More articles from Review

  • When do common symptoms indicate normal pressure hydrocephalus?
    Ronan Factora, MD
    Cleveland Clinic Journal of Medicine May 2006, 73 (5) 447-457;

    The symptoms of normal pressure hydrocephalus—abnormal gait, cognitive impairment, and urinary dysfunction—are common in elderly patients. How can this rare condition be distinguished from other diseases, and how can it be determined if a patient is likely to benefit from a ventriculoperitoneal shunt?

  • ERCP: Current uses and less-invasive options
    John A. Dumot, DO
    Cleveland Clinic Journal of Medicine May 2006, 73 (5) 418-442;

    Because ERCP can cause pancreatitis, newer options have replaced it for patients who have a low pretest probability of bile duct stones.

  • The optimal revascularization strategy for multivessel coronary artery disease: The debate continues
    Ivan P. Casserly, MB, BCh
    Cleveland Clinic Journal of Medicine April 2006, 73 (4) 317-328;

    In contrast to previous studies, a study from a large New York registry found that mortality rates were lower among patients who underwent coronary artery bypass grafting (CABG) than among similar patients who underwent percutaneous coronary intervention (PCI). What are we to believe?

  • Assessing the risk of surgery in patients with liver disease
    Amitabh Suman, MD and William D. Carey, MD
    Cleveland Clinic Journal of Medicine April 2006, 73 (4) 398-404;

    All liver disease is not the same, and neither is all surgery, but recent studies have defined objective criteria for determining when surgery is safe for patients with liver disease.

  • Update in ARDS management: Recent randomized controlled trials that changed our practice
    J. Fernando Santacruz, MD, Enrique Diaz Guzman Zavala, MD and Alejandro C. Arroliga, MD
    Cleveland Clinic Journal of Medicine March 2006, 73 (3) 217-236;

    Although the death rate remains high in the acute respiratory distress syndrome (ARDS), several advances have been made in the past decade.

  • Buying prescription drugs on the Internet: Promises and pitfalls
    Alan M. Weiss, MD, MBA
    Cleveland Clinic Journal of Medicine March 2006, 73 (3) 282-288;

    Patients can save time and money, but they can also end up with counterfeit or substandard medications.

  • Anemia in chronic kidney disease: Causes, diagnosis, treatment
    Anemia in chronic kidney disease: Causes, diagnosis, treatment
    Saul Nurko, MD
    Cleveland Clinic Journal of Medicine March 2006, 73 (3) 289-297;

    Most patients with chronic kidney disease eventually become anemic and need erythropoiesis-stimulating agents.

  • Diagnosing and managing posttraumatic stress disorder
    Kumar Budur, MD, Tatiana Falcone, MD and Kathleen Franco, MD
    Cleveland Clinic Journal of Medicine February 2006, 73 (2) 121-129;

    PTSD not only affects soldiers, it also occurs in civilians exposed to severe trauma or serious illness. Manifestations commonly include nonspecific physical symptoms, and patients often present to their primary care physician.

  • Multiple sclerosis: Treating symptoms, and other general medical issues
    Myla D. Goldman, MD, Jeffrey A. Cohen, MD, Robert J. Fox, MD and Francois A. Bethoux, MD
    Cleveland Clinic Journal of Medicine February 2006, 73 (2) 177-186;

    Disease-modifying therapies have been a big advance in multiple sclerosis, but many patients still experience a variety of symptoms that reduce quality of life. We have to treat the whole patient.

  • <em>Clostridium difficile</em>-associated disease: New challenges from an established pathogen
    Clostridium difficile-associated disease: New challenges from an established pathogen
    Rebecca H. Sunenshine, MD and L. Clifford McDonald, MD
    Cleveland Clinic Journal of Medicine February 2006, 73 (2) 187-197;

    Clostridium difficile-associated disease (CDAD) is increasing in incidence and severity and may be becoming more difficult to treat. A new strain is causing many outbreaks.

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