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Cleveland Clinic Journal of Medicine

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Table of Contents

July 01, 1992; Volume 59,Issue 4

From the Editor

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    When and Why to Consider Estrogen Therapy
    Delbert L. Booher, MD
    Cleveland Clinic Journal of Medicine July 1992, 59 (4) 345-347;

    Estrogen replacement therapy in postmenopausal women reduces the risk of osteoporosis and cardiovascular disease. Yet only 14% of postmenopausal women who could benefit from estrogen therapy are receiving it.

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    Differentiating Among Renal Stones
    Phillip M. Hall, MD
    Cleveland Clinic Journal of Medicine July 1992, 59 (4) 347-348;

    Recognizing the signs and symptoms of each type of renal stone disease provides clues to the underlying metabolic derangement and enables prompt intervention to reduce the chance of recurrence.

CME Notebook

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    Urology update
    David A. Goldfarb, MD
    Cleveland Clinic Journal of Medicine July 1992, 59 (4) 353;
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    Chronic Cystitis: Conservative Treatment Best
    Philip M. Hanno, MD
    Cleveland Clinic Journal of Medicine July 1992, 59 (4) 353;
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    Percutaneous Renal Surgery: Current Roles
    Stevan B. Streem, MD
    Cleveland Clinic Journal of Medicine July 1992, 59 (4) 353-354;
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    Erectile impotence: Goal-Directed Treatment
    Thomas F. Lue, MD
    Cleveland Clinic Journal of Medicine July 1992, 59 (4) 354;
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    Diagnosing Renal Trauma
    Joseph N. Corriere, MD
    Cleveland Clinic Journal of Medicine July 1992, 59 (4) 354;

Brief Communication

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    Circulating lipid and lipoprotein concentrations with oral estrogen-androgen hormone replacement therapy
    David D. Youngs, MD, Byron J. Hoogwerf, MD, Leslie R. Schover, PhD and Ruth K. Cannata, RN
    Cleveland Clinic Journal of Medicine July 1992, 59 (4) 357-358;

    A decrease in high-density lipoprotein cholesterol was observed in a group of postmenopausal women following oral estrogen-androgen therapy, suggesting that the potential benefits—sexual and psychological well-being— should be weighed against the potential cardiovascular risks associated with adverse lipid changes.

Review

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    Doppler echocardiographic assessment of aortic regurgitation: uses and limitations
    Allan L. Klein, MD, Malcolm B. Davison, MBBS, Galen Vonk, MD and A. Jamil Tajik, MD
    Cleveland Clinic Journal of Medicine July 1992, 59 (4) 359-368;

    The final determination of the severity of aortic regurgitation should involve a combination of the various Doppler techniques and the indices derived from them.

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    Gardner’s hydrodynamic theory of syringomyelia revisited
    Prem K. Pillay, MD, Issam A. Awad, MD, MSc and Joseph F. Hahn, MD
    Cleveland Clinic Journal of Medicine July 1992, 59 (4) 373-380;

    How longitudinal, fluid-filled cavities form within the spinal cord has eluded researchers, though widely espoused theories have been put forth. The authors propose a unified theory based on recent MRI experience and on elements of other current theories.

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    Prostate cancer: current concepts in diagnosis and treatment
    Eric A. Klein, MD
    Cleveland Clinic Journal of Medicine July 1992, 59 (4) 383-389;

    Controversy persists over how best to screen the general population for prostate cancer, and whether earlier detection decreases mortality. The author outlines an approach to screening, diagnosis, and treatment grounded on A U A guidelines and clinical experience.

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    Viral hepatitis in the 1990s, part II: hepatitis B and delta virus
    William D. Carey, MD and Glrish Patel, MD
    Cleveland Clinic Journal of Medicine July 1992, 59 (4) 393-401;

    Effective vaccines are available. High-risk groups have been identified. But widespread prevention of hepatitis B infection remains an elusive goal, and key questions need answers: What are the mechanisms of transmission, including mother-to-offspring transmission? What short - and long-term risks do health care professionals face?

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    Tools for noninvasive assessment of coronary arterial reperfusion
    Richard C. Becker, MD
    Cleveland Clinic Journal of Medicine July 1992, 59 (4) 403-408;

    Coronary angiography has been the standard method to rapidly assess coronary reperfusion status after acute MI, but the availability, cost, and risks of the procedure are potential concerns. Noninvasive markers are showing promise as alternatives to angiography.

Contributions

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    Primary pulmonary hypertension, then and now: 28 years of experience
    Benjamin D. Robalino, MD and Douglas S. Moodie, MD, MS
    Cleveland Clinic Journal of Medicine July 1992, 59 (4) 411-417;

    Patients with PPH are presenting at earlier stages of the disease, have fewer complications during cardiac catheterization, and probably survive longer after diagnosis than patients seen several decades ago.

Case Report

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    Benign intracranial hypertension and chronic renal failure
    Douglas Chang, MD, Gary Nagamoto, MD and William E. Smith, MD
    Cleveland Clinic Journal of Medicine July 1992, 59 (4) 419-422;

    Chronic renal failure of unknown etiology is described in a patient with new-onset headache, papilledema, and intracranial pressures between 200 and 400 mm H2O.

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    Diabetic ketoacidosis associated with pheochromocytoma
    Elazer R. Edelman, MD, PhD, Cynthia A. Stuenkel, MD, John D. Rutherford, MB, BCh and Gordon H. Williams, MD
    Cleveland Clinic Journal of Medicine July 1992, 59 (4) 423-427;

    Diabetic ketoacidosis associated with classic findings of pheochromocytoma was seen in a young woman who also had a significant insulin requirement that resolved after excision of the tumor.

Radiology Pathology Grand Rounds

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    Pelvic retroperitoneal mass in a 36-year-old man
    Cathryn Powers, MD, Matthew G. Saltarelli, MD and Kathleen Gleason Beavis, MD
    Cleveland Clinic Journal of Medicine July 1992, 59 (4) 429-433;

    The mass identified by CT extended into the pelvis and displaced the bladder, rectosigmoid colon, and rectum. Hydronephrosis with marked parenchymal loss of the left kidney indicated chronic obstruction of the left distal ureter.

Departments

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    Superior vena cava syndrome
    C. Vaughn Strimlan, MD
    Cleveland Clinic Journal of Medicine July 1992, 59 (4) 356;
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In this issue

Cleveland Clinic Journal of Medicine
Vol. 59, Issue 4
1 Jul 1992
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Mass under the lip
Fundic gland polyps: Should my patient stop taking PPIs?
Colovesical fistula in men with chronic urinary tract infection: A diagnostic challenge
Oral leukoplakia and oral cancer
A 50-year-old man presents with shortness of breath
Myasthenia gravis: Frequently asked questions
Central vision loss in a 44-year-old woman
Median rhomboid glossitis caused by tongue-brushing
Making best use of bone turnover markers to monitor oral bisphosphonate therapy
Asymptomatic granules on the buccal mucosa
Does my patient need to be screened or treated for a urinary tract infection?
Ignore e-cigarettes at your patient’s peril
Spontaneous oral hematoma diagnosed as angina bullosa hemorrhagica
Hypophosphatemia in a patient with an eating disorder

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