SMJ // November 2001, Volume 94 - Issue 11
Expired CME Article
Antihypertensive Medications
Case Histories
Antinuclear Antibody–Negative, Drug- Induced Lupus Caused by Lisinopril
ABSTRACT:The clinical symptoms of drug-induced lupus (DIL) are similar to those of idiopathic systemic lupus erythematosus. The literature indicates that in patients with DIL, sera generally contain antinuclear antibodies (ANAs); however, ANA-negative DIL has been reported. The list of medications implicated as etiologic agents in DIL continues to grow. This…
Expired CME Article
Coding According to Local Medical Review Policy
Book Review
Death to Dust. What Happens to Dead Bodies?
Original Article
Delayed Diagnosis of Intracranial Aneurysms Confounding Factors in Clinical Presentation and the Influence of Misdiagnosis on Outcome
ABSTRACT:The initial presentation of intracranial aneurysm can be missed in routine clinical practice. An underlying aneurysm may have a subtle presentation that warrants definitive diagnostic procedures. A retrospective review of 270 patients with aneurysms at our institution revealed 40 patients (14.8%) with a significant delay in diagnosis before definitive treatment….
Expired CME Article
Hypertension 2001 Pearls for the Clinician
Case Histories
Intravenous Lidocaine in the Treatment of Hiccup
ABSTRACT:The word “hiccup” refers to an involuntary, spasmodic contraction of the diaphragm that is followed by the abrupt closure of the glottis to produce the characteristic sound. Among the many documented causes of this occurrence are those due to neurogenic dysfunction. In the past few decades, lidocaine has been shown…
Expired CME Article
Medication Update
News Potpourri
News Potpourri
Original Article
Randomized, Double-Blind, Placebo- Controlled Trial of Coenzyme Q10 in Isolated Systolic Hypertension
AbstractBackground.Increasing numbers of the adult population are using alternative or complementary health resources in the treatment of chronic medical conditions. Systemic hypertension affects more than 50 million adults and is one of the most common risk factors for cardiovascular morbidity and mortality. This study evaluates the antihypertensive effectiveness of oral…
Case Histories
Rapidly Progressive Visual Loss Caused by a Sellar Arachnoid Cyst Reversal With Transsphenoidal Microsurgery
ABSTRACT:Rapidly progressive vision loss is an uncommon presentation of a parasellar lesion. This report describes a patient with a sellar arachnoid cyst with suprasellar extension in whom rapidly progressive loss of vision was reversed by transsphenoidal microsurgical decompression and cyst fenestration. The differential diagnosis of cystic lesions of the sella…
Expired CME Article
Renovascular Hypertension Can We Identify a Population at High Risk?
ABSTRACT:Renovascular hypertension is a common cause of secondary hypertension. However, diagnostic tests are limited by lack of sensitivity and specificity, cost, or invasiveness. Selecting patients with hypertension for evaluation of renal artery stenosis can be challenging. This review focuses on the sensitivity and specificity of commonly used screening tests for…
