2011-2012 PANCE/PANRE Online Review Course

Sponsored by the University of Medicine and Dentistry of New Jersey (UMDNJ) Physician Assistant Program and accredited by AAPA, this course covers all topics on the NCCPA examination blueprint. New this year: Download MP3 files of all lectures!
Only $349 for the entire 5-module review course.

PA Job Link

The PA Job Link is provided by the American Academy of Physician Assistants and is a great asset for both job seekers and employers.

CME Spotlight

mycme.com offers FREE CME for physician assistants and other health-care professionals on a wide variety of topics in print and video. Please visit mycme.com for this month's featured courses.

AAPA Calendar

Stay up-to-date on meetings with the AAPA Calendar

Case Reports

Floppy iris syndrome: A drug-related complication of cataract surgery

, Barton L. Ramsey III, MD; Jennifer Childers, MS, PA-C May 07, 2012

Older patients who are about to undergo cataract removal should be asked to provide a complete medication history, one that includes drugs no longer being taken.
 

Localized, dull abdominal pain in 
an otherwise asymptomatic woman

April 16, 2012

Isolated abdominal tenderness in the absence of other abnormal physical examination 
and laboratory findings eventually leads to diagnosis of a rare and benign condition.
 

Vomiting and periumbilical pain from an unexpected source of infection

, Bettie Coplan, MPAS, PA-C April 09, 2012

The triad of abdominal pain, fever, and vomiting in this 11-year-old girl led the pediatrician to refer her to the emergency department (ED) for evaluation of possible appendicitis.
 

Renal artery stenosis: A correctable cause of resistant hypertension

, Paul M. Zack, MD; Abdulfatah Osman, MD March 12, 2012

A patient whose blood pressure had previously been well-controlled on a beta-blocker 
and an ACE inhibitor experiences rising BP levels and dyspnea on exertion.
 

Is this persistent tumor the cause of Bell palsy or something more severe?

, Glen M. Bowen, MD; Shawn Grimes, MPT; Randy G. Moon, PhD; Mark A. Hyde, MMS, PA-C February 21, 2012

Clinicians must take care to eliminate a number of entities before confirming a diagnosis 
of Bell palsy. A thorough examination and palpation help to confirm the condition.
 

Seizures induced by hot water in an 
otherwise healthy 18-month-old boy

February 13, 2012

Over several days, ordinary bathing causes a child to go limp and develop periorbital 
and lip cyanosis that resolves when he is removed from the water.
 

C-reactive protein: A clinically useful biomarker in renal cell carcinoma

, Jennifer DeLong, PA; Viraj A. Master, MD, PhD January 16, 2012

Biochemical markers of inflammation, specifically CRP, serve as adjuncts to TNM staging 
to help identify patients at increased risk for recurrence of kidney cancer.
 

Immune thrombocytopenic purpura develops in a 67-year-old female

, Alison C. Essary, MHPE, PA-C December 19, 2011

After a careful diagnostic workup and a process of elimination, the patient's attempt to treat her leg cramps was revealed to be the most probable cause of her hemorrhagic lesions.
 

Rhinocerebral mucormycosis: A rare fungal infection linked to diabetes

, December 05, 2011

Although usually prevented by the immune system, this disease is common in patients who are immunocompromised. As in this case, early detection and treatment are key.
 

Fusobacterium otitis causes a case of 
hydrocephalus and fatal meningitis

Erin N. Arrington; M. Michael Behnia, MD November 15, 2011

A delay in the administration of antimicrobial therapy resulted in lethal complications. To reduce the high morbidity and mortality rates, clinicians must begin early treatment.
 

Review Articles

Dysfunctional uterine bleeding from the primary care perspective

, 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.
 

An anti-inflammatory diet: The next frontier in preventive medicine

February 06, 2012

Although a healthy diet has long been encouraged for many reasons, research now shows 
a correlation between the foods we eat and biomarkers of inflammation.
 

Chikungunya virus: An emerging condition in the industrialized world

, Paul P. Rega, MD, FACEP; Christopher E. Bork, PhD, EMT-B, FASAHP January 23, 2012

Once found only in developing tropical nations, CHIKV has spread to the world at large. 
With proper management and close communication with authorities, it can be contained.
 

Interactions between supplements and drugs: Deciphering the evidence

December 12, 2011

Make sure you know what dietary supplements your patient uses because the potential for interaction with a medication you prescribe is significant.
 

The use of NIPPV therapy to treat 
patients with acute respiratory failure

November 09, 2011

Appropriate use of noninvasive positive pressure ventilation can decrease the morbidity and mortality rates associated with standard treatment for ARF.
 

Surgical Reviews

Surgical considerations in invasive breast cancer: A clinician's update

, Amy J. Goldberg, MD, FACS May 10, 2012

Breast cancer requires a multidisciplinary approach in which all clinicians should have a fundamental knowledge of the armamentarium of other team members.
 

Surgical treatment for osteochondral injuries of the articular knee surface

September 05, 2011

Techniques involving the transfer of osteochondral cylinders and implanting of cartilage cells in areas of damaged cartilage can reduce patients' pain and return them to an active lifestyle.
 

Laryngectomy: The silent unknowns and challenges of surgical treatment

August 01, 2011

Patients with laryngeal cancer who decide to have a total laryngectomy face a number of 
difficulties, including loss of speech and the consequent social isolation.
 

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