TABLE OF CONTENTS

J f y E l A N D , C L I N I C JOURNAL0?

MEDICINE

VOLUME 57 • NUMBER 2 • MARCH • APRIL 1990

HIGHLIGHTS FROM MEDICAL G R A N D R O U N D S

WILLIAM S. WILKE, MD, EDITOR

Rational, cost-effective workup 115 for thyroid nodules LARRY KOHSE, MD

Novel uses for cyclosporine A 116 WILLIAM S. WILKE, MD

Keys to effective management 117 of chronic cancer pain T. DECLAN WALSH, MD

HIGHLIGHTS FROM CONTINUING EDUCATION

PTCA in evolution: Why is it so popular? 121 GEOFFREY O. HARTZLER, MD

REVIEW

The acute abdomen in the geriatric patient 125 DAVID P. VOGT, MD

C O N T R I B U T I O N S

The role of sigmoidoscopy 131 for asymptomatic patients EMMANUEL R. RIFF, MD KARL DEHAAN, MD AND GURDEV S. GAREWAL, MD

Factors influencing local recurrence of cancer 143 after partial mastectomy GEORGE CRILE.JR, MD AND CALDWELL B. ESSELSTYN, JR, MD

Congenital heart diseases associated 147 with coronary artery anomalies E. MURAT TUZCU, MD DOUGLAS S. MOODIE, MD JAMES L. CHAMBERS, DO PHILIP KEYSER, MD AND ROBERT E. HOBBS, MD

MANAGING A N D R O G E N EXCESS

P A R T I

WILMA F. BERGFELD, MD AND GEOFFREY P. REDMOND, MD, EDITORS

Managing androgen excess: toward 153 longer and better life WILMA F. BERGFELD, MD AND GEOFFREY P. REDMOND, MD

MARCH • APRIL 1990 CLEVELAND CLINIC JOURNAL OF MEDICINE 109

TABLE OF CONTENTS

Estrogen supplements in menopause 154 DELBERT L. BOOHER, MD

Androgenesis and androdynamics 161 in normal women DAVID C. CUMMING, MB, CHB

Menarche, menses, and menopause: 169 a brief review DAVID C. CUMMING, MB, CHB

E D I T O R I A L S

Conservative operations for breast cancer: 176 current issues and controversies ROBERT E. HERMANN, MD

Congenital heart diseases and coronary artery 178 anomalies: a comparison of experiences JAMES H. MOLLER, MD

C A S E R E P O R T S

Hydrochlorothiazide-induced 181 acute pulmonary edema MANI S. KAVURU, MD MUZAFFAR AHMAD, MD AND K. N. AMIRTHALINGAM, MD

Disseminated cutaneous fungal 189 infection and AIDS HOWARD A. ORIBA, MD JACOB S .LO, MS, MD AND WILMA F. BERGFELD, MD, FACP

Urticaria, nephritis, and pseudotumor cerebri 197 JEFREY LIEBERMAN, MD GORDON GEPHARDT, MD AND LEONARD H. CALABRESE, DO

B O O K R E V I E W S

HERBERT P. WIEDEMANN, MD, EDITOR

Parasitic infections in the compromised host 203 Reviewed by DAVID L. LONGWORTH, MD

Comprehensive gynecology review 203 Reviewed by DELBERT L. BOOHER, MD

Soft tissue tumors 203 Reviewed by WILLIAM R. HART, MD

Dermatologic surgery: principles and practice 204 Reviewed by TERI MCGILLIS, MD

D E P A R T M E N T S

Continuing Medical Education Calendar 192 Erratum 204

110 CLEVELAND CLINIC JOURNAL OF MEDICINE VOLUME 57 NUMBER 2