Cleveland Clinic Journal of Medicine

  • Coronary artery bypass grafting: Practice trends and projections
    Coronary artery bypass grafting: Practice trends and projections
    Richard Ramsingh, MD and Faisal G. Bakaeen, MD
    Cleveland Clinic Journal of Medicine March 2025, 92 (3) 181-191; DOI: https://doi.org/10.3949/ccjm.92a.23071

    Future directions include expanding the use of multiarterial grafting, offering patients less-invasive approaches, and enhancing operative recovery.

  • Hypoglycemia after bariatric surgery: Management updates
    CME article
    Anira Iqbal, MD and Vinni Makin, MBBS, MD
    Cleveland Clinic Journal of Medicine February 2025, 92 (2) 103-108; DOI: https://doi.org/10.3949/ccjm.92a.24033

    The authors discuss how to differentiate post-bariatric surgery hypoglycemia from other causes of hypoglycemia, highlight the evolving role of continuous glucose monitors in detecting it, and summarize management options.

  • Don’t judge a book by its cover: Unusual presentations of pericardial disease
    Don’t judge a book by its cover: Unusual presentations of pericardial disease
    William A. Schiavone, DO and David S. Majdalany, MD
    Cleveland Clinic Journal of Medicine February 2025, 92 (2) 109-116; DOI: https://doi.org/10.3949/ccjm.92a.24065

    Taking a good history, performing a good physical examination, and properly reading an electrocardiogram and chest radiograph are the best starting points for diagnosing pericardial and mediastinal disease.

  • Wolff-Parkinson-White syndrome: Diagnostic and management strategies
    Masihullah Barat, MD, David Torres Barba, MD, PhD and Gordon Ho, MD
    Cleveland Clinic Journal of Medicine February 2025, 92 (2) 119-127; DOI: https://doi.org/10.3949/ccjm.92a.24059

    The challenge lies in managing those with the Wolff-Parkinson-White pattern on electrocardiogram but no symptoms.

  • Treating the thyroid: Trust the feedback loop
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine February 2025, 92 (2) 71-72; DOI: https://doi.org/10.3949/ccjm.92b.02025

    Studies show that, when testing to detect or monitor thyroid dysfunction, we order more free T3 and T4 levels than are necessary. We apparently should trust the thyroid-stimulating hormone feedback loop more than we do.

  • Vesicular pityriasis rosea
    Xiaobei Liu, MD, PhD, Lizhi Ma, MD, Peimei Zhou, MD, PhD and Tao Chen, MD, PhD
    Cleveland Clinic Journal of Medicine February 2025, 92 (2) 81-82; DOI: https://doi.org/10.3949/ccjm.92a.24004

    A 37-year-old man presented with a 9-day history of disseminated pruritic rash on his trunk and extremities.

  • Which patients with presumed acute infectious diarrhea in an outpatient setting should undergo gastrointestinal pathogen panel testing?
    Brittany Jackson, MD, Sabrina Billings, MD, Dana M. Harris, MD, Jane Hata, PhD and Mary S. Hedges, MD
    Cleveland Clinic Journal of Medicine February 2025, 92 (2) 83-86; DOI: https://doi.org/10.3949/ccjm.92a.24084

    Use of a gastrointestinal pathogen panel is warranted in certain individuals, such as those with fever, visible blood in the stool, sepsis, or a compromised immune system.

  • Thyroid obstacle course: Many challenges from a single gland
    Timothy W. Bodnar, MD and Sima Saberi, MD
    Cleveland Clinic Journal of Medicine February 2025, 92 (2) 87-93; DOI: https://doi.org/10.3949/ccjm.92a.24076

    The patient presented to his primary care clinician for new irritability, anxiety, and insomnia. Laboratory testing revealed a low thyroid-stimulating hormone level.

  • Respiratory virus season: Strategies for successful navigation
    Pooja Cerrato, PharmD, BCPS and Steven Mawhorter, MD, DTM&H
    Cleveland Clinic Journal of Medicine February 2025, 92 (2) 95-102; DOI: https://doi.org/10.3949/ccjm.92a.24103

    The authors review the burden, prevention, diagnosis, and treatment of influenza, COVID-19, and respiratory syncytial virus infection.

  • Common electrolyte imbalance, uncommon cause
    Saurav Shishir Agrawal, MD, DM, Sunil Kumar, MD, N. K. Soni, MD and Swati Paliwal, MD
    Cleveland Clinic Journal of Medicine January 2025, 92 (1) 13-15; DOI: https://doi.org/10.3949/ccjm.92a.24013

    A 47-year-old woman presented with 10 days of weakness, wide purple striae on the abdomen, and hyperpigmentation on the knuckles.

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