Collect the evidence; I’ll look at it in a minute
We have good evidence and guidelines. Why aren’t we using them more?
B.F. MANDELL

A 52-year-old man with sudden onset of a facial rash
Questions and answers on the visible signs of diseases.
J.M. BERLIN, O.H. LIFSHITZ, and J.S. TAYLOR

So you’re being sued: Do’s and don’ts for the defendant
You may be dangerously uninformed about a process you might well have to face: malpractice litigation.
C.A. CULLEY, JR, and L.J. SPISAK

The newer antimuscarinic drugs: Bladder control with less dry mouth
Tolterodine (Detrol) and extended-release oxybutynin (Ditropan XL) are replacing immediate-release oxybutynin, being better tolerated.
R.A. APPELL

Acute ischemic stroke: Is there a role for hypothermia?
Preliminary trials suggest that therapeutic hypothermia is beneficial in acute stroke; larger trials are under way.
M.D. HAMMER and D.W. KRIEGER

A 74-year-old woman with hemodynamic complications of acute MI
A high suspicion is key to early diagnosis and prompt management of mechanical complications of acute MI. Advances in echocardiography have made it the key test.
N. SESHADRI, S. GHAFFARI, and W.J. STEWART

Poor hypertension control: Let’s stop blaming the patients
Only 27% of people with hypertension are at goal blood pressure levels, according to government figures. Is it the fault of the patients--or their physicians?
D.J. HYMAN and V.N. PAVLIK

Elder abuse and neglect: What physicians can and should do
If you suspect that an abusive situation exists, what should you do?
M. AHMAD and M.S. LACHS

Treating hyperglycemia in type 2 diabetes: Changing goals, new strategies
A practical perspective on how to use the new oral drugs and insulins, alone and in combination.
H.E. LEBOVITZ

  Should exercise electrocardiography be a routine part of the periodic health physical?
No, but it is warranted in patients with multiple risk factors if coronary artery disease is suspected.
A. JAIN and R. LANG

Letters to the Editor
Superior vena cava syndrome