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Letters

The title sums up celiac disease: common and often overlooked

Some unopposed estrogen products require progestogen protection

Pending health care reform bills are addressing costs

Five-day dosing regimen for Dacogen approved for myelodysplastic syndromes (MDS)

March 12, 2010

Trelstar 22.5mg approved for palliative treatment of prostate cancer

March 11, 2010

Botox approved for upper limb spasticity

March 10, 2010

Eliminating health disparities: What works?—March 2010

This column examines recent literature on health disparities, emphasizing tools that can help clinicians to assess and address disparities in their own practices. This month's subject: New information about the causes, results, and elimination of health disparities.

Ask a Librarian!—March 2010

Need more information about genetics or about patient assessment instruments and tests? This month's column discusses resources that can help.

POEMs

Maternal blood testing can accurately identify fetal sex

Elderly with higher BMI have lower mortality risk

H1N1 pandemic flu symptoms are generally mild, brief

Acute-onset visual floaters and flashes is linked to retinal detachment

Daily aspirin has limited benefit in patients with diabetes

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Latest Features

Drain placement with antibiotics provides effective therapy for appendicitis in pregnancy

Conservative management is used effectively to treat a woman with a ruptured appendix at 32 weeks' gestation.

A rare presentation of metastatic breast cancer in a woman with apparent cholangiocarcinoma

Jaundice and intermittent abdominal pain were the only clues to a primary breast cancer that manifested without the usual symptoms.

How to approach the physical examination of a shoulder injury

Key factors from the history help with establishing a differential diagnosis and selecting proper tests for assessing a shoulder injury.

Use of mild therapeutic hypothermia to treat cardiac arrest

Induced hypothermia, used to prevent brain ischemia during cardiac surgery, can also effectively treat out-of-hospital cardiac arrest.

New Commentary

Yes, I'm his daughter—and I'm also a physician assistant

Sarah Zarbock, PA-C March 04, 2010

The author explores what happens as the roles of medical professional and daughter coincide when her elderly father is hospitalized with pneumonia.

A grief observed: A belated bill must finally be paid

Brian T. Maurer, PA-C February 25, 2010

An encounter with a patient last seen 6 years previously reminds the author that there's no escaping grief. It always catches up with us.

Clinical Departments

Pain management: Opioid use in chronic noncancer pain

From CSAC, the Clinical and Scientific Affairs Council of the AAPA March 11, 2010

Concerns about prescribing controlled substances and the potential for addiction should not prevent PAs from adequately managing chronic noncancer pain.