December 2008 Issue of JAAPA

December 2008 Issue of JAAPA

Editorial

What is a physician assistant? Looking for the right answer

How can we expect the public to know what a PA is when the profession is having trouble determining who we are?
 

From the AAPA

From the AAPA - December 2008

Duke study; PAs fill health care gap
 

Dermatology Digest

Painless growths felt like stones in her shoes

A 24-year-old white female presented to the dermatology clinic with a 2-year history of growths on the soles of her feet. The growths were not ...
 

A Day in the Life

A day in the life: Alan Howard, PA-C

Gilroy, California, is a town of about 50,000 people halfway between the urban sophistication of the Bay Area and the agricultural backdrop of several Steinbeck ...
 

CME

Can you recognize a patient at risk for a hypercoagulable state?

A disrupted clotting system can lead to life-threatening thrombosis. PAs can use a simple mnemonic to remember the differential diagnosis for hypercoagulable states.
 

Patellofemoral syndrome: How to perform a basic knee evaluation

The complexity of this joint makes it more susceptible to injury. An understanding of the biomechanics of the knee is instrumental when assessing patients' injuries.
 

Case Report

Measuring the optic nerve sheath diameter in a head-injured man

Measuring optic nerve sheath diameter does not involve radiation exposure and can be done quickly at the bedside during the evaluation of a patient with ...
 

Review Articles

Increasing obesity in children and adolescents: An alarming epidemic

Without better prevention and intervention, the health consequences are likely to be severe as the current generation of overweight children reaches adulthood.
 

What's New

Sounding Board

Lifestyle changes do make a difference

We've heard a lot of talk this year about needing change in our political system. It's also time to change the model of our health ...
 

POEMs

Caregiver use of pictograms reduces dosing errors and improves adherence

Clinical question: Do pictograms help reduce medication dosing errors by caregivers of children?
 

Prognosis of bicuspid aortic valve depends on age and severity of valve dysfunction

Clinical question: What is the prognosis of adults with a bicuspid aortic valve?
 

Lactobacilli after antibiotic treatment is effective for BV

Clinical question: Does vaginal administration of lactobacilli after antibiotic treatment for bacterial vaginosis (BV) enhance restoration of vaginal flora?
 

Risk of cardiovascular event in COPD is increased with inhaled anticholinergic use

Clinical question: Do adults with chronic obstructive pulmonary disease (COPD) who use inhaled anticholinergics have an increased risk of a major cardiovascular event?
 

Alexander technique reduces low back pain disability

Clinical question: Can the Alexander technique reduce disability and pain in patients with chronic or recurrent low back pain?
 

CT colonography detects 90% of large polyps under optimal conditions

Clinical question: How accurate is CT colonography as a screening test for colorectal cancer?
 

Diagnostic Imaging Review

Pleural disease manifests years after asbestos exposure

An 82-year-old African-American male presented to the emergency department (ED) with a complaint of fever for 3 days and a history of previous abnormal findings ...
 

Humane Medicine

The art of medicine: Using your heart and your head

"After the man told me his story, I sensed that he felt better. He needed to have someone listen."
 

Case of the Month

Longstanding anterior pelvic pain

The patient is a 74-year-old white woman who presented with complaints of longstanding anterior pelvic pain over the symphysis pubis. She reported a baseline dull ...
 

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