Table of Contents

February 01, 2008; Volume 75,Issue 2

From the Editor

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Surprisingly nonbenign imaging
Brian F. Mandell, MD, PhD

Cleveland Clinic Journal of Medicine February 2008, 75 (2) 88;

Nephrogenic systemic fibrosis is making us revise our view that “MRI with contrast” is a benign test.

Commentary

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Infective endocarditis prophylaxis before dental procedures: New guidelines spark controversy
Alice Kim, MD and Thomas Keys, MD

Cleveland Clinic Journal of Medicine February 2008, 75 (2) 89-92;

Many fewer people will need to receive antibiotics, according to new guidelines released by the American Heart Association.

Review

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Nephrogenic systemic fibrosis and its association with gadolinium exposure during MRI
Naim Issa, MD, Emilio D. Poggio, MD, Richard A. Fatica, MD, Rajiv Patel, MD, Paul M. Ruggieri, MD and Robert J. Heyka, MD

Cleveland Clinic Journal of Medicine February 2008, 75 (2) 95-111;

This debilitating disorder can lead to serious complications and death. In patients with renal dysfunction, we should use gadolinium-based imaging studies with caution.

Editorial

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Gadolinium and nephrogenic systemic fibrosis: The evidence of things not seen
Jonathan Kay, MD

Cleveland Clinic Journal of Medicine February 2008, 75 (2) 112-117;

Much has been learned, but "nephrogenic" is misleading: this fibrosing disorder is not caused by the kidneys.

1-Minute Consult

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Should all patients with chronic kidney disease take a statin?
Dena Rifkin, MD and Mark Sarnak, MD, MS

Cleveland Clinic Journal of Medicine February 2008, 75 (2) 118-120;

Some patients should take a statin, particularly those not yet on dialysis who have low-density lipoprotein cholesterol levels higher than 100 mg/dL. However, relatively few studies have addressed this question.

Review

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Screen for portopulmonary hypertension, especially in liver transplant candidates
Karen L. Swanson, DO and Michael J. Krowka, MD

Cleveland Clinic Journal of Medicine February 2008, 75 (2) 121-136;

Portopulmonary hypertension should be looked for in patients with liver disease, especially if liver transplantation is being considered, as it may make transplantation riskier to perform.
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Red eye for the internist: When to treat, when to refer
Anat Galor, MD and Bennie H. Jeng, MD

Cleveland Clinic Journal of Medicine February 2008, 75 (2) 137-144;

We review the conditions that can cause this ocular sign—the ones that internists can comfortably manage, and the ones that are best managed by an eye specialist.

Cardiovascular Board Review

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A young man with acute weakness of his right arm
Matthew A. Kaminski, MD, Carmela D. Tan, MD and Arman T. Askari, MD

Cleveland Clinic Journal of Medicine February 2008, 75 (2) 145-152;

A previously healthy, relatively young man has had a stroke. What is the cause and what should be done?

Review

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Preventing and managing diabetic complications in elderly patients
Thomas Hornick, MD and David C. Aron, MD, MS

Cleveland Clinic Journal of Medicine February 2008, 75 (2) 153-158;

Elderly patients with diabetes are prone to a number of complications, some of which take precedence over, hinder, or preclude the intensive glucose control recommended for younger diabetic patients.