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Cleveland Clinic Journal of Medicine
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Cleveland Clinic Journal of Medicine

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Family Medicine

  • Update on current contraceptive options: A case-based discussion of efficacy, eligibility, and use
    You have access
    Update on current contraceptive options: A case-based discussion of efficacy, eligibility, and use
    CME article
    Alexa Nicole Fiffick, DO, MBS, NCMP, Tara K. Iyer, MD, NCMP, Tiffany Cochran, MD, MA, NCMP and Pelin Batur, MD, FACP, NCMP
    Cleveland Clinic Journal of Medicine March 2023, 90 (3) 181-190; DOI: https://doi.org/10.3949/ccjm.90a.22075

    Rates of unintended pregnancy are high in the United States. Clinicians need to be well-informed about the full spectrum of contraceptive options to improve reproductive autonomy.

  • Resistant hypertension: A stepwise approach
    You have access
    Resistant hypertension: A stepwise approach
    CME article
    Jordana Yahr, DO, George Thomas, MD, Juan Calle, MD and Jonathan J. Taliercio, DO
    Cleveland Clinic Journal of Medicine February 2023, 90 (2) 115-125; DOI: https://doi.org/10.3949/ccjm.90a.22046

    The authors review the definition and prevalence of resistant hypertension and its diagnostic workup and management, including lifestyle modifications, drugs, and experimental therapies.

  • You have access
    Vitamin D: A metabolic bone disease perspective
    Bruce Long, MD, FACR, BS Pharm
    Cleveland Clinic Journal of Medicine February 2023, 90 (2) 91-92; DOI: https://doi.org/10.3949/ccjm.90a.22086

    When checking levels, clinicians should keep in mind that vitamin D levels fluctuate by season and time of day, and that different laboratories may use different assays that yield different results.

  • You have access
    Test ordering: Balancing the good for the many with the good for the one
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine December 2022, 89 (12) 672-673; DOI: https://doi.org/10.3949/ccjm.89b.12022

    Three articles this month address how we order clinical tests, one on the question of treating the patient with asymptomatic bacteriuria, the others on the advantages and disadvantages of standing orders for “daily labs” for inpatients.

  • You have access
    Ignore e-cigarettes at your patient’s peril
    Vania Modesto-Lowe, MD, MPH, Lakshit Jain, MD and Roberto León-Barriera, MD
    Cleveland Clinic Journal of Medicine December 2022, 89 (12) 679-682; DOI: https://doi.org/10.3949/ccjm.89a.22006

    As patients are already using these products, rather than dismiss the use of e-cigarettes, clinicians should provide accurate information to help patients make the best choices for their health.

  • You have access
    Does my patient need to be screened or treated for a urinary tract infection?
    Ellen K. Kendall and Yael Mauer, MD, MPH
    Cleveland Clinic Journal of Medicine December 2022, 89 (12) 695-698; DOI: https://doi.org/10.3949/ccjm.89a.21121

    When patients present with symptoms that suggest but are not clearly diagnostic of urinary tract infection, urine studies should be obtained.

  • You have access
    Evaluation and management of gastroesophageal reflux disease: A brief look at the updated guidelines
    Priya Sasankan, MD and Prashanthi N. Thota, MD, FACG
    Cleveland Clinic Journal of Medicine December 2022, 89 (12) 700-703; DOI: https://doi.org/10.3949/ccjm.89a.22059

    Updated guidelines from the American College of Gastroenterology address the evaluation and management of reflux disease, consequences of long-term PPI therapy, and emerging therapies.

  • You have access
    Chronic anal pain: A review of causes, diagnosis, and treatment
    Charles H. Knowles, PhD, FRCS, FACCRS (Hons) and Richard C. Cohen, MD, FRCS
    Cleveland Clinic Journal of Medicine June 2022, 89 (6) 336-343; DOI: https://doi.org/10.3949/ccjm.89a.21102

    The authors identify and review 3 main diagnostic categories: local causes, functional anorectal pain, and neuropathic pain syndromes.

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