More articles from Highlights from Medical Grand Rounds
- Gallstone Therapy: Return to the Gold Standard
Nonsurgical alternatives to cholecystectomy are costly and applicable to limited subsets of patients.
- Outcome Improving for Lung Transplant Patients
Survival rates following lung transplantation may approach 90% by the end of the century, thanks to improved graft preservation and immunosuppressive therapy.
- Key Steps in Evaluating the Dizzy Patient
A carefully constructed history is usually adequate to diagnose vertigo from other forms of dizziness.
- Recognition and Treatment of Cocaine Abuse
The changing demographics of cocaine abuse and its varied manifestations require a high index of suspicion for timely diagnosis and treatment.
- Uric Acid Nephropathy: Management Pearls
Patients with uric acid renal calculi are best treated with hydration and urinary alkalinization, not surgery or lithotripsy.
- Differential Diagnosis of Hypersensitivity Vasculitis
The usual cause of hypersensitivity vasculitis is exposure to a drug or toxin, but infection, Henoch Schönlein purpura, and connective tissue diseases also are possible.
- Eosinophilia-Myalgia Syndrome: Unresolved Questions
Although L-tryptophan is gone from the US market, research continues into its link with eosinophilia-myalgia syndrome.
- Smoking Cessation: Strategies That Work
Most physicians underestimate their power to achieve smoking cessation; the key to success is persistence.
- Mesenteric Ischemia: A Neglected Diagnosis
In the absence of accurate noninvasive diagnostic modalities, aggressive use of mesenteric angiography is the only way to achieve early diagnosis of mesenteric ischemia.