Table of Contents

October 01, 2005; Volume 72,Issue 10

From the Editor

  • Vascular disease: It’s not just the pipes
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine October 2005, 72 (10) 841;

    The management of patients with venous and arterial vascular disease keeps getting more complex.

The Clinical Picture

  • A woman with headache and blurred vision
    Ena Segota, MD, David Adelstein, MD and Tarek Mekhail, MD, MSc
    Cleveland Clinic Journal of Medicine October 2005, 72 (10) 848-851;

    She has non-small-cell lung cancer and patchy symmetrical areas of subcortical edema in the posterior parietal and occipital lobes of the brain. What is the most likely diagnosis?

Review

  • Pleural effusions: Evaluation and management
    José C. Yataco, MD and Raed A. Dweik, MD
    Cleveland Clinic Journal of Medicine October 2005, 72 (10) 854-872;

    A rational diagnostic workup will reveal the cause in most cases.

  • Managing abdominal aortic aneurysms Treat the aneurysm <em>and</em> the risk factors
    Managing abdominal aortic aneurysms Treat the aneurysm and the risk factors
    Amjad AlMahameed, MD, Ahmed Abdel Latif, MD and Linda M. Graham, MD
    Cleveland Clinic Journal of Medicine October 2005, 72 (10) 877-888;

    Abdominal aortic aneurysms are not only a danger in themselves, they also signify underlying vascular disease.

  • Eating disorders: Recognizeearlytopreventcomplications
    Elizabeth H.W. Ricanati, MD and Ellen S. Rome, MD, MPH
    Cleveland Clinic Journal of Medicine October 2005, 72 (10) 895-906;

    Eating disorders are not just about food and weight. The clinical team’s job is to identify what problem the patient is trying to cope with and to help her—or him—develop healthier coping strategies.

  • Update in thrombosis: Answers to perplexing questions
    Daniel G. Federman, MD, Gina R. Brescia, MD, John P. Moriarty, MD, Sally G. Haskell, MD, Raj Krishnamurthy, MD and Robert S. Kirsner, MD, PhD
    Cleveland Clinic Journal of Medicine October 2005, 72 (10) 907-915;

    How long should patients receive warfarin? Is less-intense therapy as effective as standard therapy? When is the risk of recurrence highest? Do mutations increase the risk of recurrence?

  • Respiratory tract infections: Another reason not to smoke
    Susan Murin, MD, MSc and Kathryn Smith Bilello, MD
    Cleveland Clinic Journal of Medicine October 2005, 72 (10) 916-920;

    Patients who smoke need to be informed about the benefits of being vaccinated and stopping smoking.

Im Board Review

  • Fever in a returned traveler
    Emil P. Lesho, DO, Susan George, MD and Glenn Wortmann, MD
    Cleveland Clinic Journal of Medicine October 2005, 72 (10) 921-927;

    Six weeks after returning from Manaus, Brazil, he has recurring symptoms of fever, nausea, vomiting, diarrhea, headache, and malaise. What is the likely diagnosis?

Review

Medical Problems in Pregnancy

  • Optimizing outcomes in pregnant women with epilepsy
    Lara E. Jeha, MD and Harold H. Morris, MD
    Cleveland Clinic Journal of Medicine October 2005, 72 (10) 938-945;

    Risks can be minimized with preconception planning, careful obstetric care, and close postpartum follow-up.

Medical Grand Rounds

  • The end of the diet debates?
    Arthur S. Agatston, MD
    Cleveland Clinic Journal of Medicine October 2005, 72 (10) 946-950;

    The healthiest diet is a Mediterranean type that features foods that are high in omega-3 fatty acids, unsaturated fats, and fiber, and that have a low glycemic index.

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