Table of Contents
October 01, 2003; Volume 70, Issue 10-
From the Editor
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Too much of a ‘good’ thing?
John D. Clough, MD- Cleveland Clinic Journal of Medicine October 2003, 70 (10) 823;
In medicine, worrying about potential problems and engaging in preventive actions like hand-washing and rechecking are not in themselves bad. But obsessive-compulsive disorder is way too much of a good thing.
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Review
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Obsessive-compulsive disorder: Unearthing a hidden problem
Samar El-Sayegh, MD, Scott Bea, PsyD and Angela Agelopoulos- Cleveland Clinic Journal of Medicine October 2003, 70 (10) 824-840;
People with obsessive-compulsive disorder are not crazy, but they often think they are, and so they avoid seeking help.
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Pacing in heart failure: The benefit of resynchronization
Yaariv Khaykin, MD, Eduardo B. Saad, MD and Bruce L. Wilkoff, MD- Cleveland Clinic Journal of Medicine October 2003, 70 (10) 841-865;
Many patients with congestive heart failure might benefit from a new type of pacemaker with a lead in the left ventricle.
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Interpreting pulmonary function tests: Recognize the pattern, and the diagnosis will follow
Feyrouz Al-Ashkar, MD, Reena Mehra, MD and Peter J. Mazzone, MD, MPH- Cleveland Clinic Journal of Medicine October 2003, 70 (10) 866-881;
We present an overview, an algorithm, and three cases to explain how to use these tests to identify the pattern of respiratory dysfunction.
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Im Board Review
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A diabetic woman with worsening heart failure, hunger, and tremor
James K. Stoller, MD, Mario Skugor, MD and Elias S. Siraj, MD- Cleveland Clinic Journal of Medicine October 2003, 70 (10) 882-888;
Her blood glucose level is 23 mg/dL. What is the cause?
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Medical Grand Rounds
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SARS: Here to stay?
Steven M. Gordon, MD and David L. Longworth, MD- Cleveland Clinic Journal of Medicine October 2003, 70 (10) 889-895;
Every health care institution should take precautions against an outbreak of SARS.
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Review
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In hyperhidrosis (excess sweating), look for a pattern and cause
Lewis P. Stolman, MD- Cleveland Clinic Journal of Medicine October 2003, 70 (10) 896-898;
Generalized sweating may be secondary to many drugs or illnesses, while localized sweating is usually primary or idiopathic.
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Cervical spondylotic myelopathy: Make the difficult diagnosis, then refer for surgery
William E. McCormick, MD, Michael P. Steinmetz, MD and Edward C. Benzel, MD- Cleveland Clinic Journal of Medicine October 2003, 70 (10) 899-904;
Prompt surgical treament is key, but the diagnosis can be difficult.
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The Clinical Picture
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A 46-year-old intravenous drug user with fever
Marc Williams, MD, Jason Hurbanek, MS, Amir Jaffer, MD, J. Walton Tomford, MD, Steven Gordon, MD and Sasan Ghaffari, MD- Cleveland Clinic Journal of Medicine October 2003, 70 (10) 906-908;
He has had fever, chills, night sweats, shortness of breath, and productive cough for 3 days. What is the cause?
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Departments
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Spironolactone dosage
- Cleveland Clinic Journal of Medicine October 2003, 70 (10) 888;
Acne vulgaris (Cleve Clin J Med 2003; 70:670–680) .
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