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Update on current contraceptive options: A case-based discussion of efficacy, eligibility, and useRates 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.
- Viruses change; we can, too
As we learn more about the mpox (formerly monkeypox) virus, Sossai et al in this issue of the Journal discuss how our understanding of its link to variola has led to therapeutic and prophylactic vaccination options.
- Smallpox and monkeypox: Looking back and looking ahead
Two vaccines have been developed for mpox prevention, but clarity is needed on when and how to use them.
- The cost of ‘free’: Advising patients about sponsored genetic testing
A breakdown of benefits and drawbacks of sponsored genetic testing that clinicians can use to help patients make informed decisions.
- What is the rationale for the laboratory workup for suspected pheochromocytomas and paragangliomas?
The decision to test is best guided by clinical suspicion. Test results should be interpreted with careful consideration of how the samples were collected.
- To repeat or not to repeat? Measuring bone mineral density during anti-resorptive therapy or a drug holiday
The authors present evidence for and against monitoring bone mineral density in these patients, arguing against a one-size-fits-all approach.
- Colovesical fistula in men with chronic urinary tract infection: A diagnostic challenge
Most cases are in older men with diverticular disease, Crohn disease, cancer, or iatrogenic injury. Suspect it especially in these patients with UTI symptoms refractory to conventional treatments.
- Fundic gland polyps: Should my patient stop taking PPIs?
Of the 2 types of these polyps, the sporadic type is linked to proton pump inhibitor use, whereas the syndromic type occurs on a background of familial adenomatous polyposis—a key distinction.
- Mass under the lip
The mass had grown slowly over several weeks while the patient was in rehabilitation after a stroke.
- A 50-year-old man presents with shortness of breath
Red flags included low voltage, normal sinus rhythm, and Q waves on electrocardiography, a history of carpal tunnel syndrome, and evidence of renal dysfunction.
Cleveland Clinic Journal of Medicine, published by Cleveland Clinic, provides busy clinicians with practical information to promote better patient care.