Articles

MELVIN D. CHEITLIN, M.D.
The etiology and pathophysiology of aortic regurgitation are important factors to consider in determining if or when valve replacement is indicated. Guidelines developed by a joint task force from the American College of Cardiology and the American Heart Association can help physicians evaluate and manage asymptomatic patients.

WILLIAM J. HUESTON, M.D.
The management of hypothyroidism focuses on ensuring that patients receive appropriate thyroid hormone replacement and monitoring their response to therapy. Laboratory values should be assessed six to eight weeks after any dosage change.

EDWARD R. FELLER, M.D., SILVANA RIBAUDO, M.D., and NEIL D. JACKSON, M.D.
Clinicians should be aware that gynecologic complications may be the initial manifestations of Crohn's disease.

THOMAS R. RILEY III, M.D., M.S., and AHSAN M. BHATTI, M.D.
Strategies to prevent complications in patients with cirrhosis include yearly endoscopy to detect varices, beta blockers for prophylaxis against varices, screening to detect early hepatocellular carcinoma, appropriate immunizations, maintenance of a balanced diet, careful preoperative assessment and referral for transplantation before signs of advanced liver decompensation occur.

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