Update on C difficile: The new and the old strains

    Do thiazolidinediones cause heart failure?

   Anemia in renal failure: Should everyone get EPO?

   Aldosterone antagonists: Expanding uses in heart failure

   Studies in ARDS that changed our practice

   Treating the many symptoms of multiple sclerosis

   Posttraumatic stress disorder is not just in soldiers

   Evaluating and managing low gamma globulin

   A hypertensive emergency in an obese young woman

 

 

 

 

 

 

 

 

 

 

 

 

 

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The Cleveland Clinic Foundation
Cleveland Clinic Journal of Medicine
9500 Euclid Avenue, NA32
Cleveland, Ohio 44195

216.444.2661, FAX 216.444.9385
  mailto:ccjm@ccf.org

 

 

Abdominal aortic aneurysms: What we don't seek, we won't find
We don't find abdominal aortic aneurysms as often as we should. In some patients we should consider ultrasonographic screening.
B.F. MANDELL

 

Should we screen for abdominal aortic aneurysms?
The short answer is yes, but only in the right patients.
A.A. LATIF, A. ALMAHAMEED, and M.S. LAUER

 

What is osteopenia, and what should be done about it?
Because the term "osteopenia" is not useful as a diagnosis and can actually be harmful, I am on a personal crusade to eliminate it from the bone density lexicon.
N.B. WATTS

 

In rebuttal: Osteopenia is a useful diagnosis
Eliminating the term "osteopenia" would foster complacency and a do-nothing attitude toward a serious and common disease.
H.L. THACKER and B. RICHMOND

 

How should we advise patients about the contraceptive patch, given the FDA warning?
In theory, patients could face a higher risk of thromboembolism than with oral contraceptives. But most of all we want to urge them not to simply stop using contraception.
H.L. THACKER, T. FALCONE, A. ATREJA, A. JAIN, and C.M. HARRIS

 
Severe chest pain in a 32-year-old man
His electrocardiogram shows ST-segment elevation in leads I, II, aVF, and V5 and V6, but no reciprocal changes. What is the diagnosis?
A.G. CARVALHO
 

Familial hypercholesterolemia: A challenge of diagnosis and therapy Many people have high cholesterol, but a distinct minority have extremely high levels due to genetic defects in lipoprotein metabolism. They need our special attention.
C. SIBLEY and N.J. STONE

 

Diabetes insipidus: Diagnosis and treatment of a complex disease
Diabetes insipidus can be life-threatening, and the treatment depends on the cause in the individual patient.
A.N. MAKARYUS and S.I. McFARLANE

 

Contrast-induced nephropathy: How it develops, how to prevent it
The evidence and our recommendations for using hydration, N-acetylcysteine, sodium bicarbonate, theophylline, and hemofiltration.
M.R. RUDNICK, A. KESSELHEIM, and S. GOLDFARB

 

Multiple sclerosis: Advances in understanding, diagnosing, and treating the underlying disease
In spite of setbacks, the future holds hope for patients and clinicians struggling against this disease.
R.J. FOX, F. BETHOUX, M.D. GOLDMAN, and J.A. COHEN

 

Antibiotics with atypical bacteria coverage unnecessary

Flu shots are effective in elderly

Interferon gamma-1b reduces idiopathic pulmonary fibrosis mortality

Vasodilators ineffective for severe asymptomatic aortic regurgitation