Boy Has Had “Bald Spot” Since Birth
He's 8 now and the object of teasing by his classmates. Can anything be done to help him?
What Does This Man Need (Besides Milk & Cookies)?
The medical assistant at his skilled nursing facility noticed the patient's heart rate was slow. How does an ECG round... More
An Incidental Finding During Neuro Evaluation
The patient presents for evaluation of a brain tumor. While reviewing imaging studies, you notice something on her... More
Woman, 64, With Eye Pain, Swelling, and Tearing
A 64-year-old woman presented to the clinic with a two-to-three-week history of significant pain, swelling, and... More
Pediatric T2DM: A Growing Threat to US Health
The increasing prevalence of type 2 diabetes requires effective lifestyle intervention and vigilant disease... More
Oral Anticoagulants and Nonvalvular A-fib: A Balancing Act
Patients with nonvalvular atrial fibrillation (A-fib) have a fivefold greater risk for ischemic stroke than those... More
Lesions’ Pattern Helps Line Up Diagnosis
Antifungal treatments haven't stopped this 6-year-old boy's asymptomatic lesions from spreading. What diagnostic clue... More
Modern Realities of Kidney Stones
To learn more about the diagnosis and management of kidney stones, visit our topic channel.

CE/CME Activities

Jo Hanna Friend D’Epiro, PA-C, MPH
Expires April 30, 2016 Although overshadowed in the headlines by a sharp increase in measles cases, mumps too is making a comeback, with outbreaks throughout 2014 and early 2015. Many of today’s clinicians have never seen a case of mumps, let alo... More »
 

CE/CME Activities

Ashlyn Smith, PA-C
Expires March 31, 2016 The increasing prevalence of type 2 diabetes mellitus (T2DM) in children and adolescents is a serious health threat that urgently requires effective lifestyle intervention in at-risk patients, vigilant disease management for ... More »
 

CE/CME Activities

Deedra Harrington, DNP, MSN, APRN, ACNP-BC, Janis R. Guilbeau, DNP, RN, FNP-BC,
Expires February 29, 2016 Patients with nonvalvular atrial fibrillation (A-fib) have a fivefold greater risk for ischemic stroke than those without. Newer oral anticoagulants reduce this risk—but also increase risk for serious bleeding, including... More »
 

Clinical Features

Marisa Menchola, PhD, Barry D. Weiss, MD
Primary care providers are ideally positioned to support patients with Alzheimer disease—and their families—through all facets of the disease, from initial diagnosis to end-of-life care.... More »
 

Clinical Features

Amanda J. Chaney, MSN, ARNP, FNP-BC
While these complications greatly increase mortality from decompensated cirrhosis, effective treatment is possible with early diagnosis. Vigilant patient management—including prophylactic antibiotics postinfection—can enhance quality of life and ... More »
 

Malpractice Chronicle

David M. Lang, JD, ­PA-C
When "the thing speaks for itself," does the defense have a chance?... More »
 

Radiology Review

Michael Durbin, PA-C
A 15-year-old boy presents for evaluation of left wrist pain. He says that two days ago, while playing football, he fell onto his outstretched left hand, which twisted upon impact with the ground. Immediately after the fall, he experienced severe pai... More »
 

Radiology Review

Nandan R. Hichkad, PA-C, MMSc
A 55-year-old man undergoes an elective craniotomy for tumor resection, with uneventful preoperative and intraoperative stages. Immediately postoperative, however, he experiences seizures. Noncontrast CT of the head is negative except for postoperati... More »
 

ECG Challenge

Lyle W. Larson, PhD, PA-C
Those symptoms first appeared two weeks ago. Now, this woman also has abdominal pain. What does an ECG add to the clinical picture?... More »
 

Endocrine Consult

Joy A. Dugan, MPH, PA-C
Four cases illustrate how to handle different manifestations of thyroid disorders in pregnant women.... More »
 

funDERMentals

Joe R. Monroe, MPAS, PA
Two months ago, a tender lesion manifested on the dorsum of a 14-year-old boy’s right foot. Before it appeared, there was a tiny papule in the same spot; the boy’s mother says they thought it was a wart and attempted to remove it. As a result, th... More »
 

funDERMentals

Joe R. Monroe, MPAS, PA
A month ago, a 33-year-old woman noticed skin changes on her arms and face. The affected areas have recently begun to itch and burn—particularly, the patient notes, since she spent an extended period in the sun over the weekend. She has used an ant... More »
 

From the PA Editor-in-Chief

Randy D. Danielsen PhD, PA-C, DFAAPA
It's true, friends and colleagues: Spit is the latest, greatest trend in health care! Here's why.... More »
 

Guest Editorial

Kevin Ballard, DNP, APRN, FNP, FAANP, Stacey Pfenning, DNP, APRN, FNP
The authors make a case for improved scope of practice acts, based on the unintended consequences of the reclassification of hydrocodone from Schedule III to Schedule II.... More »
 

Letter to the Editor

Maribelle Guloy, MSHS, CCRP
This article is a response to Randy D. Danielsen's editorial "Going for the Gold" from the February 2015 issue of Clinician Reviews. Hello Dr. Danielsen, Your statement about the profit-driven health system captured my attention. The ... 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

Joyce L. Ross, MSN, CRNP, CCS, FNLA, FPCNA
What causes some patients with glucose problems to develop heart disease? Here are five risk factors that you need to be aware of.... More »
 

News

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 »