Latest Articles

  • Metastasis or adenoma? CT evaluation of the adrenal mass
    Anne A. Singer, MD, Nancy A. Obuchowski, PhD, David M. Einstein, MD and David M. Paushter, MD
    Cleveland Clinic Journal of Medicine May 1994, 61 (3) 200-205;

    Documenting the stability of adrenal lesions should be done for longer than usual to increase the likelihood of identifying malignant adenomas.

  • A 51-year-old man with a history of stroke and red streaks in the legs
    Mark E. Mayer, MD, Jeffrey W. Olin, DO, Thomas J. Masaryk, MD and Kandice Kottke-Marchant, MD, PhD
    Cleveland Clinic Journal of Medicine May 1994, 61 (3) 219-227;

    A diagnostically challenging case is worked up. Based on a presentation at a Cleveland Clinic Foundation Clinical Pathological Conference.

  • Prophylaxis of opportunistic infections in persons with HIV infection
    Benjamin F. Stearn, MD and Michael A. Polis, MD, MPH
    Cleveland Clinic Journal of Medicine May 1994, 61 (3) 187-194;

    Effective regimens are available for preventing some of these infections. Studies are in progress to establish optimum regimens for others.

  • Transesophageal echocardiography: why and when to use it
    Anthony Demaria, MD, Allan Klein, MD, Guido Belli, MD and Kingsley Annan, MD
    Cleveland Clinic Journal of Medicine May 1994, 61 (3) 211-218;

    In this open discussion of an important health care utilization issue, panelists expound on the appropriateness of TEE in several clinical situations.

  • Commentary
    Emmanuel L. Bravo, MD
    Cleveland Clinic Journal of Medicine May 1994, 61 (3) 205;
  • The clinical usefulness of urinalysis
    Phillip M. Hall, MD
    Cleveland Clinic Journal of Medicine May 1994, 61 (3) 177-178;

    Two challenging cases to test your diagnostic acumen.

  • Chemotherapy-induced Raynaud's phenomenon
    Eugenia Toumbis-Ioannou, MD and Philip R. Cohen, MD
    Cleveland Clinic Journal of Medicine May 1994, 61 (3) 195-199;

    Cure of malignancy is most important, but detecting delayed toxic effects of antineoplastic therapy deserves close attention, as well.

  • Diagnosing infective endocarditis
    David L. Longworth, MD
    Cleveland Clinic Journal of Medicine May 1994, 61 (3) 172-173;

    The diagnosis has been based on the presence of fever, a new heart murmur, peripheral stigmata, and sustained bacteremia with a typical microorganism—all of which are not invariably present. New criteria offer greater diagnostic accuracy.

  • Echocardiographically guided removal of an intracardiac foreign body
    Vicente E. Font, MD, Carl C. Gill, MD and David E. Lammermeier, MD
    Cleveland Clinic Journal of Medicine May 1994, 61 (3) 228-231;
  • Azathioprine vs cyclosporine in recipients of HLA-identical renal allografts
    Inderbir S. Gill, MD, Ernest E. Hodge, MD, Andrew C. Novick, MD, Stevan B. Streem, MD, William E. Braun, MD and Lata Paranandi, MSHP
    Cleveland Clinic Journal of Medicine May 1994, 61 (3) 206-210;

    These two agents produce equally satisfactory outcomes in this immunologically favored group. The need for continued steroid therapy in these patients requires further study.

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