More articles from Review

  • Complications of sickle cell anemia in adults: Guidelines for effective management
    Samir K. Ballas, MD
    Cleveland Clinic Journal of Medicine January 1999, 66 (1) 48-58;

    Patients with sickle cell disease are surviving longer, but still face a lifetime of complications and crises.

  • Epilepsy update: New medical and surgical treatment options
    G. Arunkumar, MD and Harold Morris, MD
    Cleveland Clinic Journal of Medicine November 1998, 65 (10) 527-537;

    We have more treatment options for epilepsy than ever before, but to use them properly, physicians must classify the seizure type accurately.

  • Daytime sleepiness: When is it normal? When to refer?
    Selim R. Benbadis, MD
    Cleveland Clinic Journal of Medicine November 1998, 65 (10) 543-549;

    Daytime sleepiness has potentially serious consequences and should be investigated like any other symptom. With an algorithm for office evaluation.

  • Avoiding adverse drug effects in elderly patients
    Rosanne M. Leipzig, MD, PhD
    Cleveland Clinic Journal of Medicine October 1998, 65 (9) 470-478;

    A working knowledge of pharmacokinetics and pharmacodynamics pays off in avoiding adverse drug effects in vulnerable patients.

  • Rheumatologie manifestations of HIV-1 and HTLV-I infections
    Dimitrios Vassilopoulos, MD and Leonard H. Calabrese, DO
    Cleveland Clinic Journal of Medicine September 1998, 65 (8) 436-441;

    HIV, the new great mimic, is protean in its clinical manifestations, which can include rheumatologic syndromes.

  • Pelvic inflammatory disease: The importance of aggressive treatment in adolescents
    Ellen S. Rome, MD, MPH
    Cleveland Clinic Journal of Medicine July 1998, 65 (7) 369-376;

    PID and its major sequelae of tubal scarring, chronic pelvic pain, and infertility are preventable if physicians diagnose it early and treat it aggressively. With an illustration explaining why adolescents are at greater risk for PID.

  • Managing solitary pulmonary nodules
    Prasoon Jain, MD, Salim A. Kathawalla, MD and Alejandro C. Arroliga, MD
    Cleveland Clinic Journal of Medicine June 1998, 65 (6) 315-326;

    The goals of management are to resect malignant tumors while avoiding unnecessary thoracotomy of benign nodules. But sometimes this is not easy.

  • Infectious disease and transplantation: Messages for the generalist
    Robin K. Avery, MD
    Cleveland Clinic Journal of Medicine June 1998, 65 (6) 305-314;

    With more patients receiving transplants and surviving longer afterward, their primary care physicians are called on to evaluate problems as they arise.

  • The connection between chronic fatigue syndrome and neurally mediated hypotension
    William S. Wilke, MD, Fetnat M. Fouad-Tarazi, MD, Joseph M. Cash, MD and Leonard H. Calabrese, DO
    Cleveland Clinic Journal of Medicine May 1998, 65 (5) 261-266;

    Some research indicates that some patients with chronic fatigue syndrome have abnormal vasovagal or vasodepressor responses to upright posture. But subsequent studies have not corroborated these results.

  • Group a Streptococcal Necrotizing Fasciitis
    Thomas M. File, MD, James S. Tan, MD and Joseph R. Dipersio, PhD
    Cleveland Clinic Journal of Medicine May 1998, 65 (5) 241-249;

    Appropriate management of this life-threatening infection requires rapid recognition, immediate antibiotic therapy, and expeditious surgical debridement or excision.

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