Latest Articles

  • Evaluating and managing hypogammaglobulinemia
    Mark E. Rose, MD and David M. Lang, MD
    Cleveland Clinic Journal of Medicine February 2006, 73 (2) 133-144;

    Patients with frequent and recurrent respiratory infections should be tested for immune system abnormalities. This article describes common primary and secondary forms of hypogammaglobulinemia and how to evaluate and manage them.

  • Natriuretic peptide testing: A window into the diagnosis and prognosis of heart failure
    James L. Januzzi, MD
    Cleveland Clinic Journal of Medicine February 2006, 73 (2) 149-157;

    BNP assays are now widely used to evaluate suspected heart failure, but they should not be the only criterion.

  • How should we advise patients about the contraceptive patch, given the FDA warning?
    Holly L. Thacker, MD, Tommaso Falcone, MD, Ashish Atreja, MD, MPH, Anil Jain, MD and C. Martin Harris, MD, MBA
    Cleveland Clinic Journal of Medicine January 2006, 73 (1) 45-47;

    In theory, patients could face a higher risk of thromboembolism than with oral contraceptives. But most of all we want to urge them not to simply stop using contraception.

  • What is osteopenia, and what should be done about it?
    Nelson B. Watts, MD
    Cleveland Clinic Journal of Medicine January 2006, 73 (1) 29-32;

    Because the term “osteopenia” is not useful as a diagnosis and can actually be harmful, I am on a personal crusade to eliminate it from the bone density lexicon.

  • Abdominal aortic aneurysms: What we don’t seek, we won’t find
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine January 2006, 73 (1) 8;

    We don’t find abdominal aortic aneurysms as often as we should. In some patients we should consider ultrasonographic screening.

  • In rebuttal: Osteopenia is a useful diagnosis
    Holly L. Thacker, MD and Bradford Richmond, MD
    Cleveland Clinic Journal of Medicine January 2006, 73 (1) 34-38;

    Eliminating the term “osteopenia” would foster complacency and a do-nothing attitude toward a serious and common disease.

  • Severe chest pain in a 32-year-old man
    Marc Williams, MD and Arnaldo G. Carvalho, MD
    Cleveland Clinic Journal of Medicine January 2006, 73 (1) 49-50;

    His electrocardiogram shows ST-segment elevation in leads I, II, aVF, and V5 and V6, but no reciprocal changes. What is the diagnosis?

  • Diabetes insipidus: Diagnosis and treatment of a complex disease
    Diabetes insipidus: Diagnosis and treatment of a complex disease
    Amgad N. Makaryus, MD and Samy I. McFarlane, MD, MPH
    Cleveland Clinic Journal of Medicine January 2006, 73 (1) 65-71;

    Diabetes insipidus can be life-threatening, and the treatment depends on the cause in the individual patient.

  • Should we screen for abdominal aortic aneurysms?
    Ahmed Abdel Latif, MD, Amjad AlMahameed, MD, MPH and Michael S. Lauer, MD
    Cleveland Clinic Journal of Medicine January 2006, 73 (1) 9-22;

    The short answer is yes, but only in the right patients.

  • Contrast-induced nephropathy: How it develops, how to prevent it
    Michael R. Rudnick, MD, Aaron Kesselheim, MD and Stanley Goldfarb, MD
    Cleveland Clinic Journal of Medicine January 2006, 73 (1) 75-87;

    The evidence and our recommendations for using hydration, N-acetylcysteine, sodium bicarbonate, theophylline, and hemofiltration.

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