Table of Contents

February 01, 2004; Volume 71,Issue 2

From the Editor

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In urologic surgery, the legendary becomes routine
John D. Clough, MD

Cleveland Clinic Journal of Medicine February 2004, 71 (2) 78;

To the internist, knowing how laparoscopic surgery is done is less important than knowing that it can be done, and when it is appropriate.

Editorial

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The doctors’ challenge: How can we follow guidelines better?
Neil B. Mehta, MD

Cleveland Clinic Journal of Medicine February 2004, 71 (2) 81-85;

A substantial gap exists between evidence and clinical practice. So what is the answer?

Review

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Pulmonary sarcoidosis: New genetic clues and ongoing treatment controversies
Daniel A. Culver, DO, Mary Jane Thomassen, PhD and Mani S. Kavuru, MD

Cleveland Clinic Journal of Medicine February 2004, 71 (2) 88-106;

The wide-ranging manifestations of sarcoidosis can make its diagnosis and management difficult.

The Clinical Picture

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Multiple leg ulcers in a traveler
Gustavo A. Cardenas, MD, Aldo Gonzalez-Serva, MD and Carlos Cohen, MD

Cleveland Clinic Journal of Medicine February 2004, 71 (2) 109-112;

One month after a trip to Central America, he has two painful ulcerations and a nodule. What is the cause?

Minimally Invasive Surgery Update

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Laparoscopic prostatectomy: A promising option in the treatment of prostate cancer
Andrew P. Steinberg, MD

Cleveland Clinic Journal of Medicine February 2004, 71 (2) 113-121;

We describe the technique and examine the outcome data so far.

1-Minute Consult

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When should patients be allowed to drive after ICD implantation?
J. Rod Gimbel, MD

Cleveland Clinic Journal of Medicine February 2004, 71 (2) 125-128;

The problem is not the device, it is the arrhythmia. A “one-size-fits-all” approach to restricting driving should be avoided.

Medical Grand Rounds

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Common infections in clinical practice: Dealing with the daily uncertainties
Sherif Mossad, MD

Cleveland Clinic Journal of Medicine February 2004, 71 (2) 129-143;

Urinary tract infections, vaginitis, upper respiratory tract infections, and soft-tissue infections present a number of uncertainties, including whether to start antibiotic therapy and which agents to use.

Interpreting Key Trials

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ALLHAT says diuretics are better; ANBP2 says ACEs are better—Can we resolve the differences?
Donald G. Vidt, MD

Cleveland Clinic Journal of Medicine February 2004, 71 (2) 145-150;

Two major clinical trials apparently differed about which class of drugs is best for high blood pressure. Or did they?

Review

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The internist’s role in managing diabetic retinopathy: Screening for early detection
Stephen H. Sinclair, MD and Cherie Delvecchio, BS

Cleveland Clinic Journal of Medicine February 2004, 71 (2) 151-158;

Early treatment of diabetic retinopathy can prevent visual loss. Internists can ensure that patients get screened annually.

1-Minute Consult

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How great is the risk of transmitting the hepatitis C virus sexually?
Rochelle S. Collantes, MPH and Zobair M. Younossi, MD, MPH

Cleveland Clinic Journal of Medicine February 2004, 71 (2) 160-161;

Compared with other STDs, HCV poses a very low risk of sexual transmission.

Departments

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Reviewers 2003
Cleveland Clinic Journal of Medicine February 2004, 71 (2) 165;