More articles from Highlights from Medical Grand Rounds

  • Outcome Improving for Lung Transplant Patients

    William S. Wilke, MD and Patrick M. McCarthy, MD
    • Cleveland Clinic Journal of Medicine November 1990, 57 (8) 673-674;
    • Survival rates following lung transplantation may approach 90% by the end of the century, thanks to improved graft preservation and immunosuppressive therapy.

  • Gallstone Therapy: Return to the Gold Standard

    Gregory Zuccaro Jr., MD
    • Cleveland Clinic Journal of Medicine November 1990, 57 (8) 674-675;
    • Nonsurgical alternatives to cholecystectomy are costly and applicable to limited subsets of patients.

  • Key Steps in Evaluating the Dizzy Patient

    Martin A. Samuels, MD
    • Cleveland Clinic Journal of Medicine October 1990, 57 (7) 596-598;
    • A carefully constructed history is usually adequate to diagnose vertigo from other forms of dizziness.

  • Recognition and Treatment of Cocaine Abuse

    William S. Wilke, MD and Michael R. Jaff, DO
    • Cleveland Clinic Journal of Medicine October 1990, 57 (7) 595-596;
    • 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

    William S. Wilke, MD and Joseph V. Nally Jr, MD
    • Cleveland Clinic Journal of Medicine September 1990, 57 (6) 505-506;
    • Patients with uric acid renal calculi are best treated with hydration and urinary alkalinization, not surgery or lithotripsy.

  • Differential Diagnosis of Hypersensitivity Vasculitis

    Leonard H. Calabrese, DO
    • Cleveland Clinic Journal of Medicine September 1990, 57 (6) 506-507;
    • 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.

  • Smoking Cessation: Strategies That Work

    Garland Y. Denelsky, PhD
    • Cleveland Clinic Journal of Medicine July 1990, 57 (5) 416-417;
    • Most physicians underestimate their power to achieve smoking cessation; the key to success is persistence.

  • Eosinophilia-Myalgia Syndrome: Unresolved Questions

    William S. Wilke, MD and James W. Kazura, MD
    • Cleveland Clinic Journal of Medicine July 1990, 57 (5) 415-416;
    • Although L-tryptophan is gone from the US market, research continues into its link with eosinophilia-myalgia syndrome.

  • Mesenteric Ischemia: A Neglected Diagnosis

    Mark E. Sesto, MD
    • Cleveland Clinic Journal of Medicine July 1990, 57 (5) 417-418;
    • In the absence of accurate noninvasive diagnostic modalities, aggressive use of mesenteric angiography is the only way to achieve early diagnosis of mesenteric ischemia.

  • Bone Marrow Transplantation: Updated Indications

    William S. Wilke, MD and Brian J. Bolwell, MD
    • Cleveland Clinic Journal of Medicine June 1990, 57 (4) 315-316;