Emergency Medicine

  • Does my patient need an allergy evaluation for penicillin allergy?
    Jennifer A. Ohtola, MD, PhD and Sandra J. Hong, MD
    Cleveland Clinic Journal of Medicine March 2022, 89 (3) 126-129; DOI: https://doi.org/10.3949/ccjm.89a.21004

    In patients with reported penicillin allergy, obtaining a detailed allergy history directly from the patient is the essential first step.

  • Anaphylaxis: Highlights from the practice parameter update
    Katherine N. Weller, MD and Fred H. Hsieh, MD
    Cleveland Clinic Journal of Medicine February 2022, 89 (2) 106-111; DOI: https://doi.org/10.3949/ccjm.89a.21076

    The update addresses diagnostic criteria, treatment options, prevention of recurrences, and patient education on avoiding triggers and using self-injectable epinephrine.

  • Anaphylaxis: Expanding our perspective
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine February 2022, 89 (2) 65; DOI: https://doi.org/10.3949/ccjm.89b.02022

    Anaphylaxis is not always the extreme scenario we learned about in medical school. There is a range of far milder allergic infusion reactions that are nonetheless anaphylaxis.

  • Recurrent anemia in a patient with chronic lymphocytic leukemia
    Sassine Ghanem, MD and Jason Gonsky, MD, PhD
    Cleveland Clinic Journal of Medicine February 2022, 89 (2) 91-98; DOI: https://doi.org/10.3949/ccjm.89a.21025

    New episodes of anemia do not automatically imply disease progression, and each should be evaluated completely.

  • A perspective on discussing COVID-19 vaccines: Efficacy and adverse effects
    Brian F. Mandell, MD
    Cleveland Clinic Journal of Medicine December 2021, 88 (12) 644-645; DOI: https://doi.org/10.3949/ccjm.88b.12021

    Physicians should be vigilant and open-minded regarding possible adverse reactions to the vaccines, and should take time to discuss the demonstrated efficacy of vaccines with patients.

  • COVID-19 vaccine-induced cellulitis and myositis
    Sathishkumar Ramalingam, MD, Harkesh Arora, MD, Susan Lewis, MD, Kulothungan Gunasekaran, MD, Maheswari Muruganandam, MD, Sivakumar Nagaraju, MD and Priyesh Padmanabhan, MD
    Cleveland Clinic Journal of Medicine December 2021, 88 (12) 648-650; DOI: https://doi.org/10.3949/ccjm.88a.21038

    The day after receiving the second dose of the mRNA vaccine, redness and pain developed at the injection site, eventually involving the whole left arm and shoulder.

  • Exanthem and enanthem with fever and dyspnea
    George D. Liatsos, MD, PhD and Emmanouil Koullias, MD
    Cleveland Clinic Journal of Medicine December 2021, 88 (12) 653-655; DOI: https://doi.org/10.3949/ccjm.88a.21047

    The patient presented with high fever, productive cough, dyspnea, generalized myalgias, conjunctivitis, and whitish elevations with an erythematous base on the buccal mucosa.

  • Spontaneous coronary artery dissection: Principles of management
    Nicole Pristera, MD, Pulkit Chaudhury, MD, Erik H. Van Iterson, PhD and Leslie S. Cho, MD
    Cleveland Clinic Journal of Medicine November 2021, 88 (11) 623-630; DOI: https://doi.org/10.3949/ccjm.88a.20162

    Once thought to be rare, it is increasingly recognized as a common cause of acute coronary syndrome, particularly in young women.

  • We have a greater understanding of ‘cardiac syndrome X,’ but questions remain
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine October 2021, 88 (10) 532-533; DOI: https://doi.org/10.3949/ccjm.88b.10021

    A better understanding of angina due to ischemia and no obstructive coronary artery disease has led to recognition of coronary microvascular dysfunction in many of these patients.

  • Chest pain: The importance of serial ECGs
    Rene Jansen van Rensburg, MBChB, MD, Jason Schutte, MBChB and Thomas de Beenhouwer, MD
    Cleveland Clinic Journal of Medicine October 2021, 88 (10) 538-540; DOI: https://doi.org/10.3949/ccjm.88a.20183

    Repeat electrocardiograms in a 44-year-old man who presented with severe hypertension revealed de Winter and Wellens patterns.

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