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Cleveland Clinic Journal of Medicine

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Table of Contents

February 01, 2006; Volume 73,Issue 2

From the Editor

  • You have access
    A great masquerader learns a new trick
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine February 2006, 73 (2) 105;

    Different generations of physicians have proposed various contenders for the title of “great masquerader.” I firmly believe that Clostridium difficile infection deserves a shot at the title.

Im Board Review

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    A hypertensive emergency in an obese young woman
    Raja Shekhar R. Sappati Biyyani, MD, Loren M. Kirchner, MD, MS, Anil C. Singh, MD, MPH and Prabhacharan Gill, MD
    Cleveland Clinic Journal of Medicine February 2006, 73 (2) 110-120;

    She has headache, new-onset seizures, edema, and proteinuria; her blood pressure is 235/114 mm Hg and she weighs 256 lb. What is the diagnosis?

Review

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    Diagnosing and managing posttraumatic stress disorder
    Kumar Budur, MD, Tatiana Falcone, MD and Kathleen Franco, MD
    Cleveland Clinic Journal of Medicine February 2006, 73 (2) 121-129;

    PTSD not only affects soldiers, it also occurs in civilians exposed to severe trauma or serious illness. Manifestations commonly include nonspecific physical symptoms, and patients often present to their primary care physician.

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    Evaluating and managing hypogammaglobulinemia
    Mark E. Rose, MD and David M. Lang, MD
    Cleveland Clinic Journal of Medicine February 2006, 73 (2) 133-144;

    Patients with frequent and recurrent respiratory infections should be tested for immune system abnormalities. This article describes common primary and secondary forms of hypogammaglobulinemia and how to evaluate and manage them.

Medical Grand Rounds

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    Natriuretic peptide testing: A window into the diagnosis and prognosis of heart failure
    James L. Januzzi, MD
    Cleveland Clinic Journal of Medicine February 2006, 73 (2) 149-157;

    BNP assays are now widely used to evaluate suspected heart failure, but they should not be the only criterion.

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    Improved outcomes in nephrotic syndrome
    Gerald B. Appel, MD
    Cleveland Clinic Journal of Medicine February 2006, 73 (2) 161-167;

    Nephrotic syndrome now has a dramatically different prognosis than it did 10 years ago. We can now effectively treat all types and achieve remission in many cases.

The Clinical Picture

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    An expanding skin lesion in a patient on immunosuppressive therapy
    Marc Williams, MD, Ravindran A. Padmanabhan, MD, MRCP (UK), Leonard H. Calabrese, DO and Steven M. Gordon, MD
    Cleveland Clinic Journal of Medicine February 2006, 73 (2) 170-171;

    The lesion, originally diagnosed as pyoderma gangrenosum, now measures 15 cm × 6 cm. What should be the next step in management?

Review

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    Reviewers 2005
    Cleveland Clinic Journal of Medicine February 2006, 73 (2) 175;
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    Multiple sclerosis: Treating symptoms, and other general medical issues
    Myla D. Goldman, MD, Jeffrey A. Cohen, MD, Robert J. Fox, MD and Francois A. Bethoux, MD
    Cleveland Clinic Journal of Medicine February 2006, 73 (2) 177-186;

    Disease-modifying therapies have been a big advance in multiple sclerosis, but many patients still experience a variety of symptoms that reduce quality of life. We have to treat the whole patient.

Departments

  • <em>Clostridium difficile</em>-associated disease: New challenges from an established pathogen
    You have access
    Clostridium difficile-associated disease: New challenges from an established pathogen
    Rebecca H. Sunenshine, MD and L. Clifford McDonald, MD
    Cleveland Clinic Journal of Medicine February 2006, 73 (2) 187-197;

    Clostridium difficile-associated disease (CDAD) is increasing in incidence and severity and may be becoming more difficult to treat. A new strain is causing many outbreaks.

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In this issue

Cleveland Clinic Journal of Medicine: 73 (2)
Cleveland Clinic Journal of Medicine
Vol. 73, Issue 2
1 Feb 2006
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Should I consider metformin therapy for weight loss in patients with obesity but without diabetes?
Persistent rectal pain leading to diffuse pustules
Cutaneous metastasis from gastric carcinoma
‘Kissing tonsils’ and splenic infarction from infectious mononucleosis
Hoarseness: When to observe and when to refer
A new paradigm for adult ADHD: A focused strategy to monitor treatment
Asymptomatic oral plaques and erosion
Guidelines for the management of trigeminal neuralgia
Measuring exhaled nitric oxide when diagnosing and managing asthma
Reincarnating autoimmunity: Immune-related adverse events as new diseases
What is the optimal approach to infiltration and extravasation of nonchemotherapy medications?
Cholesteatoma
Reproductive issues and multiple sclerosis: 20 questions
Central sensitization, chronic pain, and other symptoms: Better understanding, better management
Brodie abscess in an 87-year-old man
Mass under the lip
Fundic gland polyps: Should my patient stop taking PPIs?
Colovesical fistula in men with chronic urinary tract infection: A diagnostic challenge

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