Table of Contents
Medical Grand Rounds
- New guidelines streamline diabetes diagnosis
Recent changes in the screening guidelines for diabetes should simplify the diagnostic process and identify more people who are at risk.
- New strategies for detecting and treating problem drinking
Alcohol use is now seen as a continuum from total abstinence to alcohol dependence, rather than an all-or-nothing condition.
Current Drug Therapy
- Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure
The JNC VI report updates the standard of care in hypertension, advising physicians to be more diligent in lowering blood pressure, especially in patients with known risk factors.
- Protoivpump inhibitors for gastric acid-related disease
Proton-pump inhibitors are the most effective drugs for suppressing gastric acid production. Concerns over potential ill effects of hypergastrinemia have proved unfounded.
Interpreting Key Findings
- Anorectic drugs and valvular heart disease: A biological and clinical perspective
The echocardiography appearance of valvular lesions associated with the use of fenfluramine and dexfenfluramine, and current suggestions on how to follow patients who took these drugs.
Cancer Diagnosis and Management
- Chronic lymphocytic leukemia: A brief review
CLL, the most common type of leukemia, is often discovered incidentally when a routine complete blood count is performed. This paper reviews the pathology, diagnosis, and treatment of CLL.