Driver Partially Ejected From Vehicle
He wasn't wearing a seatbelt when his truck went into a ditch; his leg was caught in the window. What is the extent of... More
Woman Blacks Out Repeatedly, Doesn't Remember Doing So
Her fellow residents at the skilled nursing facility say it's happened three times during their card games. What does... More
Foot Rash + Gnarly Toenails = Man in Need of a Diagnosis
For several years, a 66-year-old man has had an itchy rash on his right leg; recently, it has become more bothersome.... More
Wife Says Husband Needs to Use Moisturizer
A 72-year-old man self-refers to dermatology at the insistence of his wife, who wants confirmation of her assertion... More
With Rashes, Consider the Source (Or Lack Thereof)
A 44-year-old man presents with what his primary care provider called “ringworm.” The condition has not responded to... More

CE/CME Activities

Sara Freeman, Bianca Nogrady, Tara Haelle, Mary Ann Moon, Bruce Jancin
Topics include: Intensive therapy for psoriatic arthritis • Subclinical hyperthyroidism and fracture risk • Oral contraceptives and VTE risk • Statins, fibrates, and stroke in the elderly • Cystic fibrosis­­–related di... More »

CE/CME Activities

Mary Ann Moon, Amy Karon, Gregory Twachtman, Bianca Nogrady
Topics include: COPD exacerbation guidelines • GI symptoms in Parkinson disease • Measles vaccine • Cardiac screening in low-risk patients • Diabetes and acute MI • Risk for zoster in psoriasis... More »

CE/CME Activities

Mary Ann Moon, Tara Haelle, Sharon Worcester
Topics include: Treatment for skin infections • Postmenopausal hormone therapy • Depression and cardiac risk • T2DM and familial hypercholesterolemia • Crohn disease remission... More »

Clinical Features

Lubaina Presswala, DO, Jay Shubrook, DO, FAAFP, FACOFP, BC-ADM
These strategies can help you optimize glucose control in your patient with type 2 diabetes when basal insulin alone is insufficient.... More »


ClinicalEdge provides succinct summaries of the latest “must-read” news and research. Here are several recent updates on the management of pain in the primary care setting.... More »

Clinical Features

Ann M. Hoppel, Managing Editor
This article (reprinted from 2010) describes how a seemingly ordinary group of individuals took action to improve their profession—and founded the American Academy of Nurse Practitioners.... More »

Radiology Review

Nandan R. Hichkad, PA-C, MMSc
A 28-year-old man is brought to your facility by EMS for evaluation status post a motor vehicle accident. The patient was an unrestrained driver in a truck that went off the road into a ditch. The paramedics state that he was partially ejected, with ... More »

ECG Challenge

Lyle W. Larson, PhD, PA-C
A 74-year-old woman is transferred from a skilled nursing facility (SNF) for evaluation following three episodes of near-syncope in the past week. Each episode occurred while the patient was “at rest,” sitting at a table playing cards with her fe... More »


Joe R. Monroe, MPAS, PA
For several years, a 66-year-old man has had an itchy rash on his right leg; recently, it has become more bothersome. In general, he has noticed that when cold weather arrives, the rash improves slightly, but it inevitably worsens again as winter pro... More »


Amy L. Hazel, RN, MSN, CNP
Q) I have been treating a 60-year-old man with a long history of microscopic hematuria and waxing/waning proteinuria. What could be the cause of his hematuria? Hematuria is a consequence of erythrocytes, or red blood cells (RBCs), in the urine. Thi... More »


Amy L. Hazel, RN, MSN, CNP
Q) My hematuria patient had more significant proteinuria recently, so the nephrologist sent him for kidney biopsy. It was read as IgA nephropathy: “classic mesangial staining on IF with moderate-advanced chronic injury (15/32 gloms globally scleros... More »

Endocrine Consult

Ji Hyun Chun, PA-C, BC-ADM
Clinicians now have several options for helping patients who want to lose weight. Here is your guide to selecting appropriate therapy.... More »

From the NP Editor-in-Chief

Marie-Eileen Onieal, PhD, CPNP, FAANP
As our editorialist explains, “You can’t sit on the outside and complain if you don’t like something—go in and change it.” Here’s how she wants you to take action.... More »

Letter to the Editor

Janet Evans Emery, RN, MSN, CFNP
This article is a response to Randy D. Danielsen's editorial "Online Entry-Level Education: The Jury Is Still Out!" from the June 2015 issue of Clinician Reviews. Dear Dr. Danielsen, Thank you for addressing this latest controversy in PA/... More »

From the PA Editor-in-Chief

Randy D. Danielsen PhD, PA-C, DFAAPA
When Yale announced it was launching an online entry-level PA program, criticism was swift. But is distance learning "the way we live now"?... More »

MEDS 2014

Joe Largay, PA-C, CDE
Many diabetic patients also have disorders such as arthritis that require treatment with steroids—but there are adverse effects, particularly in people with diabetes. What are they?... More »

MEDS 2014

Joe Largay, PA-C, CDE
Most of the adult population that develops diabetes is diagnosed with type 2—but anywhere from 10% to 30% of adults may have type 1. Here's what you need to know to tell the difference, make the correct diagnosis, and offer effective treatment.... More »

MEDS 2014

What causes some patients with glucose problems to develop heart disease? Here are five risk factors that you need to be aware of.... More »


Naseem Miller
Enterovirus D68, which has been spreading rapidly across the nation causing mild to severe respiratory illnesses, is now under investigation for a possible link to several cases of paralysis in children. On Sept. 26, the Centers for Disease Control... More »