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February 2012 Issue of JAAPA

Commentary

Precepting PA students: How  you can touch the future

PAs can build a stronger profession by mentoring their future colleagues, says the author. Give back by volunteering to precept.

Pharmacology Consult

Phenytoin: An old friend that  still confuses us

Dosing of phenytoin is complicated by its unique properties: it is highly lipophilic, highly protein-bound, and undergoes capacity-limited pharmacokinetics at therapeutic levels.

Dermatology Digest

Lesions that continue to recur in the same place

An elderly woman seeks evaluation for skin lesions that recur so consistently that they occupy the same location episode after episode.

Topics in Infectious Diseases

Antimicrobial stewardship:  A proactive approach to combating resistance

Until new antimicrobials with novel mechanisms can be developed, we must use antibiotic stewardship to safeguard the efficacy of the medications we have.

A Day in the Life

A Day in the Life: Jacqueline McSparron, PA-C

A woman who became a PA so she could provide health care in Africa is living her dream.

CME

Management of migraine headache: An overview of current practice

Using both pharmacologic and nonpharmacologic therapies for acute treatment and as  preventive therapy can help patients with migraine to avoid debilitating symptoms.

The SNAP treatment approach for children with acute otitis media

AOM usually resolves spontaneously, and the SNAP approach takes advantage of that,  helping children to avoid antibiotic side effects and combating antibiotic resistance.

CME Posttests

CME posttest: Acute otitis media; migraine headache

February 2012

Brief Report

Perceptions of physician assistants regarding direct-to-consumer advertising

In this survey, the majority of PAs had neutral or unfavorable opinions of direct-to-consumer advertising, which they viewed as having a negative effect on the ...

Perceptions of physician assistants regarding a specialty certification examination

This national survey found that PAs do not appear to support the specialty certification process, even though the trend is toward specialty care in other ...

Case Reports

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

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 ...

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

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 ...

Review Articles

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

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.

Critically Appraised Topic

When does treatment of subclinical  hypothyroidism reduce cardiovascular risk?

Patients with subclinical hypothyroidism may have a higher risk of coronary events and in some cases should be treated.

What's New

What's new in hepatology: Triple therapy for hepatitis C

Combining one of two newly approved oral agents with traditional medications offers hepatitis C patients better outcomes with shorter therapy.

PA Quandaries

Surrogate decision makers: What if a  surrogate cannot decide?

When a surrogate feels ill-equipped to make medical decisions, the first step for clinicians is to be aware of the laws that govern surrogacy.

Diagnostic Imaging Review

An acute elbow injury after  a fall at the playground

A common childhood accident can lead to a limb-threatening injury that requires prompt assessment and treatment followed by regular monitoring.

Humane Medicine

Midnight medicine: A time when difficult decisions must be made

Moral distress: when clinicians feel they cannot do the ethically appropriate thing. Midnight medicine: when difficult decisions must be made with no time for consultation ...