The Lesion That Grew Unbearable
A 49-year-old woman presents to dermatology with a lesion on her back. It’s been there for at least 20 years, slowly... More
Endometriosis: Expert Answers to 7 Crucial Questions on Diagnosis
The notorious delay in diagnosis associated with this condition stems in part from its ability to mimic other... More
Revenge of the Deer Stand
It’s that time of year: The wildlife aren’t the only casualties of hunting season.
“Spry” Woman Reports Rapid Heart Rate
She has no specific health complaints, but her home health nurse told her to get checked out. What does an ECG reveal?
A Streak of Trouble in Fingernail?
A 14-year-old girl is brought to dermatology by her mother, following referral from her pediatrician for evaluation of... More
Painful Lesion Hasn't Responded to Antibiotics
A woman presents with persistent "cellulitis" on her leg. What's the real source of her problem?
Prediabetes and Metabolic Syndrome: Current Trend
Lack of awareness of these growing health concerns may lead to treatment delays and subsequent increases in diabetes... More
Man Collapses While Playing Basketball
He'd been experiencing chest discomfort all morning but didn't mention it to anyone. What does an ECG reveal?
What's Wrong With This Picture?
Sometimes, when you're asked to check nasogastric tube placement, you find more than you bargained for.
Lesion Sprang Up Under His Nose (Well, to One Side, Actually …)
An 80-year-old man is brought in by family for evaluation of a lesion on his nose. It manifested several years ago, at... More
Writing Contest: Ever have a patient who changed the way you practice?
We'd like to hear about your experience! In 750 words or less, tell us your story. Describe your patient, the... More

CE/CME Activities

Topics include: Low-risk prostate cancer • CVD and extremes of sleep • S aureus in pediatric CAP • Sunscreens with DNA repair enzymes • Breastfeeding and postpartum MS relapse • Diabetes and dementia in seniors • Arrhythmia risk in psoria... More »


Annie Abraham, MSN, RN, FNP-BC, Susan Chaney, EdD, RN, FNP-C, FAANP, et al
Expires October 31, 2016 Prediabetes and metabolic syndrome are growing health concerns in the United States and around the world. Lack of awareness of current recommendations may lead to delays in treatment and subsequent increases in diabetes and... More »


Catherine B. Silver, MSPAS, Erin L. Leon, MSPAS, Sarah A. Zaino, MSPAS, et al
Expires September 30, 2016 The 2014 re-emergence of Ebola virus disease (EVD) quickly became the largest and deadliest outbreak of the disease ever recorded. Originating in Guinea, it spread to neighboring countries and others around the globe. As ... More »


K Kirley, MD, MS; J Broders Jarrett, PharmD, BCPS; Sandra Sauereisen, MD
Prednisone can help patients with community-acquired pneumonia stabilize more quickly and leave the hospital sooner.... More »


ClinicalEdge provides succinct summaries of “must-read” news and research. Here are several recently published guidelines on telemedicine, teen binge drinking, primary immunodeficiency, atopic dermatitis in children, obesity, and chronic kidney d... More »

Clinical Features

Janelle Yates
The notorious delay in diagnosis associated with this condition stems in part from its ability to mimic other diseases. The expert answers provided here are designed to help guide your assessment of the patient and achieve a timelier diagnosis.... More »

Radiology Review

Nandan R. Hichkad, PA-C, MMSc
As you begin your shift, knowing deer season has started in your area, you wonder how long it will be before you see your first deer stand casualty of the day. With your first patient, you wonder no more: A 30-year-old man presents for evaluation of ... More »

ECG Challenge

Lyle W. Larson, PhD, PA-C
An 84-year-old woman who recently relocated to be closer to her children presents to your practice as a new patient. She is a resident of an assisted living facility near your office, and although she has no specific complaints, she does report that ... More »


Joe R. Monroe, MPAS, PA
A 57-year-old woman is referred to dermatology for “cellulitis” that has persisted despite several courses of oral antibiotics (including cephalexin and trimethoprim/sulfamethoxazole). She denies taking any other medications and has no significan... More »


Jessica Knight, ACNP
Q) I’ve heard a lot of references to “renal denervation” and its use for resistant hypertension. What is it? Does it work? Is it common in the US? Renal denervation is a minimally invasive endovascular procedure that ablates (or disrupts) the... More »


Tia Austin Hayes, FNP-C
Q) Quite a few of my teenage patients are overweight. I know they are at risk for diabetes, but does their weight also affect their kidneys? Isn’t diabetes the main cause of kidney failure? The number one cause of chronic kidney disease (CKD) in ... More »

Endocrine Consult

Ji Hyun Chun, PA-C, BC-ADM
When patients have frequent or significant fluctuations in TSH, here is how you can identify—and manage—the underlying cause.... More »

From the NP Editor-in-Chief

Marie-Eileen Onieal, PhD, CPNP, FAANP
In 1995, because of an inadvertent overdose of chemotherapy, a mother of two and beloved Boston Globe health reporter died.1 In 2001, an 18-month-old daughter and sister died of dehydration and an erroneously administered narcotic.2 In 2003, a father... More »


Brian Sady, PA-C, MMSc
The author says experienced NPs and PAs are "held hostage" by collaborative agreements—and it's time for a change.... More »


Amy K. Arndt, MSN, APRN-NP
An NP in Nebraska explains the health and care of helping patients navigate their transition.... 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 »