More articles from Clinical Reviews

  • Travel medicine for the primary care physician
    Steven D. Mawhorter, MD
    Cleveland Clinic Journal of Medicine October 1997, 64 (9) 483-492;

    Reviewing the potential risks and how to avoid them greatly enhances the chances of an uneventful trip.

  • Diagnosing and treating hallux valgus: A conservative approach for a common problem
    Brian G. Donley, MD, Christopher L. Tisdel, MD, James J. Sferra, MD and James O. Hall, DPM
    Cleveland Clinic Journal of Medicine October 1997, 64 (9) 469-474;

    For most patients with hallux valgus, the problem is caused by wearing shoes that are too tight. How to evaluate and treat this problem, and when to refer to an orthopaedic surgeon.

  • Ethical perspectives on Jehovah's Witnesses’ refusal of blood
    Martin L. Smith, STD
    Cleveland Clinic Journal of Medicine October 1997, 64 (9) 475-481;

    Jehovah's Witnesses are not antimedicine, but do refuse blood transfusions and blood products. How to deal with the treatment dilemmas this can create.

  • The elderly driver: What physicians need to know
    Kevin T. Foley, MD and Steven J. Mitchell, OTR/L, CDRS
    Cleveland Clinic Journal of Medicine September 1997, 64 (8) 423-428;

    Objective measures of an elderly driver's accident risk are lacking, but a simple assessment of function can provide insights.

  • Panic disorder in primary care: A cause of unexplained symptoms
    David J. Muzina, MD and Donald A. Malone, MD
    Cleveland Clinic Journal of Medicine September 1997, 64 (8) 437-443;

    Many symptoms of panic attacks are physical, making diagnosis difficult and often suggesting another illness.

  • Vascular claudication: How to individualize treatment
    Bruce H. Gray, DO and Timothy M. Sullivan, MD
    Cleveland Clinic Journal of Medicine September 1997, 64 (8) 429-436;

    Clinicians today have a wider variety of options for treating claudication, from medical therapy to angioplasty or surgery.

  • What's new in the treatment of hypertension
    Ray W. Gifford, MD
    Cleveland Clinic Journal of Medicine March 1997, 64 (3) 143-150;

    Systolic pressure predicts risk more accurately than diastolic pressure. The current goal of 140/90 is probably not aggressive enough.

  • Management of bite wounds and infection in primary care
    Ann T. Kelleher, DO and Steven M. Gordon, MD
    Cleveland Clinic Journal of Medicine March 1997, 64 (3) 137-141;

    Bite wounds can be deceptive, as seemingly minor wounds can result in serious complications, such as septic arthritis.

  • Extraesophageal presentations of gastroesophageal reflux disease: the case for aggressive diagnosis and treatment
    Joel E. Richter, MD
    Cleveland Clinic Journal of Medicine January 1997, 64 (1) 37-45;

    GERD often causes noncardiac chest pain, asthma, and ear, nose, and throat problems. Aggressive prevention of acid reflux, using either drugs or surgery, is the key to treatment.

  • Experiences of a sleep disorders center: 1700 patients later
    Wallace B. Mendelson, MD
    Cleveland Clinic Journal of Medicine January 1997, 64 (1) 46-51;

    Sleep studies reveal many patients to have specific sleep abnormalities different from what might be suspected from the clinical history.

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