Table of Contents
Editorial
- Successes in disease eradication: lessons for the future
Imminent success in eradicating polio and guinea worm infestation illustrates the importance of remaining steadfast in our support of basic and applied medical research.
Medical Grand Rounds
- Smoking and the complications of diabetes mellitus
Even though persons with diabetes have more to gain from quitting smoking than those without diabetes, the prevalence of smoking in the diabetic population is surprisingly high.
- Eradication of polio and guinea worm disease
Two ancient scourges of mankind will soon follow smallpox into extinction if World Health Organization campaigns are successful.
Internal Medicine Board Review
- Fever, rash, and arthralgias in a male adolescent
A previously healthy boy presents with a 6-week history of intermittent fever, diffuse erythematous rash, and polyarthralgias.
Reviews
- Peptic ulcer bleeding: perspectives on some common dilemmas
Not all patients with peptic ulcer bleeding need endoscopic therapy, intensive care, or even hospital admission; clinical signs and endoscopic findings determine the need for various levels of care.
- Eating disorders in adolescents and young adults: What’s a primary care clinician to do?
Eating disorders can be readily detected by recognizing certain "red flags" and by asking appropriate questions. Primary care clinicians play a key role in detecting and managing eating disorders.
- Changing diagnostic and treatment strategies for chronic sinusitis
Considerable debate continues over the nature and treatment of chronic sinusitis. Anaerobic bacteria and antibiotic-resistant organisms are complicating treatment.
Current Drug Therapy
- New antidepressants: more options for tailoring treatment
The newer antidepressants cause fewer, less severe side effects than older drugs. Differing mechanisms of action of these new agents offer additional options for tailoring treatment to individual patients.