Table of Contents
Editorial
- Chronic disease management and managed care: specialists have an important role
In its current incarnation, managed care has a major flaw: it fails to address the health care needs of people with chronic disease.
Highlights from Medical Grand Rounds
- Gastric and intestinal dysmotility syndromes
Disorders of motility of the stomach and small intestine are quite common, and patients often present with a variety of nonspecific symptoms.
Cancer Diagnosis and Management
- The dilemma of evaluating and treating cancer of unknown primary site
In 5% to 10% of cancer cases, the initial presentation reflects metastases and not the primary lesion. How aggressively should one search for the tumor site?
Clinical Review
- Managing latex allergy in patients and health care workers
Latex products we use every day may cause serious problems for patients and coworkers. Health care providers must develop a plan for protecting allergic patients and staff from latex exposure.
- Evaluation and medical management of female urinary incontinence
Urinary incontinence should not be accepted as inevitable. Primary care clinicians should take an active role in treatment.
- Clinical implications of the interaction between hypothyroidism and the cardiovascular system
Hypothyroidism frequently causes cardiovascular manifestations that can complicate treatment of both the hypothyroidism and any underlying cardiovascular disease.
Current Drug Therapy
- The role of azole antifungal agents for systemic antifungal therapy
The azoles have not supplanted amphotericin B for managing most serious fungal infections, hut they offer alternatives in a variety of unique situations.
Internal Medicine Board Review
- Chronic diarrhea in a 57-year-old woman with diabetes
A woman with a 20-yeer history of diabetes presents with episodic diarrhea. What is the diagnosis and treatment?