Table of Contents
Highlights from Medical Grand Rounds
- Perioperative Management of Diabetes Mellitus: Striving For Metabolic BalanceAttention to several key factors can enhance perioperative glucose control. 
- Asthma: Increased Mortality Warrants Aggressive, Specific TreatmentWhat is behind this alarming trend, and what can be done to reverse it? 
CME Notebook
Current Drug Therapy
- Nontraditional combination pharmacotherapy of hypertensionWhich new combinations hold the most promise for safer, more effective blood pressure control ? 
Contributions
- Aortic valve replacement in young patients: long-term follow-upThe risk of long-term cardiovascular complications necessitates close follow-up through late childhood and adulthood. 
- Head and neck spindle cell carcinoma: an evaluation of current managementImproving prognosis for this aggressive variant of squamous cell carcinoma depends on early diagnosis. 
- Transient osteoporosis of the hip: clinical and imaging featuresRadiographic findings are late and sometimes subtle. 
- Lipid and lipoprotein abnormalities in lower-extremity arteriosclerosis obliteransThis study’s findings underscore the need for a complete lipid profile when formulating a treatment plan. 
Review
- Mastectomy with immediate reconstruction: issues and answersImmediate reconstruction hastens rehabilitation by easing the patient’s psychological burdens. 
- Uses of hyperbaric oxygen therapy in the 1990sHyperbaric oxygen is safe and effective in a number of critical situations, yet its use is still largely empirical. 
- Urticaria and angioedemaDiagnosis is based on the history, especially the duration of symptoms, exacerbating factors, and atopy. 
- Suicide risk associated with drug and alcohol addictionDetermining increased risk is a clinical necessity. 



