More articles from Review

  • Diagnostic strategies for suspected pulmonary arterial hypertension: A primer for the internist
    Omar A. Minai, MD and Marie M. Budev, DO, MPH
    Cleveland Clinic Journal of Medicine October 2007, 74 (10) 737-747;

    If not recognized early, pulmonary arterial hypertension can have devastating consequences. Recent advances have led to improved diagnostic strategies.

  • The two faces of the ‘good’ cholesterol
    The two faces of the ‘good’ cholesterol
    Benjamin J. Ansell, MD
    Cleveland Clinic Journal of Medicine October 2007, 74 (10) 697-705;

    Ordinarily anti-inflammatory and protective, HDL sometimes becomes pro inflammatory. Thus, the functional properties—not simply the level—may need to be considered and optimized.

  • Managing knee osteoarthritis before and after arthroplasty
    Managing knee osteoarthritis before and after arthroplasty
    James Rosneck, MD, Carlos A. Higuera, MD, Nabil Tadross, MD, Viktor Krebs, MD and Wael K. Barsoum, MD
    Cleveland Clinic Journal of Medicine September 2007, 74 (9) 663-671;

    Primary care physicians play a key role in the diagnosis and nonoperative management of knee osteoarthritis, including monitoring for problems in patients who have undergone knee replacement surgery.

  • Electroconvulsive therapy: What the internist needs to know
    Mayur Pandya, DO, Leopoldo Pozuelo, MD and Donald Malone, MD
    Cleveland Clinic Journal of Medicine September 2007, 74 (9) 679-685;

    Despite its bad reputation, electroconvulsive therapy is safe and effective for treating a number of psychiatric disorders. For some patients, it is the only therapy that works.

  • New insights into ischemic heart disease in women
    New insights into ischemic heart disease in women
    Antonio Bellasi, MD, Paolo Raggi, MD, C. Noel Bairey Merz, MD and Leslee J. Shaw, PhD
    Cleveland Clinic Journal of Medicine August 2007, 74 (8) 585-594;

    Ischemic heart disease appears to be substantially different in women and men, and it is time to devise sex-specific strategies for detecting and assessing it.

  • The protean neurologic manifestations of varicella-zoster virus infection
    Maria A. Nagel, MD and Donald H. Gilden, MD
    Cleveland Clinic Journal of Medicine July 2007, 74 (7) 489-504;

    Varicella-zoster virus reactivation can produce a number of neurologic complications, including herpes zoster (shingles), postherpetic neuralgia, vasculopathy, myelitis, neurologic disease without rash, and necrotizing retinitis.

  • The painful shoulder: When to inject and when to refer
    The painful shoulder: When to inject and when to refer
    Michael J. Codsi, MD
    Cleveland Clinic Journal of Medicine July 2007, 74 (7) 473-488;

    Many physicians find shoulder pain difficult to sort out and treat. However, most cases can be diagnosed in a 5-minute history and physical examination and treated with a combination of physical therapy, injections, and time.

  • Pneumococcal vaccination in adults: Recommendations, trends, and prospects
    Paul V. Targonski, MD, PhD and Gregory A. Poland, MD
    Cleveland Clinic Journal of Medicine June 2007, 74 (6) 401-414;

    Current vaccines against Streptococcus pneumoniae may not be ideal, but they are worth giving to elderly patients and others at risk.

  • Heart failure in women is different than in men; should treatment be different?
    Ure Mezu, MD, Corinne Bott-Silverman, MD and Eileen Hsich, MD
    Cleveland Clinic Journal of Medicine June 2007, 74 (6) 423-435;

    Studies of heart failure treatment have included mostly men, and the results have been generalized to women even though there are pharmacologic and pathophysiologic differences between the sexes.

  • A different approach to resistant hypertension
    Sheldon Hirsch, MD
    Cleveland Clinic Journal of Medicine June 2007, 74 (6) 449-456;

    More patients with resistant hypertension could control their blood pressure if physicians would perform a physical examination to determine the hemodynamic mechanism driving the hypertension. More patients would receive diuretics and beta-blockers, and in higher doses.

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