Latest Articles

  • Suicide risk associated with drug and alcohol addiction
    Norman S. Miller, MD, A. James Giannini, MD and Mark S. Gold, MD
    Cleveland Clinic Journal of Medicine September 1992, 59 (5) 535-538;

    Determining increased risk is a clinical necessity.

  • Primary pulmonary hypertension, then and now: 28 years of experience
    Benjamin D. Robalino, MD and Douglas S. Moodie, MD, MS
    Cleveland Clinic Journal of Medicine July 1992, 59 (4) 411-417;

    Patients with PPH are presenting at earlier stages of the disease, have fewer complications during cardiac catheterization, and probably survive longer after diagnosis than patients seen several decades ago.

  • Prostate cancer: current concepts in diagnosis and treatment
    Eric A. Klein, MD
    Cleveland Clinic Journal of Medicine July 1992, 59 (4) 383-389;

    Controversy persists over how best to screen the general population for prostate cancer, and whether earlier detection decreases mortality. The author outlines an approach to screening, diagnosis, and treatment grounded on A U A guidelines and clinical experience.

  • Diabetic ketoacidosis associated with pheochromocytoma
    Elazer R. Edelman, MD, PhD, Cynthia A. Stuenkel, MD, John D. Rutherford, MB, BCh and Gordon H. Williams, MD
    Cleveland Clinic Journal of Medicine July 1992, 59 (4) 423-427;

    Diabetic ketoacidosis associated with classic findings of pheochromocytoma was seen in a young woman who also had a significant insulin requirement that resolved after excision of the tumor.

  • Doppler echocardiographic assessment of aortic regurgitation: uses and limitations
    Allan L. Klein, MD, Malcolm B. Davison, MBBS, Galen Vonk, MD and A. Jamil Tajik, MD
    Cleveland Clinic Journal of Medicine July 1992, 59 (4) 359-368;

    The final determination of the severity of aortic regurgitation should involve a combination of the various Doppler techniques and the indices derived from them.

  • Superior vena cava syndrome
    C. Vaughn Strimlan, MD
    Cleveland Clinic Journal of Medicine July 1992, 59 (4) 356;
  • Pelvic retroperitoneal mass in a 36-year-old man
    Cathryn Powers, MD, Matthew G. Saltarelli, MD and Kathleen Gleason Beavis, MD
    Cleveland Clinic Journal of Medicine July 1992, 59 (4) 429-433;

    The mass identified by CT extended into the pelvis and displaced the bladder, rectosigmoid colon, and rectum. Hydronephrosis with marked parenchymal loss of the left kidney indicated chronic obstruction of the left distal ureter.

  • Circulating lipid and lipoprotein concentrations with oral estrogen-androgen hormone replacement therapy
    David D. Youngs, MD, Byron J. Hoogwerf, MD, Leslie R. Schover, PhD and Ruth K. Cannata, RN
    Cleveland Clinic Journal of Medicine July 1992, 59 (4) 357-358;

    A decrease in high-density lipoprotein cholesterol was observed in a group of postmenopausal women following oral estrogen-androgen therapy, suggesting that the potential benefits—sexual and psychological well-being— should be weighed against the potential cardiovascular risks associated with adverse lipid changes.

  • Chronic Cystitis: Conservative Treatment Best
    Philip M. Hanno, MD
    Cleveland Clinic Journal of Medicine July 1992, 59 (4) 353;
  • Gardner’s hydrodynamic theory of syringomyelia revisited
    Prem K. Pillay, MD, Issam A. Awad, MD, MSc and Joseph F. Hahn, MD
    Cleveland Clinic Journal of Medicine July 1992, 59 (4) 373-380;

    How longitudinal, fluid-filled cavities form within the spinal cord has eluded researchers, though widely espoused theories have been put forth. The authors propose a unified theory based on recent MRI experience and on elements of other current theories.

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