September 2000

 

 Diastolic dysfunction: Causes and treatment

 Genetic testing for thrombosis risk: When, how, why

 Troponin T as a marker of myocardial infarction

 GERD in the elderly: Special problems

 Tricyclic overdose: Still common, deadly

 Can brain-tumor patients receive anticoagulation?

 Helping your patient lose weight

Can anti-inflammatory drugs help heart failure?

 

 

 

 

 

 

 

 

 

 

 

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The Cleveland Clinic Foundation
Cleveland Clinic Journal of Medicine
9500 Euclid Avenue, NA32
Cleveland, Ohio 44195

216.444.2661, FAX 216.444.9385
  ccjm@ccf.org
May 03, 2002

 

Is the CME test useful? Do you have any suggestions? 
We hope to hear from you.
J.D. CLOUGH

 

  Brief answers to specific clinical questions

 What do you recommend for a patient with a Pap smear indicating atypical cells?
The finding of atypical squamous cells of undetermined significance (ASCUS) should prompt a test for human papillomavirus.
A.W. KENNEDY

  What tests are necessary to diagnose Alzheimer disease?
For most patients with dementia, a clinical diagnosis is adequate.
R.J. LEDERMAN

 

Heparin-induced thrombocytopenia: How to manage it, how to avoid it
What to do when heparin paradoxically causes the very problem it is given to prevent.
E. CAIOLA

  

Treating acute exacerbations of chronic bronchitis in the face of antibiotic resistance
With bacterial resistance on the rise, selecting the right antibiotic is crucial.
S.G. ADAMS and A. ANZUETO

 

Vaginitis: Finding the cause prevents treatment failure
To diagnose and manage vaginitis, there is no substitute for performing a physical and microscopic examination.
A. CLEVELAND

  

A 42-year-old woman with polyarthritis What is the cause of this patient's symptoms?
A self-test on a clinical case.
R.A. HAJJ-ALI and B.F. MANDELL

  

Diabetic gastropathy: A practical approach to a vexing problem
A stepwise approach can improve symptoms and quality of life while providing adequate nutrition.
B. SHEN and E.E. SOFFER

 

Osteoarthritis: No cure, but many options for symptom relief
For most patients, management options consist of nonpharmacologic and pharmacologic therapy. Disease-modifying drugs may be on the horizon.
R.H. MCKINNEY and S.M. LING

  

Long-term medical complications of heart transplantation:
Information for the primary care physician
Caring for heart-transplant recipients is a team effort, and primary care physicians play a key role.
M.H. YAMANI and R.C. STARLING

 

If it ain't broke, what are we trying to fix? Reprocessed devices labeled 'for single use only'
A new FDA rule will enrich the manufacturers of medical devices and saddle us with another layer of  bureaucracy. All to fix a nonexistent problem.
J.D. CLOUGH, W. MAURER and D.E. NICKELSON