Table of Contents

January 01, 2006; Volume 73,Issue 1

From the Editor

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Abdominal aortic aneurysms: What we don’t seek, we won’t find
Brian F. Mandell, MD, PhD

Cleveland Clinic Journal of Medicine January 2006, 73 (1) 8;

We don’t find abdominal aortic aneurysms as often as we should. In some patients we should consider ultrasonographic screening.

Review

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Should we screen for abdominal aortic aneurysms?
Ahmed Abdel Latif, MD, Amjad AlMahameed, MD, MPH and Michael S. Lauer, MD

Cleveland Clinic Journal of Medicine January 2006, 73 (1) 9-22;

The short answer is yes, but only in the right patients.

1-Minute Consult

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What is osteopenia, and what should be done about it?
Nelson B. Watts, MD

Cleveland Clinic Journal of Medicine January 2006, 73 (1) 29-32;

Because the term “osteopenia” is not useful as a diagnosis and can actually be harmful, I am on a personal crusade to eliminate it from the bone density lexicon.

Editorial

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In rebuttal: Osteopenia is a useful diagnosis
Holly L. Thacker, MD and Bradford Richmond, MD

Cleveland Clinic Journal of Medicine January 2006, 73 (1) 34-38;

Eliminating the term “osteopenia” would foster complacency and a do-nothing attitude toward a serious and common disease.

1-Minute Consult

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How should we advise patients about the contraceptive patch, given the FDA warning?
Holly L. Thacker, MD, Tommaso Falcone, MD, Ashish Atreja, MD, MPH, Anil Jain, MD and C. Martin Harris, MD, MBA

Cleveland Clinic Journal of Medicine January 2006, 73 (1) 45-47;

In theory, patients could face a higher risk of thromboembolism than with oral contraceptives. But most of all we want to urge them not to simply stop using contraception.

The Clinical Picture

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Severe chest pain in a 32-year-old man
Marc Williams, MD and Arnaldo G. Carvalho, MD

Cleveland Clinic Journal of Medicine January 2006, 73 (1) 49-50;

His electrocardiogram shows ST-segment elevation in leads I, II, aVF, and V5 and V6, but no reciprocal changes. What is the diagnosis?

Review

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Familial hypercholesterolemia: A challenge of diagnosis and therapy
Christopher Sibley, MD and Neil J. Stone, MD

Cleveland Clinic Journal of Medicine January 2006, 73 (1) 57-64;

Many people have high cholesterol, but a distinct minority have extremely high levels due to genetic defects in lipoprotein metabolism. They need our special attention.
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Diabetes insipidus: Diagnosis and treatment of a complex disease
Amgad N. Makaryus, MD and Samy I. McFarlane, MD, MPH

Cleveland Clinic Journal of Medicine January 2006, 73 (1) 65-71;

Diabetes insipidus can be life-threatening, and the treatment depends on the cause in the individual patient.
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Contrast-induced nephropathy: How it develops, how to prevent it
Michael R. Rudnick, MD, Aaron Kesselheim, MD and Stanley Goldfarb, MD

Cleveland Clinic Journal of Medicine January 2006, 73 (1) 75-87;

The evidence and our recommendations for using hydration, N-acetylcysteine, sodium bicarbonate, theophylline, and hemofiltration.
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Multiple sclerosis: Advances in understanding, diagnosing, and treating the underlying disease
Robert J. Fox, MD, Francois Bethoux, MD, Myla D. Goldman, MD and Jeffrey A. Cohen, MD

Cleveland Clinic Journal of Medicine January 2006, 73 (1) 91-102;

In spite of setbacks, the future holds hope for patients and clinicians struggling against this disease.