Table of Contents

July 01, 1993; Volume 60, Issue 4
  • Internal Medicine Board Review

  • Highlights from Medical Grand Rounds

      • Parkinson’s disease: where do westand?

        William S. Wilke, MD and Patrick J. Sweeney, MD
        • Cleveland Clinic Journal of Medicine July 1993, 60 (4) 269-270;
        • Although a cure has not been found, certain drugs can relieve symptoms and may actually slow disease progression.

      • Irritable bowel syndrome: new perspectives on management

        Marvin M. Schuster, MD
        • Cleveland Clinic Journal of Medicine July 1993, 60 (4) 270-272;
        • Long classified as psychosomatic, irritable bowel syndrome is now considered a motor disorder in which a number of factors are at play.

  • Current Drug Therapy

  • Original Study

      • Lung transplantation: the Cleveland Clinic experience

        Sunit R. Patel, MD, Thomas J. Kirby, MD, Patrick M. McCarthy, MD, David P. Meeker, MD, Paul Stillwell, MD, Thomas W. Rice, MD, Mani S. Kavuru, MD and Atul C. Mehta, MD
        • Cleveland Clinic Journal of Medicine July 1993, 60 (4) 303-319;
        • BACKGROUND

          Lung transplantation has been steadily developing as a therapeutic option for end-stage lung disease.

      • Stereotactically guided thrombolysis of deep cerebral hemorrhage: preliminary results

        David W. Miller, MD, Gene H. Barnett, MD, Donald W. Kormos, PhD and Charles P. Steiner, BS
        • Cleveland Clinic Journal of Medicine July 1993, 60 (4) 321-324;
        • BACKGROUND

          The neurologic outcome from conventional medical or surgical therapy of intracerebral hemorrhage (ICH) is poor; however, stereotactically guided instillation of thrombolytic agents to dissolve parenchymal clots due to hypertensive hemorrhage has recently produced results equal to or better than those obtained with conventional therapies.

  • Review

      • The pulmonary effects of free-base cocaine: a review

        Ira S. Meisels, MD and Jacob Loke, MD
        • Cleveland Clinic Journal of Medicine July 1993, 60 (4) 325-329;
        • Respiratory symptoms, pulmonary hemorrhage, pulmonary edema, asthma, pulmonary barotrauma, and other pulmonary effects of free-base cocaine are reviewed.

      • Parathyroid carcinoma: 50-year experience at The Cleveland Clinic Foundation

        Albert G. Hakaim, MD, MSc and Caldwell B. Esselstyn Jr, MD
        • Cleveland Clinic Journal of Medicine July 1993, 60 (4) 331-335;
        • BACKGROUND

          Parathyroid carcinoma is rare, with a reported prevalence of 0.6% to 4.0% in patients presumed to have primary hyperparathyroidism. This study examines the long-term results of surgical therapy and combination chemotherapy.

  • Case Report