{"title":"A 20-year-old woman with a 9-year history of shortness of breath.","authors":"Jack Johnson, Karishma Lukose, Mary C Labanowski","doi":"10.3949/ccjm.93a.25073","DOIUrl":"10.3949/ccjm.93a.25073","url":null,"abstract":"","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"93 4","pages":"211-217"},"PeriodicalIF":5.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147589869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Magnus Chun, Amrit Narwan, Ryan Parto, Andrew John Cruz, Jiayi Ge, Zan Ferrin, Namrita George, Evelyn Kue, Adam Khattak, Vignan Manne, Amber Champion
{"title":"Gastrointestinal disorders in patients with diabetes mellitus: A practical guide for primary care.","authors":"Magnus Chun, Amrit Narwan, Ryan Parto, Andrew John Cruz, Jiayi Ge, Zan Ferrin, Namrita George, Evelyn Kue, Adam Khattak, Vignan Manne, Amber Champion","doi":"10.3949/ccjm.93a.25054","DOIUrl":"10.3949/ccjm.93a.25054","url":null,"abstract":"<p><p>Gastrointestinal disorders are common in patients with diabetes mellitus and can be linked to diabetes itself, its complications, or medications used to treat it. These disorders include gastroesophageal reflux, gastroparesis, enteropathy manifesting clinically with constipation or diarrhea, and metabolic dysfunction-associated steatotic liver disease. Timely diagnosis and management of these disorders can improve patients' quality of life. The authors provide clinically practical advice on when and how to screen for common diabetes-related gastrointestinal disorders and review the management of these disorders in the primary care setting.</p>","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"93 4","pages":"241-248"},"PeriodicalIF":5.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147590163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Polycystic ovary syndrome: An update on diagnosis and management.","authors":"Nayoung Sung, Jawaria Amir, Ula Abed Alwahab, Tommaso Falcone","doi":"10.3949/ccjm.93a.25090","DOIUrl":"10.3949/ccjm.93a.25090","url":null,"abstract":"<p><p>Polycystic ovary syndrome (PCOS) is a common but complex heterogeneous endocrine disorder characterized by androgen excess, insulin resistance, and ovulatory dysfunction, presenting challenges in diagnosis and management. This review provides an overview of PCOS, incorporating key updates from the 2023 international evidence-based guideline. We aim to enhance understanding of PCOS and improve individualized and evidence-based patient care.</p>","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"93 3","pages":"176-183"},"PeriodicalIF":5.2,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147343808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sindu Iska, María Herrán, You Li, Maria Teresa Bejarano, Chakra P Chaulagain, Chieh-Lin Fu
{"title":"A 24-year-old man with severe hemolytic anemia and variable Coombs test results.","authors":"Sindu Iska, María Herrán, You Li, Maria Teresa Bejarano, Chakra P Chaulagain, Chieh-Lin Fu","doi":"10.3949/ccjm.93a.25079","DOIUrl":"https://doi.org/10.3949/ccjm.93a.25079","url":null,"abstract":"","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"93 3","pages":"159-168"},"PeriodicalIF":4.1,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147343848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Optimizing bowel preparation for colonoscopy: Updated consensus recommendations.","authors":"Hussam Kawas, Claire Beveridge","doi":"10.3949/ccjm.93a.25086","DOIUrl":"10.3949/ccjm.93a.25086","url":null,"abstract":"<p><p>The US Multi-Society Task Force on Colorectal Cancer updated the 2014 consensus recommendations on colonoscopy preparation in 2025. For patients at low risk of inadequate preparation, key updates include simplifying dietary restrictions and using 2-L over 4-L regimens for improved tolerability while maintaining efficacy. Split-dose administration of bowel preparation is universally recommended. The guidelines emphasize same-day dosing as acceptable only for afternoon procedures, recommend oral simethicone as an adjunct for improved visualization, and establish preparation adequacy tracking as a quality metric.</p>","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"93 3","pages":"169-175"},"PeriodicalIF":5.2,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147343787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Getting stuck on a name: An example of an eponymous syndrome.","authors":"Brian F Mandell","doi":"10.3949/ccjm.93b.03026","DOIUrl":"https://doi.org/10.3949/ccjm.93b.03026","url":null,"abstract":"","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"93 3","pages":"131-132"},"PeriodicalIF":4.1,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147343784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"'Boxing glove' hands in a patient initially diagnosed with RS3PE syndrome.","authors":"Hirokazu Takai, Seiko Takai","doi":"10.3949/ccjm.93a.25059","DOIUrl":"https://doi.org/10.3949/ccjm.93a.25059","url":null,"abstract":"","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"93 3","pages":"135-137"},"PeriodicalIF":4.1,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147343781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Alpha-1 antitrypsin deficiency: A persistently underrecognized condition.","authors":"James K Stoller","doi":"10.3949/ccjm.93a.25103","DOIUrl":"https://doi.org/10.3949/ccjm.93a.25103","url":null,"abstract":"","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"93 3","pages":"153-157"},"PeriodicalIF":4.1,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147343803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ogilvie syndrome (colonic pseudo-obstruction).","authors":"Mohamed Adam Ali, Zahra Al-Badry, Fatima M H Ali","doi":"10.3949/ccjm.93a.21118","DOIUrl":"https://doi.org/10.3949/ccjm.93a.21118","url":null,"abstract":"","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"93 3","pages":"145-146"},"PeriodicalIF":4.1,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147343827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}