Latest Articles

  • Rapidly progressive pleural effusion January 2019
    Scott Davidson, MD
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 236; DOI: https://doi.org/10.3949/ccjm.86c.04001

    Readers comment about deviation from guidelines during treatment of a patient with rapidly progressive pleural effusion (January 2019) and the effect of metformin on vitamin B12 levels (January 2019).

  • How should I treat acute agitation in pregnancy?
    Joshua D. Niforatos, MTS, Jonathon W. Wanta, MD, Anna P. Shapiro, MD, Justin A. Yax, Do, DTMH and Adele C. Viguera, MD, MPH
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 243-247; DOI: https://doi.org/10.3949/ccjm.86a.18041

    This is an obstetric emergency. Intervention should progress in a stepwise manner.

  • In reply: Rapidly progressive pleural effusion January 2019
    Zaid Zoumot, MBSS, Samar Farha, MD and Ali Wahla, MBSS
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 236; DOI: https://doi.org/10.3949/ccjm.86c.04002
  • Is neuroimaging necessary to evaluate syncope?
    Erika Hutt-Centeno, MD, Robert Wilson, DO and Kenneth A. Mayuga, MD, FHRS, FACC, FACP
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 240-242; DOI: https://doi.org/10.3949/ccjm.86a.18016

    If the diagnosis is unclear after the history and examination, then electroencephalography during tilt-table testing can help.

  • Metformin for type 2 diabetes January 2019
    Robert S. Moskowitz, MD, FACP
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 237; DOI: https://doi.org/10.3949/ccjm.86c.04003

    Readers comment about deviation from guidelines during treatment of a patient with rapidly progressive pleural effusion (January 2019) and the effect of metformin on vitamin B12 levels (January 2019).

  • Flu or strep? Rapid tests can mislead
    Burke A. Cunha, MD, MACP and Nonso Osakwe, MD
    Cleveland Clinic Journal of Medicine March 2019, 86 (3) 161-162; DOI: https://doi.org/10.3949/ccjm.86a.18094

    Group A streptococci are common colonizers with viral pharyngitis.

  • Hypertension guidelines January 2019
    Cleveland Clinic Journal of Medicine March 2019, 86 (3) 210;

    The article Aleyadeh W, Hutt-Centeno E, Ahmed HM, Shah NP. Hypertension guidelines: treat patients, not numbers. Cleve Clin J Med 2019; 86(1):47–56. doi:10.3949/ccjm.86a.18027 contained an error.

  • The tests that we order define us
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine March 2019, 86 (3) 150; DOI: https://doi.org/10.3949/ccjm.86b.03019

    In practice we balance the inputs from Watson, “Dr. Google,” our experience, and the specific data from the patient.

  • Cancer screening: A modest proposal for prevention
    Myung S. Kim, MD, Go Nishikawa, MD and Vinay Prasad, MD, MPH
    Cleveland Clinic Journal of Medicine March 2019, 86 (3) 157-160; DOI: https://doi.org/10.3949/ccjm.86a.18092

    Large-scale cancer screening programs have the unintended consequences of false-positive results and overdiagnosis.

  • Assessing liver fibrosis without biopsy in patients with HCV or NAFLD
    Tavankit Singh, MD, Daniela S. Allende, MD and Arthur J. McCullough, MD
    Cleveland Clinic Journal of Medicine March 2019, 86 (3) 179-186; DOI: https://doi.org/10.3949/ccjm.86a.17118

    Biopsy is still the gold standard, but methods based on clinical information and on imaging are emerging.

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