More articles from Review

  • Masquerade: Nonspinal musculoskeletal disorders that mimic spinal conditions
    Dhruv B. Pateder, MD, John Brems, MD, Isador Lieberman, MD, FRCS(C), Gordon R. Bell, MD and Robert F. McLain, MD
    Cleveland Clinic Journal of Medicine January 2008, 75 (1) 50-56;

    Sometimes pain in the neck or back is caused by a problem in the shoulder, hip, or extremities. Common mimics are rotator cuff tear, bursitis in the hip, peripheral nerve compression, and arthritis in the shoulder and hip.

  • Managing diabetes in the elderly: Go easy, individualize
    Thomas Hornick, MD and David C. Aron, MD, MS
    Cleveland Clinic Journal of Medicine January 2008, 75 (1) 70-78;

    Especially in frail, elderly patients, strict glycemic control should be emphasized less than avoiding malnutrition and hypoglycemia and achieving the best quality of life possible.

  • Primary care diagnosis of alpha-1 antitrypsin deficiency: Issues and opportunities
    James K. Stoller, MD, MS, Leonard Fromer, MD, Mark Brantly, MD, James Stocks, MD and Charlie Strange, MD
    Cleveland Clinic Journal of Medicine December 2007, 74 (12) 869-874;

    Alpha-1 antitrypsin deficiency, which predisposes to emphysema and also to liver disease, is underrecognized. We hope to stimulate our colleagues to watch for this condition and to find ways to incorporate testing for it into regular clinical practice.

  • Influenza update 2007–2008: Vaccine advances, pandemic preparation
    Sherif B. Mossad, MD
    Cleveland Clinic Journal of Medicine December 2007, 74 (12) 889-894;

    Vaccination is still our main defense against influenza, and researchers continue to try to improve the vaccine. Work is also under way on a vaccine against the potential pandemic strain of avian influenza, H5N1.

  • Obstructive sleep apnea and cardiovascular disease: Implications for clinical practice
    Silke Krieger, MD and Sean M. Caples, DO
    Cleveland Clinic Journal of Medicine December 2007, 74 (12) 853-866;

    Obstructive sleep apnea is strongly associated with cardiovascular disease, but it is difficult to prove whether the association is causal.

  • How should we screen for breast cancer? Mammography, ultrasonography, MRI
    How should we screen for breast cancer? Mammography, ultrasonography, MRI
    Carolyn F. Nemec, MD, Jay Listinsky, MD, PhD and Alice Rim, MD
    Cleveland Clinic Journal of Medicine December 2007, 74 (12) 897-904;

    Mammography remains the mainstay of breast cancer screening, but recent guidelines have included magnetic resonance imaging for some women at high risk. Ultrasonography has not been established as useful for screening.

  • Masquerade: Medical causes of back pain
    Eric Klineberg, MD, Daniel Mazanec, MD, Douglas Orr, MD, Russell Demicco, MD, Gordon Bell, MD and Robert Mclain, MD
    Cleveland Clinic Journal of Medicine December 2007, 74 (12) 905-913;

    Some serious and life-threatening medical conditions can present as acute back pain.

  • Getting the iron out: Preventing and treating heart failure in transfusion-dependent thalassemia
    Danish A. Jabbar, MD, Glenn Davison, MD and Anthony J. Muslin, MD
    Cleveland Clinic Journal of Medicine November 2007, 74 (11) 807-816;

    Chronic accumulation of iron due to regular blood transfusions leads to heart failure and death at a very young age, but chelation can avert this fatal outcome.

  • Electronic health records: A primer for practicing physicians
    Neil B. Mehta, MD and Mary H. Partin, PhD
    Cleveland Clinic Journal of Medicine November 2007, 74 (11) 826-830;

    Electronic health records have the potential to improve the quality of patient care, reduce the cost of health care, and expedite the transfer of information. Yet fewer than 20% of hospitals and physician practices now use them.

  • Ambulatory blood pressure monitoring: An argument for wider clinical use
    Ambulatory blood pressure monitoring: An argument for wider clinical use
    Aparna Padiyar, MD and Mahboob Rahman, MD, MS
    Cleveland Clinic Journal of Medicine November 2007, 74 (11) 831-838;

    Though ambulatory blood pressure monitoring currently has only a limited clinical role, it can be considered in many common situations, such as resistant hypertension, transplantation, pregnancy, chronic kidney disease, and dialysis.

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