August 2009 22 8 Issue of JAAPA

August 2009 22 8 Issue of JAAPA

Editorial

Making connections: Good for PAs, and for patients

PAs can help patients recognize the importance of their relationships by evaluating their own connections.
 

A niche for PAs to effect change in our health care system

A fellowship with the NCPS showed this PA how he and other PAs can effect positive change in our health care system.
 

Letters

Artist's rendition of hemangioma was not realistic

Infantile hemangioma: How to treat this benign neoplasm of childhood
 

Why was antiphospholipid antibody syndrome not included?

Genetic susceptibility to VTE: A primary care approach
 

Dermatology Digest

Pruritic rash on the legs of a sports enthusiast

What caused the gradually worsening rash that appeared on this man's legs 6 hours after he completed a round of golf in the South Carolina ...
 

A Day in the Life

A Day in the Life: Shana Perman, PA-C

Babies in the neonatal intensive care unit face many struggles, from intubation to gastric surgery to eye surgery. The reward comes in seeing a baby ...
 

CME

Carcinoma of unknown primary: Searching for the origin of metastases

Diagnostic tests and select imaging studies can help identify the potential, and often elusive, primary tumor.
 

How to diagnose and manage an acute Achilles tendon rupture

Patients with this complex and disabling injury need to be prepared for a long healing process, regardless of treatment modality.
 

CME Posttests

 

Case Reports

An elusive tumor in a man who has evidence of prostate cancer metastasis

Conventional imaging studies failed to locate the metastasis in a patient with an elevating PSA level. Scintigraphy revealed the tumor.
 

Stone-induced ruptured calyx in a patient with a horseshoe kidney

A soldier in Afghanistan reports bloody urine, dysuria, and diffuse abdominal pain, leading to discovery of a congenital anomaly.
 

Surgical Review

Use of drug-eluting stents for patients with coronary heart disease

Which patients are good candidates for drug-eluting stents, and how do we ensure the best long-term outcome?
 

Critically Appraised Topic

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

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.
 

What's New

Best treatment of nonhealing and problematic wounds

The latest wound-care modalities focus on stimulation of dermal growth and angiogenesis, new dressings, and specialized treatment centers.
 

Sounding Board

Lessons from a stitch in time

Reviewing the symptoms, taking the history, and coming up with a diagnosis is just the first part of the process. Following up with effective teaching ...
 

POEMs

Insulin analogues provide marginal, if any, benefit

Clinical question: Are insulin analogues safer and/or more effective than older insulins?
 

Aspirin benefits uncertain in patients with PAD

Clinical question: Is aspirin useful in reducing the risk of cardiovascular events in adults with peripheral artery disease (PAD)?
 

High false-positive rate seen with repeated, multimodal screening for cancers

Clinical question: When patients undergo repeated screenings for multiple cancers, how often do false-positive results occur?
 

BP lowering by any means is beneficial for most patients

Clinical question: What is the relationship between antihypertensive choice, BP lowering, and outcomes in patients with normal and elevated BP, and those with and without ...
 

Blunt abdominal trauma score predicts absence of organ injury in children

Clinical question Does a scoring system using clinical, laboratory, and radiographic criteria reliably predict the absence of organ injury in children with blunt abdominal trauma?
 

American Pain Society guidelines for low back pain

Clinical question: What treatments for low back pain are effective?
 

Diagnostic Imaging Review

An unresponsive airline passenger with miosis

A middle-aged man is found unconscious in the international terminal of the airport with pinpoint pupils and a white powdery substance around his nose and ...
 

Humane Medicine

Rhyme and reason: Searching for poems in medical practice

A teen-age patient presents with fatigue and malaise. Her vague symptoms do not lead to a diagnosis, but the poem gleaned from her care is ...
 

Case of the Month

Persistent malodorous breath in a youngster

A young boy has multiple episodes of foul-smelling breath so severe that he is ridiculed at school. After 5 months and several rounds of antibiotics, ...
 

Ask a Librarian

Ask a Librarian!—August 2009

How do you find good quality information on complementary and alternative medicine, and why aren't all medical journals indexed in Medline? This month's installment answers ...
 

Eliminating Health Disparities: What Works?

Eliminating health disparities: What works?—August 2009

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 ...
 
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