Table of Contents
Internal Medicine Board Review
- Chest pain in a patient with congenital heart disease
A self-test featuring a challenging clinical presentation.
Highlights from Medical Grand Rounds
- Managing acetaminophen overdose
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.
- Identifying early markers of type II diabetes
Earlier identification of people at risk may permit intervention with diet and exercise to prevent NIDDM.
Clinical Review
- Oral disease in the geriatric patient: the physician’s role
By being alert for common oral problems, physicians can help their elderly patients maintain function and quality of life.
- Pathogenesis of epilepsy: the role of excitatory amino acids
These neurotransmitters seem to play a role in brain development—and also in seizures. Experimental drugs can block their action.
Current Drug Therapy
- Drugs for the prevention and treatment of acute renal failure
Mannitol, loop diuretics, dopamine, and calcium antagonists show promise, but they have not yet been rigorously tested for this indication. Caution is advised.
