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January 2012 Issue of JAAPA

Commentary

25 years of JAAPA: Honoring the past, awaiting the future

JAAPA's founding editor looks back at launching the Journal in 1988 and suggests that perhaps not so much has changed in the past 25 years ...

A quarter-century of JAAPA:  A long, remarkable journey

JAAPA's recently retired editor in chief describes some of the Journal's accomplishments during her tenure and explores some of the challenges facing JAAPA in the ...

Pharmacology Consult

Prescribing opioids safely in  patients with an opiate allergy

IgE-mediated allergy to opioids is rare but life-threatening, so distinguishing between a true allergic reaction and side effects to a previously prescribed opioid is crucial.

Dermatology Digest

What is behind this postpartum puzzler?

A young mother has a healthy baby boy—and a new-onset vesicular, bullous rash that developed very quickly after the birth.

Topics in Infectious Diseases

Battling influenza: Universal vaccination is the primary weapon

This update on seasonal influenza focuses on early treatment and reducing disease burden through vaccination, with special attention to cancer patients.

Clinical Watch

HIV/AIDS:  Improved  outcomes, less disparity

The goal of the National HIV/AIDS Strategy for the United States is to rededicate attention to HIV/AIDS management in the areas of prevention, outcome improvement, ...

CME

Clostridium difficile: A new look at an old but increasingly deadly infection

Despite all that is known about risk factors and prevention, hypervirulent strains of this organism are causing disease in populations that once were considered low ...

State-of-the-art interventions in acute large-vessel ischemic stroke

The treatments for large-vessel ischemic stroke include IV rtPA, IA rtPA, and mechanical clot retrieval. All must be used soon after symptom onset for the ...

CME Posttests

CME posttest: Clostridium difficile; ischemic stroke

January 2012

Case Reports

C-reactive protein: A clinically useful biomarker in renal cell carcinoma

Biochemical markers of inflammation, specifically CRP, serve as adjuncts to TNM staging  to help identify patients at increased risk for recurrence of kidney cancer.

Research Report

The characteristics of clinically active older physician assistants

AAPA census data indicate that compared to younger PAs, PAs working beyond their seventh decade work more in primary care and nonurban areas. Knowing how ...

The Surgical Patient

An internal hernia causes abdominal pain and small bowel obstruction

This case of a woman with an internal hernia caused by a small bowel obstruction illustrates a relatively rare condition. Clinician awareness and suspicion are ...

Review Articles

Chikungunya virus: An emerging condition in the industrialized world

Once found only in developing tropical nations, CHIKV has spread to the world at large.  With proper management and close communication with authorities, it can ...

Quick Recertification Series

Hypoparathyroidism and Meniere disease

This month's brief review of subjects that may be covered on the PANRE includes Meniere disease and hypoparathyroidism.

When the Patient Asks

Does my child need fluoride supplements?

Fluoride has proven benefits in the prevention of cavities, but children may be exposed to too much fluoride. Parents should know how to monitor exposure ...

Genomics in PA Practice

Chromosomal microarray testing

CMA testing of children with autism, intellectual impairment, or multiple congenital anomalies detects clinically significant chromosomal deletions and duplications that are not visible by routine ...

Emergency Medicine Notes

Expiration date

My patient died 45 minutes after he left the ER. His death was beautiful and awful, and I remember snapshot moments that will last to ...

Case of the Month

Intermittent, longstanding bilateral mastalgia in a 35-year-old woman

This patient's breast pain was severe when she was in cold environments but resolved in warm environments.

Interpreting ECGs

Myocardial infarction on ECG

In this installment, the authors discuss how to interpret and diagnose myocardial infarction (MI) on an ECG.

Inside the AAPA policy manual

Inside the AAPA Policy Manual—January 2012

In this article, Jim Anderson, PA-C, ATC, describes the vital role of AAPA HOD Reference Committees and sheds light on their responsibilities in driving forward ...