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.
Scalp Mass Is Painful and Oozes Pus
Four weeks ago, an 8-year-old boy developed a skin lesion in his scalp that manifested rather quickly and caused pain.... More
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
The Eyes Have It, and It Itches Like Crazy
For several months, a 69-year-old woman has had a rash around her eyes. It is terribly symptomatic, burning and itching... More
Obstructive Sleep Apnea: Evaluation and Management
Patients with undiagnosed/untreated OSA are at increased risk for cardiovascular and cerebrovascular consequences.... 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 »


Bonnie A. Dadig, EdD, PA-C, Morgan Edwards, PA
Expires August 31, 2016 Nearly 22 million Americans are affected by obstructive sleep apnea (OSA), making it the most common sleep disorder. Patients with undiagnosed and untreated OSA are at increased risk for cardiovascular and cerebrovascular he... More »


Neil Skolnik, MD
ClinicalEdge provides succinct summaries of the latest “must-read” news and research. Here are several recent studies on antidepressants: in comparison with cognitive therapy, use in early pregnancy, and associated risk for suicidal behavior.... More »

Clinical Features

Michael Malone, MD
Although most cases of dyspepsia lack a structural cause, patients often suffer intermittently for years. This article and treatment algorithm present an optimal patient management approach.... More »


We'd like to hear about your experience! In 750 words or less, tell us your story. Describe your patient, the challenges of his or her care, and the events that made you re-evaluate how you practice. Please refer to the Author Guidelines for general... More »


Joe R. Monroe, MPAS, PA
Four weeks ago, an 8-year-old boy developed a lesion in his scalp that manifested rather quickly and caused pain. Treatment with both topical medications (triple-antibiotic cream and mupirocin cream) and oral antibiotics (cephalexin and trimethoprim/... More »

Radiology Review

Nandan R. Hichkad, PA-C, MMSc
A 90-year-old woman, admitted for altered mental status, just had a nasogastric tube placed to facilitate nutrition and medication delivery. The ICU nurse asks you to review an abdominal radiograph to confirm correct placement, since several attempts... More »

ECG Challenge

Lyle W. Larson, PhD, PA-C
A 46-year-old man is playing intramural basketball when he suddenly collapses on the court. Bystander CPR is begun; the patient is revived immediately without need for cardioversion or defibrillation. He regains consciousness before EMS arrives and, ... 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 »


Cynthia A. Smith, DNP, APRN, FNP-BC
Q)  I am getting calls from patients saying they heard a “stomach medicine” would hurt their kidneys. What is the basis, and how should I respond? Emerging evidence is suggestive of a causal association between proton pump inhibitor (PPI)... More »


Debra L. Coplon, DNP, DCC
Q) At a lecture I recently attended, the speaker said sulfamethoxazole/trimethoprim is a potentially dangerous medication. I use it all the time. Is there any data to support her comments? Where did she get her information? Sulfamethoxazole/trimetho... 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 »


John Oliphant, PA-C
The author interviews Jerry Kollie, PA, President of the Liberia National Physician Assistants Association, about how the deadly outbreak affected clinicians in his country.... 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 »