Table of Contents
Editorial
- An ounce of prevention…
Managed care could encourage cooperation between mainstream clinical medicine and public health.
Medical Grand Rounds
- Physician job satisfaction: reversing the decline
How physicians can increase their happiness with their work.
- Cardiovascular disease in renal failure: risk assessment, screening, treatment
Half of ESRD deaths are due to cardiovascular disease. Some strategies for identifying and treating high-risk patients.
Prevention Update
- Commentary on the new Quide to Clinical Preventive Services
The long-awaited recommendations from the US Preventive Services Task Force are useful, but too narrow. Some suggested modifications.
Internal Medicine Board Review
Clinical Decision - Making at the Crossroads
- Individualizing the treatment of gout
Treatment for gouty arthritis should be tailored to the patient's other medical problems. A typical case and review of the options.
Case Report
- Idiopathic hypoparathyroidism in a blind, deaf, elderly woman with dementia
An unusual case, with a discussion of the issues in the diagnosis of dementia.
Review
- The injured worker: assessing “return-to-work” status
Psychological, economic, social, and legal factors are often as important as physical findings in a return-to-work assessment.
- Recognizing and treating new and emerging infections encountered in everyday practice
The clinical presentation, diagnosis, and treatment of seven emerging infections that primary care physicians are likely to encounter.
Editorial
- Shark cartilage: the Laetrile of the 1990s
Shark cartilage, like Laetrile, high-dose vitamin C, and coffee enemas, provides patients with emotional support, but does nothing to the cancer.
Current Drug Therapy
- The clinical role of platelet glycoprotein Ilb/IIIa receptor inhibitors in ischemic heart disease
These new drugs show great promise in reducing the complications of angioplasty and acute coronary syndromes.
