Cleveland Clinic Journal of Medicine: 58 (1)

January 01, 1991; Volume 58,Issue 1

Highlights from Medical Grand Rounds

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Post-MI Cardiac Remodeling: New Perspectives
Bernadine P. Healy, MD
Cleveland Clinic Journal of Medicine January 1991, 58 (1) 13-14;
The challenge of the 1990s for cardiologists is to change the quality of a patient’s MI to preserve myocardial structure.
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Foot Care in Diabetes: Vigilant Inspection Still Best
Anthony C. Breuer, MD, James Hall, DPM and Byron Hoogwerf, MD
Cleveland Clinic Journal of Medicine January 1991, 58 (1) 14-15;
About half of nontraumatic lower extremity amputations in diabetic patients may be preventable with early recognition of treatable problems.

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Headache: accurate diagnosis, rational therapy
Cleveland Clinic Journal of Medicine January 1991, 58 (1) 19-20;
Among the highlights from a CME course: what to expect from the new serotonin blockers, nondrug treatment options, the importance of the erythrocyte sedimentation rate.

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Risk factors for in-hospital mortality associated with coronary angioplasty
Conrad Simpfendorfer, MD, Khosrow Dorosti, MD, Irving Franco, MD, Jay Hollman, MD and Patrick Whitlow, MD
Cleveland Clinic Journal of Medicine January 1991, 58 (1) 25-27;
Elderly women with extensive coronary disease were at higher risk of mortality than other patient groups.
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The Telelab personal blood pressure transmitter: accurate and reliable home monitoring for hypertensive patients
Donald G. Vidt, MD, Kennith Bolen, Ray W. Gifford, MD and Sharon Vanderbrug Medendorp
Cleveland Clinic Journal of Medicine January 1991, 58 (1) 28-32;
A home blood pressure recording device that can transmit data by phone is accurate and convenient.

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Fixed drug eruption from pamabrom
Susan Nedorost, MD, James S. Taylor, MD, Charles Camisa, MD, Kenneth J. Tomecki, MD, Thomas Helm, MD and William J. Durkin
Cleveland Clinic Journal of Medicine January 1991, 58 (1) 33-34;
Oral rechallenge was used to diagnose a reaction to an ingredient in a menstrual symptom reliever.
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Dog heartworm causing necrotizing granuloma of the lung
Jose I. Diaz, MD, Leopoldo H. Ladaga, MD, Maria Cundiff, MD and James Baker, MD
Cleveland Clinic Journal of Medicine January 1991, 58 (1) 39-42;
A patient was thought to have a neoplastic lesion until tissue examination revealed a nonviable parasite within a pulmonary artery.
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Virilization secondary to topical testosterone
Lydia U. Parker, MD and Wilma F. Bergfeld, MD
Cleveland Clinic Journal of Medicine January 1991, 58 (1) 43-46;
Alternatives to topical testosterone may reduce the risk of androgenic side effects.

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Prostate examinations are overlooked
Eric A. Klein, MD and Robert W. Gerlach, MPA
Cleveland Clinic Journal of Medicine January 1991, 58 (1) 51-52;
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Results of annual skin cancer screening
Alexander Zemtsov, MD, MSC, Kenneth J. Tomecki, MD, Jacob W.E. Dijkstra, MD and Fred Hirsh, MD
Cleveland Clinic Journal of Medicine January 1991, 58 (1) 53;

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A new intracellular flush solution improves renal transplant preservation
Peter N. Bretan, MD and Andrew C. Novick, MD
Cleveland Clinic Journal of Medicine January 1991, 58 (1) 54-58;
A new renal preservation flush solution minimizes the ischemic injury that occurs during hypothermic storage and reperfusion.

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Finding the right role for home blood pressures
Sheldon G. Sheps, MD
Cleveland Clinic Journal of Medicine January 1991, 58 (1) 61-63;
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Fixed drug eruptions and oral rechallenge
Kirsti Kauppinen, MD
Cleveland Clinic Journal of Medicine January 1991, 58 (1) 64-65;

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New series: Radiology Pathology Grand Rounds
Michael T. Modic, MD
Cleveland Clinic Journal of Medicine January 1991, 58 (1) 66;
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Lung nodules in an immunocompromised patient
Kathleen Gleason Beavis, MD
Cleveland Clinic Journal of Medicine January 1991, 58 (1) 67-69;

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Rehabilitation strategies for the complex cardiac patient
Fredric J. Pashkow, MD
Cleveland Clinic Journal of Medicine January 1991, 58 (1) 70-75;
Cardiac rehabilitation is as advantageous for a patient with life-threatening arrhythmias as for the post-coronary bypass patient, but the program should be carefully designed and monitored.

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Hypertension and the adrenergic system
Cleveland Clinic Journal of Medicine January 1991, 58 (1) 76;
The increasing role of adrenergic drugs may be related to the possibility that adrenergic system abnormalities contribute to the development of primary hypertension.
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The role of adrenergic drugs in antihypertensive therapy
Harold D. Itskovitz, MD
Cleveland Clinic Journal of Medicine January 1991, 58 (1) 79-93;