/10.3949/ccjm.90a.22089

    The authors relate the workup of a 34-year-old patient with a history of syphilis and human immunodeficiency virus.

  • Born again: The many lives of metformin
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine September 2023, 90 (9) 523-524; DOI: https://doi.org/10.3949/ccjm.90b.09023

    Repurposing old drugs for new indications is not a new drug-development strategy.

  • Cutaneous metastasis from gastric carcinoma
    Li-wen Zhang, MD, Wen-ju Wang, MD, Tao Chen, MD, PhD and Rong-hua Xu, MD
    Cleveland Clinic Journal of Medicine September 2023, 90 (9) 533-534; DOI: https://doi.org/10.3949/ccjm.90a.22085

    The patient presented with asymptomatic nodules and alopecia of the scalp 3 years after treatment for gastric adenocarcinoma.

  • When should pharmacologic therapies be used for uremic pericarditis?
    When should pharmacologic therapies be used for uremic pericarditis?
    Osamah Badwan, MD, Warren Skoza, MD, Lorenzo Braghieri, MD, Ian Persits, DO and Allan L. Klein, MD, FRCP (C), FACC, FAHA, FASE, FESC
    Cleveland Clinic Journal of Medicine September 2023, 90 (9) 549-554; DOI: https://doi.org/10.3949/ccjm.90a.23003

    If symptoms return or fail to improve with renal replacement therapy, drug therapy may be considered.

  • Late complications after allogeneic hematopoietic cell transplant: What primary care physicians can do
    Lauren M. Granat, DO, MS, Mariah Ondeck, MD, Bennett Osantowski, MD, Michael Sheu, MD, Vishwanath Ganesan, MD, Seth Rotz, MD and Betty K. Hamilton, MD
    Cleveland Clinic Journal of Medicine August 2023, 90 (8) 499-508; DOI: https://doi.org/10.3949/ccjm.90a.23006

    Cardiovascular, metabolic, endocrine, rheumatologic, orthopedic, infectious, neurologic, and cognitive complications are examined, as well as secondary malignancies, psychiatric disorders, and impairments in quality of life and sexual health.

  • A new policy update on breastfeeding: What all clinicians need to know
    Heidi Szugye, DO, IBCLC, FAAP, Ali Murra, BS and Suet Kam Lam, MD, IBCLC, MPH, MS, FAAP
    Cleveland Clinic Journal of Medicine August 2023, 90 (8) 469-473; DOI: https://doi.org/10.3949/ccjm.90a.22099

    An overview of current American Academy of Pediatrics policy, directed to clinicians of all disciplines who may interact with breastfeeding mothers and their babies.

  • ‘Kissing tonsils’ and splenic infarction from infectious mononucleosis
    Nicholas L. Kensey, DO and James Higgs, MD
    Cleveland Clinic Journal of Medicine August 2023, 90 (8) 463-464; DOI: https://doi.org/10.3949/ccjm.90a.22079

    A 36-year-old male presented with severe pain in the left upper quadrant after 10 days of cough, sore throat, and fever.

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