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Cleveland Clinic Journal of Medicine
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Cleveland Clinic Journal of Medicine

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Hospital Medicine

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    Do I need to treat supine hypertension in my hospitalized patient?
    Katherine Sherman, MD and Robert Lichtenberg, MD
    Cleveland Clinic Journal of Medicine May 2025, 92 (5) 285-289; DOI: https://doi.org/10.3949/ccjm.92a.24092

    Inpatients with an elevated supine blood pressure should be evaluated for orthostatic changes before treatment is considered.

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    Should glucagon-like peptide 1 receptor agonists be withheld during the preoperative period?
    Sneha Mishra, MBBS, Patress A. Persons, MD and Sophie Bersoux, MD, MPH
    Cleveland Clinic Journal of Medicine April 2025, 92 (4) 209-211; DOI: https://doi.org/10.3949/ccjm.92a.24110

    Clinical judgment should guide this decision, taking into account patient symptoms and the presence of factors that may delay gastric emptying and increase risk for aspiration.

  • You have access
    2024 ACC/AHA guideline on perioperative cardiovascular management before noncardiac surgery: What’s new?
    CME article
    Steven L. Cohn, MD
    Cleveland Clinic Journal of Medicine April 2025, 92 (4) 213-219; DOI: https://doi.org/10.3949/ccjm.92a.24125

    The author highlights key changes and recommendations of the new guideline, how they differ from previous and other society guidelines, and ongoing challenges and unresolved issues in perioperative care.

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    Classic diabetic ketoacidosis and the euglycemic variant
    Param Darpan Sheth, MBBS
    Cleveland Clinic Journal of Medicine March 2025, 92 (3) 142; DOI: https://doi.org/10.3949/ccjm.92c.03002
  • You have access
    In Reply: Classic diabetic ketoacidosis and the euglycemic variant
    Adi E. Mehta, MD and Robert Zimmerman, MD
    Cleveland Clinic Journal of Medicine March 2025, 92 (3) 142-143; DOI: https://doi.org/10.3949/ccjm.92c.03003
  • You have access
    Classic diabetic ketoacidosis and the euglycemic variant: Something old, something new
    Adi E. Mehta, MD and Robert Zimmerman, MD
    Cleveland Clinic Journal of Medicine January 2025, 92 (1) 33-39; DOI: https://doi.org/10.3949/ccjm.92a.24075

    The authors review differences in the pathophysiology and management of classic diabetic ketoacidosis and the euglycemic variant, the latter of which has become more common with the increasing use of sodium-glucose cotransporter 2 inhibitors.

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    Should every patient with an unprovoked venous thromboembolism have a hypercoagulable workup?
    Jaime Tan, MD, Neeladri Misra, MD and Sivakumar Reddy, MD
    Cleveland Clinic Journal of Medicine September 2024, 91 (9) 531-533; DOI: https://doi.org/10.3949/ccjm.91a.24016

    In the absence of consensus guidelines addressing this question, an individualized approach that considers personal and family history is needed.

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    Stop the clot: When is laboratory evaluation for thrombophilia warranted?
    Jaideep Singh Bhalla, MD, G. Jay Bishop, MD and Scott J. Cameron, MD, PhD
    Cleveland Clinic Journal of Medicine September 2024, 91 (9) 535-536; DOI: https://doi.org/10.3949/ccjm.91a.24058

    Evidence does not support routine testing for an underlying hereditary thrombophilia after an arterial or venous thrombosis. Instead, the benefits of testing must be discussed with each patient.

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    Mesenteric ischemia: Recognizing an uncommon disorder and distinguishing among its causes
    Teresa Wu, MD and Aravinda Nanjundappa, MBBS, MD
    Cleveland Clinic Journal of Medicine September 2024, 91 (9) 545-550; DOI: https://doi.org/10.3949/ccjm.91a.23094

    Mesenteric ischemia is associated with high mortality and often poses a diagnostic challenge. Early recognition and diagnosis are imperative to improve outcomes.

  • You have access
    Abdominal pain without physical findings is not always without physical cause
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine September 2024, 91 (9) 527-528; DOI: https://doi.org/10.3949/ccjm.91b.09024

    Mesenteric ischemia is a serious clinical entity characterized by a disconnect between the patient’s symptoms and the physical examination.

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