Table of Contents

November 01, 2008; Volume 75,Issue 11

From the Editor

  • The hospital guy redux
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine November 2008, 75 (11) 759-760;

    In the September issue of the Journal, Dr. Thomas Lansdale discussed the pressures that are eroding physician-patient relationships and that can corrupt patient care. I am aware of these forces, but I remain a hospital guy because I can still make a difference.

The Clinical Picture

  • A 90-year-old woman with an asymptomatic spot on her cheek
    Matthew F. Helm and Lin Lin, MD, PhD
    Cleveland Clinic Journal of Medicine November 2008, 75 (11) 768;

    The lesion is asymmetrical and irregularly pigmented with variegated colors and ill-defined borders. What is the diagnosis?

Review

  • Skin manifestations of diabetes
    Simone Van Hattem, MD, Aart H. Bootsma, MD, PhD and H. Bing Thio, MD, PhD
    Cleveland Clinic Journal of Medicine November 2008, 75 (11) 772-787;

    Almost all diabetic patients eventually develop skin complications from the disease itself or as a side effect of glucose-lowering drugs.

Im Board Review

  • A young pregnant woman with shortness of breath
    Dwayne A. Perkins, MD, Craig Nielsen, MD and Michael Faulx, MD
    Cleveland Clinic Journal of Medicine November 2008, 75 (11) 788-792;

    She is 12 weeks pregnant, has had no prenatal care, and has lost 20 pounds due to nausea and vomiting. What could be the cause?

Review

  • Evaluation and management of pituitary incidentalomas
    Dina Serhal, MD, Robert J. Weil, MD and Amir H. Hamrahian, MD
    Cleveland Clinic Journal of Medicine November 2008, 75 (11) 793-801;

    A surprising number of apparently healthy people harbor unsuspected pituitary tumors, which are being discovered incidentally on computed tomography and magnetic resonance imaging.

Editorial

  • Evolution and results of aortic valve surgery, and a ‘disruptive’ technology
    Lars G. Svensson, MD, PhD
    Cleveland Clinic Journal of Medicine November 2008, 75 (11) 802-804;

    Percutaneous aortic valve insertion is already benefitting patients who would not be able to undergo open heart surgery for valve replacement. However, the technology is still so new that we do not yet know how to define who will benefit from it.

Review

  • Percutaneous treatment of aortic valve stenosis
    Percutaneous treatment of aortic valve stenosis
    Inder M. Singh, MD, MS, Mehdi H. Shishehbor, DO, MPH, Ryan D. Christofferson, MD, E. Murat Tuzcu, MD and Samir R. Kapadia, MD
    Cleveland Clinic Journal of Medicine November 2008, 75 (11) 805-812;

    This less-invasive approach may become an option for patients with severe symptomatic aortic valve stenosis who cannot undergo surgery.

  • Update on constipation: One treatment does not fit all
    Amy E. Foxx-Orenstein, DO, Meredythe A. McNally, MD and Suwebatu T. Odunsi, MD
    Cleveland Clinic Journal of Medicine November 2008, 75 (11) 813-824;

    Since constipation has a variety of causes and forms, one treatment does not fit all patients. Often, the key to improvement and patient satisfaction is to understand the mechanism and the patient.

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