Better care of patients dying of heart failure

   Do statin drugs affect osteoporosis?

   The case for treating mild thyroid failure

   When can mammography and Pap smears be stopped?

   ARBs and ACEs in heart failure

   Holding back resistant gram-positive infections

   Preventing and treating drug-induced acute renal failure

   Update on benign breast diseases

   New treatments for inflammatory bowel disease

 

 

 

 

 

 

 

 

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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
  ccjm@ccf.org
May 03, 2002

 

 

BNP looks like a winner
Natriuretic peptides are out of the research laboratory and into the clinic and hospital ward.
J.D. CLOUGH

 

How to assess and counsel the older driver
Suggesting that a patient stop driving is never easy, yet taking no action may have deadly consequences.
B.J. MESSINGER-RAPPORT

  

A 52-year-old man with excessive daytime sleepiness
What is the cause of this patient’s symptoms? A self-test.
B.D. SARODIA, R. MEHRA, and J.A. GOLISH

  

Oncologic emergencies for the internist
The complications the general internist is most likely to see and can least afford to miss.
W.S. KRIMSKY, R.J. BEHRENS, and G.J. KERKVLIET

  

Hereditary hemochromatosis: A common, often unrecognized genetic disease
Although hereditary hemochromatosis is one of the most common genetic diseases affecting people of northern European descent, it is underdiagnosed.
G.M. McCARTHY, C.J. McCARTHY, D. KENNY, J. CROWE, and S. EUSTACE

    Patient Information      What is hemochromatosis?
 

Hereditary hemochromatosis: Molecular genetic testing issues for the clinician
A DNA test exists, but who should be tested?
B.A. CLARK

  

The rapid natriuretic peptide assay: A rapid test for heart failure 
This 15-minute test is highly sensitive and fairly specific and is useful in evaluating suspected heart failure in outpatients and in emergency care.
W.F. PEACOCK

  

How to use nesiritide in treating decompensated heart failure
Nesiritide, a recombinant formulation of BNP, is the first new parenteral drug in more than a decade to be approved for treating heart failure.
R.M. MILLS and R.E. HOBBS

 
  Brief answers to specific clinical questions

  What is the best diagnostic approach when pheochromocytoma is suspected?
First prove there is catecholamine overproduction, then obtain an MRI to locate the tumor.
E.L. BRAVO

  What is the best way to determine if thrombocytopenia in a patient on multiple medications is drug-induced?
The only way is to stop the suspected drug and see if the thrombocytopenia resolves. But how to avoid stopping needed drugs that are not a problem?
N.S. MAJHAIL and A.E. LICHTIN