Latest Articles

  • A hypertensive emergency in an obese young woman
    Raja Shekhar R. Sappati Biyyani, MD, Loren M. Kirchner, MD, MS, Anil C. Singh, MD, MPH and Prabhacharan Gill, MD
    Cleveland Clinic Journal of Medicine February 2006, 73 (2) 110-120;

    She has headache, new-onset seizures, edema, and proteinuria; her blood pressure is 235/114 mm Hg and she weighs 256 lb. What is the diagnosis?

  • Multiple sclerosis: Treating symptoms, and other general medical issues
    Myla D. Goldman, MD, Jeffrey A. Cohen, MD, Robert J. Fox, MD and Francois A. Bethoux, MD
    Cleveland Clinic Journal of Medicine February 2006, 73 (2) 177-186;

    Disease-modifying therapies have been a big advance in multiple sclerosis, but many patients still experience a variety of symptoms that reduce quality of life. We have to treat the whole patient.

  • Diabetes insipidus: Diagnosis and treatment of a complex disease
    Diabetes insipidus: Diagnosis and treatment of a complex disease
    Amgad N. Makaryus, MD and Samy I. McFarlane, MD, MPH
    Cleveland Clinic Journal of Medicine January 2006, 73 (1) 65-71;

    Diabetes insipidus can be life-threatening, and the treatment depends on the cause in the individual patient.

  • Should we screen for abdominal aortic aneurysms?
    Ahmed Abdel Latif, MD, Amjad AlMahameed, MD, MPH and Michael S. Lauer, MD
    Cleveland Clinic Journal of Medicine January 2006, 73 (1) 9-22;

    The short answer is yes, but only in the right patients.

  • Contrast-induced nephropathy: How it develops, how to prevent it
    Michael R. Rudnick, MD, Aaron Kesselheim, MD and Stanley Goldfarb, MD
    Cleveland Clinic Journal of Medicine January 2006, 73 (1) 75-87;

    The evidence and our recommendations for using hydration, N-acetylcysteine, sodium bicarbonate, theophylline, and hemofiltration.

  • Familial hypercholesterolemia: A challenge of diagnosis and therapy
    Christopher Sibley, MD and Neil J. Stone, MD
    Cleveland Clinic Journal of Medicine January 2006, 73 (1) 57-64;

    Many people have high cholesterol, but a distinct minority have extremely high levels due to genetic defects in lipoprotein metabolism. They need our special attention.

  • Multiple sclerosis: Advances in understanding, diagnosing, and treating the underlying disease
    Robert J. Fox, MD, Francois Bethoux, MD, Myla D. Goldman, MD and Jeffrey A. Cohen, MD
    Cleveland Clinic Journal of Medicine January 2006, 73 (1) 91-102;

    In spite of setbacks, the future holds hope for patients and clinicians struggling against this disease.

  • How should we advise patients about the contraceptive patch, given the FDA warning?
    Holly L. Thacker, MD, Tommaso Falcone, MD, Ashish Atreja, MD, MPH, Anil Jain, MD and C. Martin Harris, MD, MBA
    Cleveland Clinic Journal of Medicine January 2006, 73 (1) 45-47;

    In theory, patients could face a higher risk of thromboembolism than with oral contraceptives. But most of all we want to urge them not to simply stop using contraception.

  • What is osteopenia, and what should be done about it?
    Nelson B. Watts, MD
    Cleveland Clinic Journal of Medicine January 2006, 73 (1) 29-32;

    Because the term “osteopenia” is not useful as a diagnosis and can actually be harmful, I am on a personal crusade to eliminate it from the bone density lexicon.

  • Abdominal aortic aneurysms: What we don’t seek, we won’t find
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine January 2006, 73 (1) 8;

    We don’t find abdominal aortic aneurysms as often as we should. In some patients we should consider ultrasonographic screening.

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