Table of Contents

A self-test featuring a challenging clinical presentation.

Alcohol and certain drugs potentiate the hepatotoxic effects of this common, over-the-counter analgesic. Treatment with acetylcysteine and, possibly, Cimetidine can prevent irreversible liver damage.

Earlier identification of people at risk may permit intervention with diet and exercise to prevent NIDDM.

Bromocriptine or pergolide can control symptoms when used alone or as an adjunct to Levodopa therapy, and can permit a lowering of the levodopa dose.

By being alert for common oral problems, physicians can help their elderly patients maintain function and quality of life.

Electrocardiography with exercise or pharmacologic stress is gaining clinical acceptance, but its accuracy depends on the expertise of the people who perform it.

In patients with chronic ischemia or left ventricular systolic dysfunction, this test can indicate whether the damaged myocardium is still viable and, therefore, whether revascularization would be beneficial.

These neurotransmitters seem to play a role in brain development—and also in seizures. Experimental drugs can block their action.

Mannitol, loop diuretics, dopamine, and calcium antagonists show promise, but they have not yet been rigorously tested for this indication. Caution is advised.

One hundred years after the first radiation treatment, technical improvements continue, with more-powerful machines and more-precise planning.

Both advocates and opponents can agree on the need for better palliative care.