Fear of “Contagion” Keeps Man’s Girlfriend Away
A 25-year-old man presents to dermatology with a “yeast infection” at the corners of his mouth that has failed to... More
Child With "Distressing" Problem
A "bald spot" is the chief complaint of a 12-year-old girl brought for evaluation by her mother.
Nontraumatic Knee Pain: A Diagnostic & Treatment Guide
Little has been written about nontraumatic nonarthritic knee pain in adults. This article fills that void with... More
Marathon Runner Has History of A-fib
He denies exertional angina or dyspnea and says he has had no A-fib recurrences in the past six months. But what does... More
Seizure Prompts Man to Fall
Following his fall down stairs, the patient is complaining of left-sided weakness and right ankle pain. An x-ray... More
One Palm, Two Soles, Three Guesses on Diagnosis
A 27-year-old man, who works as an electrician, self-refers for evaluation of changes on his left palm. He first... More
As Problem Spreads, Man Seeks Help
He first noticed the asymptomatic rash around his ankles. But in the space of months, it spread up to his legs to his... More
Postoperative Patient Suddenly Worsens
He was doing fine, then abruptly started experiencing seizures. What does an x-ray reveal?
Leg Swelling Accompanied by Weight Gain
Those symptoms first appeared two weeks ago. Now, this woman also has abdominal pain. What does an ECG add to the... More
Mumps–It’s Back!
Mumps is making a comeback, with outbreaks throughout 2014 and early 2015. Here’s what to look for and what to do.
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?

CE/CME Activities

Mary Ann Moon, Tara Haelle, Sharon Worcester
Expires January 1, 2016... More »
 

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 »
 

News

O. T. Wendel, PhD
Editor’s Note: Ted Wendel, Senior Vice President for University Strategic Initiatives at A.T. Still University in Mesa, Arizona, is currently in Nepal on a humanitarian relief mission with Project HOPE. Project HOPE delivers essential medicines and... More »
 

Clinical Features

Ann M. Hoppel, Managing Editor
In recognition of Mental Health Month—and our 25th anniversary—this article (reprinted from 2008) reveals how little has changed about care for the mentally ill.... More »
 

Clinical Features

Carlton J. Covey, MD, FAAFP, Matthew K. Hawks, MD
Little has been written about nontraumatic nonarthritic knee pain in adults. This article fills that void with practical tips and an at-a-glance resource.... More »
 

Radiology Review

Nandan R. Hichkad, PA-C, MMSc
A 70-year-old man is brought to your facility by EMS following a new-onset, witnessed seizure. He reportedly fell down some steps. On arrival, he has returned to baseline but is complaining of left-sided weakness and right ankle pain. Medical histo... More »
 

ECG Challenge

Lyle W. Larson, PhD, PA-C
A 52-year-old man has a cardiac diagnosis of paroxysmal atrial fibrillation (A-fib). An echocardiogram demonstrates no valvular heart disease and a left ventricular ejection fraction of 62%. There are no symptoms to suggest left ventricular dysfuncti... More »
 

DermaDiagnosis

Joe R. Monroe, MPAS, PA
A “bald spot” is the chief complaint of a 12-year-old girl brought for evaluation by her mother. The lesion in her left parietal scalp has been there since birth, slowly growing but producing no symptoms. Although the child’s primary care pr... More »
 

funDERMentals

A 25-year-old man presents to dermatology with a “yeast infection” at the corners of his mouth that has failed to respond to anti-yeast creams (nystatin, clotrimazole) and oral medications (fluconazole). He has also tried a variety of “home rem... More »
 

Q&A

Elizabeth C. Evans, RN, MSN, CNP, DNP
Q) I’ve heard a lot of talk about all the kidney problems that the sugarcane workers in Central America have. Does anyone know why this is happening? The unusually high rates of chronic kidney disease (CKD) among sugarcane workers in Central Ame... More »
 

Q&A

Elizabeth C. Evans, RN, MSN, CNP, DNP
Q) Our radiology department is discussing use of IV magnesium for diabetic patients to “protect them from kidney injury.” Is this a standard of care now? Magnesium, the fourth most abundant cation in the body, plays an important physiologic rol... More »
 

From the NP Editor-in-Chief

Marie-Eileen Onieal, PhD, CPNP, FAANP
Although we pride ourselves on our pearly whites, do we devote enough attention to proper oral health?... 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 »
 

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 »