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August 2010 23 8 Issue of JAAPA

Commentary

Physician assistant role flexibility and career mobility

The authors discuss some of the implications of PA career flexibility, which has long been a hallmark of the profession and was one of its ...

Pharmacology Consult

Fracture risk with PPIs and allergy to IV contrast

This month's questions: Do proton pump inhibitors cause fractures? Are people with iodine or shellfish allergy also allergic to IV contrast?

Letters

Another resource for physician assistants interested in global volunteerism

Health care volunteerism: What PAs need to know before making a trip

Dermatology Digest

Is this lesion on the gum a worrisome sign?

Excision and biopsy are used to evaluate a slow-growing, asymptomatic lesion on the patient's right upper gum.

A Day in the Life

A Day in the Life: Timothy Sayles, MPAS, PA-C

The author recounts the challenges and rewards of practicing at a rural health clinic in central Texas.

CME

Emergency or urgency? How to effectively manage a hypertensive crisis

Distinguishing between hypertensive emergency and urgency is paramount to preventing target organ damage.

Acute evaluation and management of the anterior shoulder dislocation

PAs, especially those in emergency or urgent care settings, should be familiar with several techniques.

CME Posttests

CME Posttest: Anterior shoulder dislocation; Hypertensive crisis

August 2010

AAPA Special Article

Disclosure of medical errors: The right thing to do

Honest disclosure of medical errors that harm patients is every physician assistant's professional responsibility.

Case Reports

Rapidly growing abdominal tumor in a toddler

Worsening abdominal distention, intermittent vomiting, a palpable mass, and decreased activity signaled a life-threatening malignancy.

BRCA gene testing in a woman with a family history of cancer

The case of a woman at risk of breast cancer illustrates the importance of taking action; how a recent law protects all patients.

Review Articles

Rapid sequence intubation: Stay up to date on this important procedure

The ability to perform intubation is increasingly required by emergency room physicians, internists, PAs, and paramedics.

What's New

What's new in plastic surgery

Juvéderm, a new hyaluronic acid dermal filler with a smooth consistency and improved longevity, reduces wrinkles and folds.

POEMs

Egg-allergic children can receive influenza vaccine

Clinical question: Can children with egg allergy receive influenza vaccine?

Corticosteroids equal to placebo in community-acquired pneumonia

Clinical question: Do corticosteroids, when used as an adjunct to antibiotics, improve outcomes in patients with community-acquired pneumonia?

Once-a-year high-dose oral vitamin D increases risk of fracture and falls

Clinical question: Is an annual high dose of vitamin D (500,000 IU) effective in preventing falls and fractures in women 70 years or older who ...

Limited evidence supports use of CAM for fibromyalgia

Clinical question: Are complementary and alternative medicines (CAM) effective in treating patients with fibromyalgia?

Diabetes is no longer a specific indication for prophylactic aspirin

Clinical question: Should patients with diabetes receive aspirin to prevent cardiovascular events?

Long-term results favor open surgery over EVAR for aneurysm repair

Clinical question: How do long-term outcomes compare for open surgery and endovascular aneurysm repair (EVAR)?

PA Quandaries

Is banning direct-to-consumer advertising (DTCA) consistent with bioethical principles?

The impact of DTCA on patients' expectations and PAs' responsibility to provide bioethical treatment are reviewed.

Diagnostic Imaging Review

Left flank pain following cardiac catheterization

This patient's condition highlights the importance of paying close attention to history and not ruling out a rare complication of a procedure.

Humane Medicine

Love's labors lost: Sexual dysfunction in an adolescent male

When a teen-age boy disguises his true intention to receive a Viagra prescription, the author reflects on relationships and reading between the lines.

Case of the Month

Wheezing that is not asthma in a 4-year-old child

The mass seen on the chest film provided the first key to this relatively rare diagnosis.

Interpreting ECGs

The P wave: Indicator of atrial enlargement

This new online-only department is intended to serve as a tool to aid the novice in ECG interpretation and as a place to challenge the ...

Ask a Librarian

Ask a Librarian!—August 2010

A guest columnist discusses three key ways medical librarians can help improve hospital operations and cost effectiveness: addressing information needs of providers, making safety improvements, ...

Eliminating Health Disparities: What Works?

Eliminating health disparities: What works?—August 2010

New articles and resources related to the causes and effects of health care inequities and disparities. Items include a compelling look at how community-based organizations ...

Inside the AAPA policy manual

Inside the AAPA Policy Manual—August 2010

The author writes policy, and it passes! Examining the journey of a policy statement from proposed policy to final product, and the evolution of the ...