Table of Contents
Highlights from Medical Grand Rounds
- Post-MI Cardiac Remodeling: New Perspectives
The challenge of the 1990s for cardiologists is to change the quality of a patient’s MI to preserve myocardial structure.
- Foot Care in Diabetes: Vigilant Inspection Still Best
About half of nontraumatic lower extremity amputations in diabetic patients may be preventable with early recognition of treatable problems.
CME Notebook
- Headache: accurate diagnosis, rational therapy
Among the highlights from a CME course: what to expect from the new serotonin blockers, nondrug treatment options, the importance of the erythrocyte sedimentation rate.
Contributions
- Risk factors for in-hospital mortality associated with coronary angioplasty
Elderly women with extensive coronary disease were at higher risk of mortality than other patient groups.
- The Telelab personal blood pressure transmitter: accurate and reliable home monitoring for hypertensive patients
A home blood pressure recording device that can transmit data by phone is accurate and convenient.
Case Report
- Fixed drug eruption from pamabrom
Oral rechallenge was used to diagnose a reaction to an ingredient in a menstrual symptom reliever.
- Dog heartworm causing necrotizing granuloma of the lung
A patient was thought to have a neoplastic lesion until tissue examination revealed a nonviable parasite within a pulmonary artery.
- Virilization secondary to topical testosterone
Alternatives to topical testosterone may reduce the risk of androgenic side effects.
Brief Communications
Bench to Bedside
- A new intracellular flush solution improves renal transplant preservation
A new renal preservation flush solution minimizes the ischemic injury that occurs during hypothermic storage and reperfusion.
Radiology Pathology Grand Rounds
Review
- Rehabilitation strategies for the complex cardiac patient
Cardiac rehabilitation is as advantageous for a patient with life-threatening arrhythmias as for the post-coronary bypass patient, but the program should be carefully designed and monitored.
Current Drug Therapy
- Hypertension and the adrenergic system
The increasing role of adrenergic drugs may be related to the possibility that adrenergic system abnormalities contribute to the development of primary hypertension.
- The role of adrenergic drugs in antihypertensive therapy
The clinical effects of drugs in the adrenergic class can be predicted by the location of the alpha or beta receptors that the drug activates or inhibits.