Table of Contents
November 01, 2000; Volume 67, Issue 11-
From the Editor
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The return of The Clinical Picture
John D. Clough, MD- Cleveland Clinic Journal of Medicine November 2000, 67 (11) 784;
Sharpen your powers of observation with our revived question-and-answer quiz.
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1-Minute Consult
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Should patients receiving long-term gastric acid inhibition therapy be evaluated for vitamin B12 deficiency?
Joel E. Richter, MD- Cleveland Clinic Journal of Medicine November 2000, 67 (11) 785-787;
Very few patients actually deplete their body stores of vitamin B12 but supplementation is benign.
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Im Board Review
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A 65-year-old factory worke with dyspnea on exertion and a normal chest x-ray
David L. Longworth, MD, James K. Stoller, MD, Walid Saber, MD and Raed A. Dweik, MD- Cleveland Clinic Journal of Medicine November 2000, 67 (11) 791-800;
What is the cause of this patient’s symptoms? A self-test on a clinical case.
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Medical Grand Rounds
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Heart failure is a fever: The cytokine connection
William S. Wilke, MD and James B. Young, MD- Cleveland Clinic Journal of Medicine November 2000, 67 (11) 801-803;
The discovery that inflammation contributes to heart failure may lead to new therapies for this disease.
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In diabetes, treat hidden heart disease
William S. Wilke, MD and Willa A. Hsueh, MD- Cleveland Clinic Journal of Medicine November 2000, 67 (11) 807-813;
Both diabetic and prediabetic patients have abnormal vascular reactivity and should be considered to have occult cardiovascular disease.
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The Clinical Picture
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A 70-year-old farmer with a skin lesion
Marc Williams, MD, Elizabeth F. Callahan, MD and Kenneth J. Tomecki, MD- Cleveland Clinic Journal of Medicine November 2000, 67 (11) 814;
Questions and answers on the visible signs of diseases.
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Patient Information
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Review
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Pharmacologic aids to smoking cessation
Trudy D. Helge, PsyD and Garland Y. DeNelsky, PhD- Cleveland Clinic Journal of Medicine November 2000, 67 (11) 818-824;
Quitting smoking is notoriously hard. Drugs can improve the odds of quitting, but the best approach is multifactorial.
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Factor V Leiden and Prothrombin G20210A
Steven R. Deitcher, MD, Enrico Caiola, MD and Amir Jaffer, MD- Cleveland Clinic Journal of Medicine November 2000, 67 (11) 825-836;
Genetic testing is useful only if the knowledge gained will affect the course of treatment.
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Cancer Diagnosis and Management
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Treatment of ovarian cancers not of epithelial origin
Maurie Markman, MD- Cleveland Clinic Journal of Medicine November 2000, 67 (11) 839-842;
Some ovarian cancers carry a prognosis quite different from that of epithelial ovarian cancer, and call for totally different treatment.
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Review
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Using troponin T to diagnose acute coronary syndromes
Ellen McErlean, MSN, RN, CCRN, Frederick Van Lente, MD and Steven E. Nissen, MD- Cleveland Clinic Journal of Medicine November 2000, 67 (11) 843-849;
Troponin T and creatine kinase MB have complementary roles. Includes a diagnostic algorithm.
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Carotid stenosis: Current strategies for choosing between medical and surgical management
Cathy A. Sila, MD- Cleveland Clinic Journal of Medicine November 2000, 67 (11) 851-861;
Recommendations on a longstanding and contentious issue.
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