Endocrinology

  • ERAAs for menopause treatment: Welcome the ‘designer estrogens’
    Heather D. Hirsch, MD, MS, NCMP, Elim Shih, MD, NCMP and Holly L. Thacker, MD, NCMP
    Cleveland Clinic Journal of Medicine June 2017, 84 (6) 463-470; DOI: https://doi.org/10.3949/ccjm.84a.15140

    These drugs stimulate estrogen receptors in some tissues and inhibit them in others, enabling tailored treatment.

  • Heartburn or heart attack? A mimic of MI
    Willis S. Bowman, MD, Amir Farid, MD and Paul Aronowitz, MD
    Cleveland Clinic Journal of Medicine September 2017, 84 (9) 664-665; DOI: https://doi.org/10.3949/ccjm.84a.16093

    The diagnosis: milk-alkali syndrome, complicated by thiazide use.

  • Big heart, small ring
    Igor Kravets, MD, FACE
    Cleveland Clinic Journal of Medicine December 2017, 84 (12) 925-933; DOI: https://doi.org/10.3949/ccjm.84a.16101

    A 58-year-old man has stopped wearing his wedding ring, and his wife suspects him of having an extramarital affair.

  • Trust the thyroid thermostat
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine August 2016, 83 (8) 552-553; DOI: https://doi.org/10.3949/ccjm.83b.08016

    Why do some physicians persist in regularly following the T3 and T4 levels in addition to the TSH?

  • Is a serum TSH measurement sufficient to monitor the treatment of primary hypothyroidism?
    Christian Nasr, MD
    Cleveland Clinic Journal of Medicine August 2016, 83 (8) 571-573; DOI: https://doi.org/10.3949/ccjm.83a.15165

    Yes, the TSH level provides the information you need to manage primary hypothyroidism.

  • Is there a time limit for systemic menopausal hormone therapy?
    Laura Dorr Lipold, MD, Pelin Batur, MD, NCMP, CCD and Risa Kagan, MD, FACOG, CCD, NCMP
    Cleveland Clinic Journal of Medicine August 2016, 83 (8) 605-612; DOI: https://doi.org/10.3949/ccjm.83a.15161

    The duration needs to be an individualized, shared decision that is reassessed annually.

  • LGBT care: There has been progress
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine July 2016, 83 (7) 477; DOI: https://doi.org/10.3949/ccjm.83b.07016

    A tectonic shift has taken place in how we perceive and interact with lesbian, gay, bisexual, and transgender people.

  • Ovarian hyperstimulation syndrome as a complication of molar pregnancy
    Kinan Alhalabi, Brooke S. Lampl, DO and Gerald Behr, MD
    Cleveland Clinic Journal of Medicine July 2016, 83 (7) 504-506; DOI: https://doi.org/10.3949/ccjm.83a.15036

    An 18-year-old woman, 14 weeks pregnant, presented with bleeding, cramping, and a fundal height of 23 cm.

  • Best practices in LGBT care: A guide for primary care physicians
    Megan C. McNamara, MD, MSc and Henry Ng, MD, MPH
    Cleveland Clinic Journal of Medicine July 2016, 83 (7) 531-541; DOI: https://doi.org/10.3949/ccjm.83a.15148

    Myths, disparities, and a step-by-step approach to the care of lesbian, gay, bisexual, and transgender patients.

  • Total pancreatectomy and islet cell autotransplantation: Definitive treatment for chronic pancreatitis
    Karla M. Arce, MD, Yu Kuei Lin, MD, Tyler Stevens, MD, R. Matthew Walsh, MD and Betul A. Hatipoglu, MD
    Cleveland Clinic Journal of Medicine June 2016, 83 (6) 435-442; DOI: https://doi.org/10.3949/ccjm.83a.15056

    Most patients report less pain after this procedure, and many avoid overt diabetes.

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