Table of Contents

May 01, 2011; Volume 78,Issue 5

From the Editor

  • Recognizing the unusual: The diagnostic epiphany
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine May 2011, 78 (5) 277; DOI: https://doi.org/10.3949/ccjm.78b.11005

    We have all experienced the sudden recognition of an unexpected diagnosis, such as the case of visceral angioedema due to angiotensin-converting enzyme therapy reported by Korniyenko et al in this issue of the Journal.

The Clinical Picture

  • A 46-year-old man with fever, ST-segment elevation
    Atul Singla, MD, Walter Coats, MD and Gregory C. Flaker, MD
    Cleveland Clinic Journal of Medicine May 2011, 78 (5) 286-288; DOI: https://doi.org/10.3949/ccjm.77a.10099

    ST-segment elevation commonly represents acute myocardial infarction, but it is also associated with other conditions.

  • Facial swelling and ulceration with nasal destruction
    Sudip Kumar Ghosh, MD, DNB, Debabrata Bandyopadhyay, MD and Loknath Ghoshal, MD
    Cleveland Clinic Journal of Medicine May 2011, 78 (5) 289-290; DOI: https://doi.org/10.3949/ccjm.78a.10097

    A 12-year-old boy presents with painless swelling and ulceration on and around his nose. What is the diagnosis?

Review

  • Visceral angioedema due to angiotensin-converting enzyme inhibitor therapy
    Aleksandr Korniyenko, MD, Carlos L. Alviar, MD, Juan P. Cordova, MD and Franz H. Messerli, MD
    Cleveland Clinic Journal of Medicine May 2011, 78 (5) 297-304; DOI: https://doi.org/10.3949/ccjm.78a.10102

    If a middle-aged woman taking an angiotensin-converting enzyme inhibitor presents with abdominal pain and emesis, the differential diagnosis should include this uncommon but serious complication.

Im Board Review

  • Ulcerative colitis and an abnormal cholangiogram
    Douglas L. Nguyen, MD and Konstantinos N. Lazaridis, MD
    Cleveland Clinic Journal of Medicine May 2011, 78 (5) 306-311; DOI: https://doi.org/10.3949/ccjm.78a.10089

    The patient, who has had ulcerative colitis for more than 30 years, now has mild, intermittent pain in his right upper quadrant. What is the diagnosis?

Review

  • Tinnitus: Patients do not have to ‘just live with it’
    Craig W. Newman, PhD, Sharon A. Sandridge, PhD, Scott M. Bea, PsyD, Kay Cherian, PT, MPT, Cert MDT, Neil Cherian, MD, Karyn M. Kahn, DDS and James Kaltenbach, PhD
    Cleveland Clinic Journal of Medicine May 2011, 78 (5) 312-319; DOI: https://doi.org/10.3949/ccjm.78a.10136

    Physicians should actively listen to the patient and provide hope and encouragement, balanced with realistic expectations. Specialists can help.

Patient Information

Cancer Diagnosis and Management

  • A practical guide to prostate cancer diagnosis and management
    A practical guide to prostate cancer diagnosis and management
    Matthew N. Simmons, MD, PhD, Ryan K. Berglund, MD and J. Stephen Jones, MD
    Cleveland Clinic Journal of Medicine May 2011, 78 (5) 321-331; DOI: https://doi.org/10.3949/ccjm.78a.10104

    Screening, diagnosis, and management of prostate cancer can be complicated, with no clear consensus about key issues. Our approach refl ects the guidelines from the American Urological Association.

Current Drug Therapy

Departments

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