Table of Contents
Highlights from Medical Grand Rounds
- Meeting the diagnostic challenge of behcet’s disease
The diagnostic criteria include some of the commonest findings and exclude other findings that may be important.
- Lower-extremity arterial disease: tips on diagnosis and therapy
How to differentiate intermittent claudication from pseudoclaudication; key therapeutic interventions.
Review
- Physiologic evaluation of coronary flow: the role of positron emission tomography
Quantitative documentation of the hemodynamic severity of coronary artery disease is more important than ever. A brief analysis of current imaging techniques.
Current Drug Therapy
- Current hypertension management: separating fact from fiction
Speculations that have led many physicians to abandon the use of diuretics have not proven to be of clinical relevance in most instances.
Contributions
- Mechanical lithotripsy of large common bile duct stones
This endoscopic technique is proving to be a safe, effective alternative to surgery.
- Flurbiprofen in the prophylaxis of migraine
In this trial, a reduction in migraine duration and intensity led to a significant decline in the use of relief medication.
- Tretinoin emollient cream 0.01% for the treatment of photoaged skin
This low concentration appears safe and effective for retarding and reversing clinical changes associated with chronic exposure to UV light.
- Chemical and histological features of men with osteoporosis
In this study group, increased parathyroid hormone secretion promoted a chronic high remodeling state which could have led to osteoporosis.
Bench to Bedside
- Myasthenia gravis therapy: immunoadsorbent may eliminate need for plasma products
This new technique accomplished nearly complete removal of anti-acetylcholine receptor antibody with minimal loss of albumin.
Case Report
- Multisystem autoimmune dysfunction with early onset of bullous emphysema
A 29-year-old man with alopecia universalis, autoimmune dysfunction, and rapidly progressing bullous emphysema.
- Primary mediastinal myelolipoma
Clinical signs and symptoms of this rare benign tumor are nonspecific, and definitive tissue diagnosis is difficult prior to surgical resection.
- Multidisciplinary treatment of an unconsummated marriage with organic factors in both spouses
Treatment included surgical correction of congenital chordee, surgical excision of a hymenal remnant, laser treatment of endometriosis, and sex therapy evaluation.
History of Medicine
Medical Ethics
- Forgoing life-supporting or death-prolonging therapy: a policy statement
The Cleveland Clinic Foundation’s policy offers general and specific guidelines for withdrawing life-sustaining therapy.
