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Internal Medicine

Ciliary injection: A differential diagnosis for the patient with acute red eye

Samuel Powdrill, MPhil, PA-C  December 02, 2010

A case report helps demonstrate how to make an accurate diagnosis in patients presenting with this challenging ocular manifestation.

Hypertension:  Is BP out of  control or uncontrolled?

From CSAC, the Clinical and Scientific Affairs Council of the AAPA September 14, 2010

The condition is prevalent in all patient populations despite the availability of evidence-based guidelines for effective treatment and management.

Acute pancreatitis and croup

Dawn Colomb-Lippa, MHS, PA-C, Amy M. Klingler, MS, PA-C July 22, 2010

The general features, diagnostic criteria, and treatment modalities for acute pancreatitis and croup are reviewed.

What is hypertension?

Mary L. Hewett, PA-C, MS July 14, 2010

Hypertension is defined and how it is diagnosed is explained, including the severity levels for BP measurements.

Hyperphosphatemia: Understanding the role of phosphate metabolism

Daniel Podd, MPAS, PA-C July 07, 2010

An elevated phosphate level is an indicator of serious disease. Diagnosis is based on which other test results are abnormal.

What is the significance of this patient's pulsatile tinnitus?

Jason C. Fowler, MPAS, PA-C; Barry E. Hirsch, MD; Peter F. White, MD, FRCS June 28, 2010

Symptoms were worse when she tried to sleep, but there was no associated dizziness, vertigo, or otalgia.

An uncommon cause of mechanical small bowel obstruction

Joel Hill, PA-C November 09, 2009

An otherwise active and healthy, older man experiences a recurrence of GI symptoms that occur after eating.

Managing the adverse effects of bisphosphonate therapy on the jaw

Denise Rizzolo, PA-C, PhD, Mona Sedrak, PA-C, PhD November 03, 2009

Despite its undisputed benefits, bisphosphonate therapy can lead to jaw osteonecrosis, a devastating oral condition.

Cinacalcet may be used only for a select group of patients

October 16, 2009

QRS: Rotator cuff disease; Hyperparathyroidism

Understanding the link between HPV and oropharyngeal cancers

Denise Rizzolo, PA-C, PhD, Mona Sedrak, PA-C, PhD October 06, 2009

As traditional risk factors decline, investigators are investigating other potential risk factors for head and neck cancers.

Evaluation and management of peripheral edema

Beth E. Schroth, PA-C September 30, 2009

Edema can be treated systematically and comprehensively, based on an understanding of the pathophysiologic mechanisms involved. This approach encourages accurate diagnosis while ensuring safety and cost-effectiveness.

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.

Five steps to more effective treatment of hypertension in primary care

Margaret Allen, PA-C September 02, 2009

Hypertension should be controlled early and aggressively. These pointers can help streamline decisions for optimal long-term care.

Why was antiphospholipid antibody syndrome not included?

August 13, 2009

Genetic susceptibility to VTE: A primary care approach

Does treatment of new-onset hypertension reduce risk of stroke in the elderly?

Ashley D. Finch, PA-C; Karen Graham, MPAS, PA-C August 12, 2009

A search of the medical literature turned up three studies in which the benefits of treating hypertension in persons 80 years and older was demonstrated.

QRS: Alzheimer's disease; Myasthenia gravis

Dawn Colomb-Lippa, MHS, PA-C, Amy M. Klingler, MS, PA-C, Margaret King-Schumacher, PA-C,MJ July 21, 2009

Features, signs and symptoms, and treatment of Alzheimer's disease and myasthenia gravis are reviewed. Questions and answers that highlight important facts about these diseases are also included.

Genetic susceptibility to VTE: A primary care approach

Herbert D. Ridings, MA, PA-C; Lynn Holt; Rebecca Cook, MD; Marisa B. Marques, MD July 01, 2009

Patients with a genetic thrombophilia must be referred to a hematology specialist for long-term management.

Erythema infectiosum: Recognizing the many faces of fifth disease

Ellen D. Mandel, DMH, MPA, PA-C June 02, 2009

The multiple manifestations of this viral infection are described. Are you able to recognize these etiologies?

How to perform a comprehensive examination of the knee

LT Kerri Browne, MSBS, PA-C, CDR Christopher A. Kurtz, MD June 01, 2009

This step-by-step guide describes a thorough knee examination that will lead to an accurate diagnosis of knee pathology.

QRS: Asthma

Leslie Kole, PA-C May 20, 2009

This review of asthma includes prevalence, clinical assesment, diagnosis, classification, and management of patients with the condition.

The antibiotic challenge: Changing clinical management of infections

JoAnn Deasy, PA-C, MPH May 04, 2009

As common pathogens continue to evolve, updated guidelines help to successfully treat these infections.

Thanks for the reminder!

name withheld January 29, 2009

Sounding Board: A call to compassion

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.

Appendicitis: What helps to make the diagnosis?

Julie Vajnar, PA-C, RT April 01, 2008

A 73-year-old female presented to the emergency department with nontraumatic abdominal pain in the right lower quadrant (RLQ).

Acute systemic disseminated intravascular coagulation- Managing a complex medical condition

Danielle Kruger, BS, MS, RPA-C May 01, 2006

In patients with major trauma, DIC approximately doubles the mortality rate. In those with sepsis, 30% to 50% develop DIC. The chance that you will encounter this coagulation disorder during clinical practice is quite high.