Endocrinology

Acute and chronic adrenal insufficiency

Jami S. Smith, MPA, PA-C May 08, 2012

This month, the authors review acute adrenal insufficiency and chronic adrenocortical insufficiency (Addison disease).

Dysfunctional uterine bleeding from the primary care perspective

Heidi M. Felix, MPAS, PA-C, Daniel Cervonka, DHSc, PA-C April 23, 2012

PAs need to be informed about the diagnosis and management of excessive uterine  bleeding, which is one of the most common reasons women seek gynecologic care.

When does treatment of subclinical  hypothyroidism reduce cardiovascular risk?

Chioma Ngumezi, MMS, PA-C, Mark E. Archambault, DHSc, PA-C February 21, 2012

Patients with subclinical hypothyroidism may have a higher risk of coronary events and in some cases should be treated.

Hypoparathyroidism and Meniere disease

Barbara Poetzsch, PhD, RPA-C, Jami S. Smith, MPA, PA-C January 18, 2012

This month's brief review of subjects that may be covered on the PANRE includes Meniere disease and hypoparathyroidism.

What caused the medical emergency in this patient with type 1 diabetes?

Kenneth Szwak, MHS, PA-C, William A. Wild, DO November 04, 2011

Even though patients in diabetic ketoacidosis commonly present with hyperglycemia,  normal blood glucose levels don't allow you to rule out this diabetic emergency.

Starting levothyroxine therapy; treating pernicious anemia

Larissa DeDea, PharmD, BCPS, PA-C October 26, 2011

This month's topics are how to initiate treatment in patients with hypothyroidism and cobalamin dosing in patients with pernicious anemia.

Testosterone replacement therapy: Take an informed, individualized approach

Bettie Coplan, MPAS, PA-C, Jacqueline Spiegel, MS, PA-C; Ilona Bleaman, MHPE, PA-C; James Roch, MPAS, PA-C January 01, 2011

Endocrine Society guidelines support prescribing testosterone to patients with hypogonadism, but individual treatment may be best.

Thymoma: An uncommon cause of persistent anterior wall chest pain

Justin H. Ezell, MPAS, PA-C, Major Alcario Serros, DO October 18, 2010

Previously diagnosed as costochondritis, chest pain that persisted despite treatment prompted a search for an alternate diagnosis.

What's new in diabetes: A1C assay emerges as a diagnostic test for diabetes

Karen A. Beer, PA-C, RD, CDE February 19, 2010

A committee of international experts recommends use of the A1C assay as the new standard diagnostic test for diabetes.

Persisting shin tenderness and erythema

David M. Alden-St. Pierre, MS, PA-C October 20, 2009

This patient experienced shin pain after a long walk. The next day, an ankle sprain was diagnosed. The clue was in his medical history of thyroid cancer.

Cinacalcet may be used only for a select group of patients

October 16, 2009

QRS: Rotator cuff disease; Hyperparathyroidism

Rotator cuff disease; Hyperparathyroidism

Dawn Colomb-Lippa, MHS, PA-C, Amy M. Klingler, MS, PA-C September 29, 2009

Rotator cuff disease and hyperparathyroidism are described, including signs and symptoms, clinical assessment, diagnosis, and treatment.

Obesity: The current treatment protocols

From CSAC, the clinical and scientific affairs council of the AAPA January 01, 2009

The National Health and Nutrition Examination Surveys (NHANES) have tracked an increase in overweight and obese persons in the United States from 1976 through 2006. The rates of adult obesity in the United States have doubled between 1976 and 2004.