topic

  • Should metformin be used in every patient with type 2 diabetes?
    Vinni Makin, MBBS, MD, FACE and M. Cecilia Lansang, MD, MPH
    Cleveland Clinic Journal of Medicine January 2019, 86 (1) 17-20; DOI: https://doi.org/10.3949/ccjm.86a.18039

    Most patients should receive it, with exceptions. Nevertheless, it is underused.

  • Rapidly progressive pleural effusion
    Zaid Zoumot, MBBS, Ali S. Wahla, MBBS and Samar Farha, MD
    Cleveland Clinic Journal of Medicine January 2019, 86 (1) 21-27; DOI: https://doi.org/10.3949/ccjm.86a.18067

    A 33-year-old nonsmoker presents with severe pleuritic chest pain; the differential diagnosis is broad.

  • Monoclonal gammopathy of undetermined significance: A primary care guide
    Monoclonal gammopathy of undetermined significance: A primary care guide
    Jack Khouri, MD, Christy Samaras, DO, Jason Valent, MD, Alex Mejia Garcia, MD, Beth Faiman, PhD, CNP, Saveta Mathur, CNP, Kim Hamilton, CNP, Megan Nakashima, MD and Matt Kalaycio, MD
    Cleveland Clinic Journal of Medicine January 2019, 86 (1) 39-46; DOI: https://doi.org/10.3949/ccjm.86a.17133

    Low-risk MGUS may not require subspecialty referral and can be followed by the outpatient provider.

  • MGUS: It’s about the protein, not just the marrow
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine January 2019, 86 (1) 4-5; DOI: https://doi.org/10.3949/ccjm.86b.01019

    What is a cause of a high erythrocyte sedimentation rate with a normal C-reactive protein and a low anion gap?

  • Hypertension guidelines: Treat patients, not numbers
    Wesam Aleyadeh, MD, Erika Hutt-Centeno, MD, Haitham M. Ahmed, MD, MPH and Nishant P. Shah, MD
    Cleveland Clinic Journal of Medicine January 2019, 86 (1) 47-56; DOI: https://doi.org/10.3949/ccjm.86a.18027

    When treating high blood pressure, how low should we try to go? Debate continues.

  • Common benign breast concerns for the primary care physician
    Christine Lara Klassen, MD, Stephanie L. Hines, MD and Karthik Ghosh, MD
    Cleveland Clinic Journal of Medicine January 2019, 86 (1) 57-65; DOI: https://doi.org/10.3949/ccjm.86a.17100

    Because breast cancer is so common, women with breast problems often fear the worst. They needn’t.

  • Who needs to carry an epinephrine autoinjector?
    T. Ted Song, DO, FAAAI, FACP and Phil Lieberman, MD
    Cleveland Clinic Journal of Medicine January 2019, 86 (1) 66-72; DOI: https://doi.org/10.3949/ccjm.86a.17123

    Patients who have had anaphylaxis or who are at risk of it should carry an epinephrine autoinjector with them at all times.

  • Acute-onset quadriplegia with hyperreflexia
    Nasreen Shaikh, MD, Muhammad Sardar, MD, Wahab Khan, MD and Wael Ghali, MD
    Cleveland Clinic Journal of Medicine January 2019, 86 (1) 7-8; DOI: https://doi.org/10.3949/ccjm.86a.18049

    MRI showed diffuse T2 hyperintensity beginning at the level of the medulla and extending to the level of C7.

  • A new reason to reconsider that antibiotic prescription: The microbiome
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine December 2018, 85 (12) 906-907; DOI: https://doi.org/10.3949/ccjm.85b.12018

    Prescribing an antibiotic is a far more complicated and long-lasting affair than most of us thought.

  • Prostate cancer screening, November 2018
    David L. Keller, MD, FACP
    Cleveland Clinic Journal of Medicine December 2018, 85 (12) 908; DOI: https://doi.org/10.3949/ccjm.85c.12001

    A reader comments on the use of prostate-specific antigen (November 2018).

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