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Cleveland Clinic Journal of Medicine
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Cleveland Clinic Journal of Medicine

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Emergency Medicine

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    Foxglove, not quite gone or forgotten
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine August 2024, 91 (8) 458-459; DOI: https://doi.org/10.3949/ccjm.91b.08024

    Digoxin use has waned dramatically over the past decades, with good reason, but for select patients, it may be a very reasonable option.

  • You have access
    Digoxin is still useful, but is still causing toxicity
    CME article
    Alejandro Durán Crane, MD, Michael Militello, PharmD, BCPS and Michael D. Faulx, MD
    Cleveland Clinic Journal of Medicine August 2024, 91 (8) 489-499; DOI: https://doi.org/10.3949/ccjm.91a.23105

    The authors review the presentation of digoxin toxicity, its mechanisms and predisposing factors, and its medical management.

  • You have access
    Should you use compression duplex ultrasonography to detect deep vein thrombosis to evaluate unexplained fevers?
    Daniel Rozenbaum, MD, Anirudh Yalamanchali, MD, MS and Deborah Hornacek, MD, FSVM
    Cleveland Clinic Journal of Medicine October 2023, 90 (10) 611-614; DOI: https://doi.org/10.3949/ccjm.90a.23018

    The authors provide recommendations on when to order imaging of the extremities in the evaluation of hospitalized patients with unexplained fever.

  • You have access
    Severe skin rashes
    Li-wen Zhang, MD, Juan Wu, MD, PhD and Tao Chen, MD, PhD
    Cleveland Clinic Journal of Medicine August 2023, 90 (8) 461-462; DOI: https://doi.org/10.3949/ccjm.90c.08003
  • You have access
    In Reply: Severe skin rashes
    Valerie Jaroenpuntaruk, MD and Adam Gray, MD
    Cleveland Clinic Journal of Medicine August 2023, 90 (8) 462; DOI: https://doi.org/10.3949/ccjm.90c.08004
  • You have access
    Evaluating troponin elevation in patients with chronic kidney disease and suspected acute coronary syndrome
    Lorenzo Braghieri, MD, Osamah Z. Badwan, MD, Warren Skoza, MD, Maan Fares, MD and Venu Menon, MD
    Cleveland Clinic Journal of Medicine August 2023, 90 (8) 483-489; DOI: https://doi.org/10.3949/ccjm.90a.23012

    The authors examine challenges in diagnosing acute coronary syndrome in patients with chronic kidney disease and provide a diagnostic algorithm to risk-stratify these patients.

  • You have access
    Acute left-sided colonic diverticulitis: A surgeon’s perspective on the ACP guidelines
    Michael J. Klingler, MD, MS and Jeremy M. Lipman, MD, MHPE
    Cleveland Clinic Journal of Medicine July 2023, 90 (7) 403-406; DOI: https://doi.org/10.3949/ccjm.90a.22050

    The updated guidelines push for less-aggressive management of uncomplicated diverticulitis in select patients.

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    Deadly drug rashes: Early recognition and multidisciplinary care
    Valerie Jaroenpuntaruk, MD and Adam Gray, MD
    Cleveland Clinic Journal of Medicine June 2023, 90 (6) 373-381; DOI: https://doi.org/10.3949/ccjm.90a.22043

    An illustrated review of 4 severe drug rashes. Early recognition and prompt withdrawal of the causative agent are crucial.

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    What is the optimal approach to infiltration and extravasation of nonchemotherapy medications?
    Abby Tarpey, PharmD, Shraddha Narechania, MD, FCCP and Mark Malesker, PharmD, FCCP, FCCM, FASHP, BCPS
    Cleveland Clinic Journal of Medicine May 2023, 90 (5) 292-296; DOI: https://doi.org/10.3949/ccjm.90a.22029

    The immediate response is warm or cold compression and assessment of the severity.

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    What are my obligations to my incarcerated patient?
    Farah Acher Kaiksow, MD, MPP, Deval Patel, MD and Norman Fost, MD, MPH
    Cleveland Clinic Journal of Medicine January 2023, 90 (1) 18-21; DOI: https://doi.org/10.3949/ccjm.90a.22003

    A court order authorizes a blood transfusion, but the incarcerated patient refuses the transfusion. As the caregiver, am I obligated to follow the court order against the patient’s wishes?

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