Adolescent Medicine

  • ‘Kissing tonsils’ and splenic infarction from infectious mononucleosis

    Nicholas L. Kensey, DO and James Higgs, MD
    • Cleveland Clinic Journal of Medicine August 2023, 90 (8) 463-464;
    • DOI: https://doi.org/10.3949/ccjm.90a.22079

    • A 36-year-old male presented with severe pain in the left upper quadrant after 10 days of cough, sore throat, and fever.

  • Ignore e-cigarettes at your patient’s peril

    Vania Modesto-Lowe, MD, MPH, Lakshit Jain, MD and Roberto León-Barriera, MD
    • Cleveland Clinic Journal of Medicine December 2022, 89 (12) 679-682;
    • DOI: https://doi.org/10.3949/ccjm.89a.22006

    • As patients are already using these products, rather than dismiss the use of e-cigarettes, clinicians should provide accurate information to help patients make the best choices for their health.

  • Psychogenic nonepileptic seizure: An empathetic, practical approach

    Becky Bikat S. Tilahun, PhD and Jocelyn F. Bautista, MD
    • Cleveland Clinic Journal of Medicine May 2022, 89 (5) 252-259;
    • DOI: https://doi.org/10.3949/ccjm.89a.21109

    • Barriers to care include clinician misperceptions, lack of acceptance of the diagnosis, poor patient engagement with treatment, and lack of access to care.

  • Psychogenic nonepileptic seizure: A neurologist’s perspective

    Elaine Wyllie, MD
    • Cleveland Clinic Journal of Medicine May 2022, 89 (5) 260-261;
    • DOI: https://doi.org/10.3949/ccjm.89a.21129

    • Confirming the diagnosis is only the start of the journey. The greater challenge and opportunity lie in how physicians present the diagnosis to the patient and family.

  • 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.

  • 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.

  • The current state of tobacco cessation treatment

    Humberto K. Choi, MD, FCCP, Jorge Ataucuri-Vargas, MD, Charlie Lin, MD and Amanda Singrey, PharmD, BCACP, CTTS
    • Cleveland Clinic Journal of Medicine July 2021, 88 (7) 393-404;
    • DOI: https://doi.org/10.3949/ccjm.88a.20099

    • Behavioral interventions and pharmacotherapy increase success rates. Alternative treatments should not replace or delay the use of known effective therapies.

  • Medical complications of bulimia nervosa

    Allison Nitsch, MD, Heather Dlugosz, MD, Dennis Gibson, MD and Philip S. Mehler, MD, FACP, FAED
    • Cleveland Clinic Journal of Medicine June 2021, 88 (6) 333-343;
    • DOI: https://doi.org/10.3949/ccjm.88a.20168

    • Complications can affect all body systems, but especially the renal and electrolyte systems.

  • A 21-year-old woman with Ehlers-Danlos syndrome and persistent lightheadedness

    Raed Qarajeh, MD, Laith A. Derbas, MD, Mouin Abdallah, MD, MSc and Faraz Kureshi, MD, MSc
    • Cleveland Clinic Journal of Medicine February 2021, 88 (2) 93-97;
    • DOI: https://doi.org/10.3949/ccjm.88a.19137

    • She has a long history of lightheadedness upon standing, and it is getting worse.

  • Severe chemical pneumonitis from tetrahydrocannabinol ‘vaping’ and ‘dabbing’

    Alisha Kamboj, MD, MBA, Tony Kamel, MD, Martin Burbank, MD, Melisa Esposito, MD and Russell Shaen Harvey, MD
    • Cleveland Clinic Journal of Medicine February 2021, 88 (2) 77-79;
    • DOI: https://doi.org/10.3949/ccjm.88a.20071

    • THC products have been implicated in an outbreak of lung injury.

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