Latest Articles
- Fever, rash, and arthralgias in a male adolescent
A previously healthy boy presents with a 6-week history of intermittent fever, diffuse erythematous rash, and polyarthralgias.
- Changing diagnostic and treatment strategies for chronic sinusitis
Considerable debate continues over the nature and treatment of chronic sinusitis. Anaerobic bacteria and antibiotic-resistant organisms are complicating treatment.
- Current issues in menopausal hormone replacement therapy
For most menopausal women, the benefits of hormone replacement therapy out-weigh the risks, despite the fears aroused by an unproven link to breast cancer.
- Diabetic nephropathy: strategies for preventing renal failure
Early detection, coupled with rigorous glycemic control and aggressive hypertensive management may slow the progression of diabetic nephropathy. Dietary protein restriction may also have a role.
- Understanding obesity: The interaction of diet, genetics, and hormones
The widely held belief that gluttony and sloth underlie obesity is fading, as research sheds light on the interactions between diet, genetics, hormones, and neurotransmitters.
- Conscious sedation: what an internist needs to know
The use of conscious sedation rather than general anesthesia is increasing in the shift to outpatient care, but the technique poses its own special dangers.
- A renewed mission and a new look
The Cleveland Clinic Journal of Medicine’s new mission statement, “Dedicated to Lifelong Learning,” reflects our shift in focus to continuing education for physicians. The more functional new design uses typography and color to help readers find information quickly.
- The use of intravenous immunoglobulin in rheumatic diseases
The postulated immunomodulating effects of high-dose IVIg therapy make it an attractive alternative to corticosteroids or cytotoxic agents, but cost is an important issue, especially when efficacy is uncertain.
- Preoperative evaluation before noncardiac vascular surgery
How to assess a patient’s perioperative risk, deciding when clinical factors are sufficient to gauge risk and when pharmacologic stress testing is needed.