Cleveland Clinic Journal of Medicine: 61 (1)

January 01, 1994; Volume 61,Issue 1

Highlights from Medical Grand Rounds

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Management of kidney stones: how new technology has affected the indications for intervention
Stevan B. Streem, MD
Cleveland Clinic Journal of Medicine January 1994, 61 (1) 13-14;
Now that stones can be treated noninvasively on an outpatient basis, intervention is often less expensive and more humane than to "wait and see."
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Enteropathic arthritis
Verna Wright, MD
Cleveland Clinic Journal of Medicine January 1994, 61 (1) 14-16;

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A pregnant woman with shortness of breath
James K. Stoller, MD, Janis A. Roberts, DO and Anita M. Arnold, DO
Cleveland Clinic Journal of Medicine January 1994, 61 (1) 19-22;
The authors guide the reader through a challenging diagnosis.

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Durability of bipolar coaxial endocardial pacemaker leads compared with unipolar leads
Marcelo E. Helguera, MD, Sergio L. Pinski, MD, James D. Maloney, MD, Javier R. Woscoboinik, MD, Richard G. Trohman, MD, Victor A. Morant, MD, Bruce L. Wilkoff, MD and Lon W. Castle, MD
Cleveland Clinic Journal of Medicine January 1994, 61 (1) 25-28;
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Long-term follow-up of children after repair of atrial septal defects
James Mandelik, MD, Douglas S. Moodie, MD, Richard Sterba, MD, Daniel Murphy, MD, Eliot Rosenkranz, MD, Sharon Medendorp, MPH and Andrea Kovaks, BS
Cleveland Clinic Journal of Medicine January 1994, 61 (1) 29-33;

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Glycemic control and complications of diabetes mellitus: practical implications of the Diabetes Control and Complications Trial (DCCT)
Byron J. Hoogwerf, MD and Ben H. Brouhard, MD
Cleveland Clinic Journal of Medicine January 1994, 61 (1) 34-37;
The DCCT results provide new impetus to find better ways to achieve near-normal glycemia.
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Changing the course of diabetic nephropathy: angiotensin-converting enzyme inhibition in type I diabetic renal disease
Marc A. Pohl, MD
Cleveland Clinic Journal of Medicine January 1994, 61 (1) 38-42;
An overview of the Collaborative Study Group trial, which found that ACE inhibition slows the loss of renal function in diabetes.

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Diagnostic evaluation of the patient with coronary artery disease
Fredric J. Pashkow, MD
Cleveland Clinic Journal of Medicine January 1994, 61 (1) 43-48;
Evaluation of patients with possible CAD involves balancing conflicting considerations, such as test sensitivity and accuracy, cost, and access.

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Issues in the diagnosis and management of malignant disease
Maurie Markman, MD
Cleveland Clinic Journal of Medicine January 1994, 61 (1) 50;
Introduction to a new regular series of succinct reviews of cancer care relevant to non-oncologists.
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Ovarian cancer update: management challenges and advances
Maurie Markman, MD
Cleveland Clinic Journal of Medicine January 1994, 61 (1) 51-58;
Suspicion of ovarian cancer is especially important when working up postmenopausal women with vague abdominal complaints or a palpable ovary.

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Labetalol and other agents that block both alpha- and beta-adrenergic receptors
Donald G. Vidt, MD, Alan Bakst, PharmD, Carolyn J. Pearce, MD and J. David Wallin, MD
Cleveland Clinic Journal of Medicine January 1994, 61 (1) 59-69;
A review of how these agents can be used in managing difficult-to-control hypertension.

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Intrahepatic cholestasis during nicotinic acid therapy
Sanat D. Patel, MD and Harris C. Taylor, MD
Cleveland Clinic Journal of Medicine January 1994, 61 (1) 70-75;

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Antiviral therapy in HIV infection: practical guidelines
Michael F. Para, MD
Cleveland Clinic Journal of Medicine January 1994, 61 (1) 76-77;
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Treating hypertension in older patients: special considerations
Sheldon G. Sheps, MD
Cleveland Clinic Journal of Medicine January 1994, 61 (1) 77;

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DNR orders and length of stay
Janicemarie K. Vinicky, PhD
Cleveland Clinic Journal of Medicine January 1994, 61 (1) 78-79;
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In reply: DNR orders and length of stay
George A. Kanoti, STD
Cleveland Clinic Journal of Medicine January 1994, 61 (1) 79;