Table of Contents

The diagnosis has been based on the presence of fever, a new heart murmur, peripheral stigmata, and sustained bacteremia with a typical microorganism—all of which are not invariably present. New criteria offer greater diagnostic accuracy.

Suicidal ideation is an intensely personal matter, and many patients may be alarmed by questions about it. A less threatening approach is described.

Two challenging cases to test your diagnostic acumen.

Clinicians are taking the first steps toward preventing or slowing kidney failure, thanks to special techniques for studying renal microcirculation.

Effective regimens are available for preventing some of these infections. Studies are in progress to establish optimum regimens for others.

Cure of malignancy is most important, but detecting delayed toxic effects of antineoplastic therapy deserves close attention, as well.

Documenting the stability of adrenal lesions should be done for longer than usual to increase the likelihood of identifying malignant adenomas.

These two agents produce equally satisfactory outcomes in this immunologically favored group. The need for continued steroid therapy in these patients requires further study.

In this open discussion of an important health care utilization issue, panelists expound on the appropriateness of TEE in several clinical situations.

A diagnostically challenging case is worked up. Based on a presentation at a Cleveland Clinic Foundation Clinical Pathological Conference.

An appraisal of the guidelines released in January by the Agency for Health Care Policy and US Public Health Service.