Table of Contents
Highlights from Medical Grand Rounds
- Eosinophilia-Myalgia Syndrome: Unresolved Questions
Although L-tryptophan is gone from the US market, research continues into its link with eosinophilia-myalgia syndrome.
- Smoking Cessation: Strategies That Work
Most physicians underestimate their power to achieve smoking cessation; the key to success is persistence.
- Mesenteric Ischemia: A Neglected Diagnosis
In the absence of accurate noninvasive diagnostic modalities, aggressive use of mesenteric angiography is the only way to achieve early diagnosis of mesenteric ischemia.
Managing Androgen Excess
- Diagnostic approach to androgen disorders in women: acne, hirsutism, and alopecia
A simple, cost-effective screening protocol can differentiate whether androgen excess is an ovarian or an adrenal problem.
- Treatment of androgenic disorders in women: acne, hirsutism, and alopecia
Treatment of androgen excess disorders can be successful and rewarding, given the compliance of this patient group.
Contributions
- Atrial pacemaker leads compared
Pacemaker leads from eight different manufacturers were compared for differences in acute pacing and sensing characteristics.
- Clinical diagnoses and EEG interpretation
Factors that lead to different interpretations of the same electroencephalogram and to variations in follow-up diagnostic studies were identified.
- Patient and spouse acceptance and adaptation to implantable cardioverter defibrillators
Surveys revealed AICD patients and families share a mix of relief and apprehension.
Review
- The clinical challenge of Lyme disease
A medical curiosity only 10 years ago, Lyme disease is now the most common vector-borne disease in the United States; its diverse manifestations and lack of standardized serologic tests make diagnosis a challenge.
- Methanol intoxication: clinical features and differential diagnosis
The advent of methanol as a major source of fuel in the coming century and its growing industrial uses will increase the risk of both deliberate and accidental intoxication, requiring a high index of suspicion to ensure early diagnosis.
Case Report
- Clinical features of the yellow nail syndrome
A patient displayed the classic symptoms that are diagnostic of this rare cause of exudative pleural effusions.
Editorial
- Clinical history and visual assessment of diagnostic tests in radiology
The radiologist needs access to the clinical history in order to provide maximum interpretive accuracy.
Current Drug Therapy
- Adrenergic receptors: structure and function
Our understanding of adrenergic receptors is a result of studies of structure and function that involve classical biochemistry and pharmacology as well as recombinant DNA technology.
