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Cleveland Clinic Journal of Medicine

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Table of Contents

June 01, 2006; Volume 73,Issue 6

From the Editor

  • You have access
    We try to walk the line
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine June 2006, 73 (6) 504;

    Whenever we publish a review of a new drug, we run the risk of being perceived as promoting the drug.

Review

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    ‘I’m not that sick!’ Overcoming the barriers to hospice discussions
    K. Mitchell Russell, MD and Susan B. LeGrand, MD
    Cleveland Clinic Journal of Medicine June 2006, 73 (6) 517-524;

    We describe the role and services of hospice care, explore misconceptions about hospice and barriers to discussing the issue, and suggest ways to facilitate conversations with patients with terminal illness.

Cardiovascular Board Review

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    An elderly man with syncope caused by right ventricular infarction and anomalous coronary vasculature
    Yuli Kim, MD, Thomas H. Wang, MD, Arman Askari, MD and Marc S. Penn, MD, PhD
    Cleveland Clinic Journal of Medicine June 2006, 73 (6) 527-536;

    Up to half of inferior infarctions involve the right ventricle. Typical signs of right ventricular infarction include hypotension, jugular venous distention, clear lung fields, ST-segment depression in V1 and V2, and elevations in V3R and V4R.

Medical Grand Rounds

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    Sexually transmitted diseases 2006: A dermatologist’s view
    Theodore Rosen, MD
    Cleveland Clinic Journal of Medicine June 2006, 73 (6) 537-552;

    How to recognize, diagnose, and manage common sexually transmitted diseases, and how their presentation and treatment differ in patients with human immunodeficiency virus.

The Clinical Picture

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    A young man with unexplained dyspnea
    Marc Williams, MD, Firas Zahr, MD, Atul C. Mehta, MD and Omar A. Minai, MD
    Cleveland Clinic Journal of Medicine June 2006, 73 (6) 554-556;

    He has Wegener granulomatosis, and pulmonary function testing shows flattening of the inspiratory and expiratory limbs of his flow-volume loop. What is the cause?

1-Minute Consult

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    Should beta-blockers be discontinued when a patient is admitted to the hospital with acutely decompensated heart failure?
    Wassim H. Fares, MD and Ashish Aneja, MD
    Cleveland Clinic Journal of Medicine June 2006, 73 (6) 557-559;

    Hard data on this topic are scant, but the answer depends on the patient’s perfusion status and vital signs.

Review

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    Evaluating and managing adrenal incidentalomas
    Thottathil Gopan, MD, Erick Remer, MD and Amir H. Hamrahian, MD
    Cleveland Clinic Journal of Medicine June 2006, 73 (6) 561-568;

    When an adrenal mass is found unexpectedly on imaging in a patient with no other evidence of adrenal disease, how can one determine if it is clinically benign or needs treatment?

  • Inhaled human insulin: An inspiration for patients with diabetes mellitus?
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    Inhaled human insulin: An inspiration for patients with diabetes mellitus?
    Michael B. Davidson, DO, Adi E. Mehta, MD and Elias S. Siraj, MD
    Cleveland Clinic Journal of Medicine June 2006, 73 (6) 569-578;

    We discuss the pharmacology, efficacy, important clinical trials, and practical aspects of inhaled insulin, and potential concerns associated with its use.

Editorial

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    Inhaled human insulin: Coup or caution?
    James K. Stoller, MD, MS
    Cleveland Clinic Journal of Medicine June 2006, 73 (6) 580-582;

    Inhaled human insulin is a big step forward, but it comes with cautions, concerns, and additional responsibilities.

Imaging in Practice

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    Diagnostic imaging:Radiation dose and patients’ concerns
    Daniel Lockwood, MD, David Einstein, MD and William Davros, PhD
    Cleveland Clinic Journal of Medicine June 2006, 73 (6) 583-586;

    Radiologic procedures carry small but real risks from radiation exposure. What should we tell patients?

Departments

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    Thiazolidinediones and heart failure (April 2006)
    Pontus L. Jaderholm, PharmD
    Cleveland Clinic Journal of Medicine June 2006, 73 (6) 587;
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    In reply: Thiazolidinediones and heart failure (April 2006)
    W.H. Wilson Tang, MD
    Cleveland Clinic Journal of Medicine June 2006, 73 (6) 587-588;
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    Thiazolidinediones and heart failure (April 2006)
    Cleveland Clinic Journal of Medicine June 2006, 73 (6) 588;
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In this issue

Cleveland Clinic Journal of Medicine: 73 (6)
Cleveland Clinic Journal of Medicine
Vol. 73, Issue 6
1 Jun 2006
  • Table of Contents
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  • From the Editor
  • Review
  • Cardiovascular Board Review
  • Medical Grand Rounds
  • The Clinical Picture
  • 1-Minute Consult
  • Review
  • Editorial
  • Imaging in Practice
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  • Editor's Picks
  • Most Cited
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The beat goes on: Highlights from the new American and European A-fib guidelines
What diagnostic tests should be done after discovering clubbing in a patient without cardiopulmonary symptoms?
Tinea incognito
Prolonged venous filling time and dependent rubor in a patient with peripheral artery disease
Nociplastic pain: A practical guide to chronic pain management in the primary care setting
Sarcoidosis with diffuse purplish erythematous plaques on the hands
Cardiovascular disease in people living with HIV: Risk assessment and management
Heart to heart: Progress in cardiovascular disease prevention for people living with HIV
Don’t judge a book by its cover: Unusual presentations of pericardial disease
Hypoglycemia after bariatric surgery: Management updates
Risk-factor modification to prevent recurrent atrial fibrillation after catheter ablation
Common electrolyte imbalance, uncommon cause

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