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June 2009 22 6 Issue of JAAPA

Editorial

Promoting oral health care: More than just lip service

A tragedy involving a 12-year-old boy illustrates the importance of oral health care. Are you and your patients getting regular dental checkups?

Dermatology Digest

A spreading, chronically itchy rash

A pruritic rash that started on the chest and spread to the patient's back is worsened by warmer temperatures.

A Day in the Life

A Day in the Life: Michelle M. Howe, MPAS, PA-C

Facing down protesters, reassuring anxious patients, and conducting research for a better future are all in a day's work for a PA working at a ...

CME

How to perform a comprehensive examination of the knee

This step-by-step guide describes a thorough knee examination that will lead to an accurate diagnosis of knee pathology.

Erythema infectiosum: Recognizing the many faces of fifth disease

The multiple manifestations of this viral infection are described. Are you able to recognize these etiologies?

CME Posttests

CME Posttest: Knee examination; Fifth disease

June 2009

Case Reports

Sudden onset of substernal chest pain in a college student at rest

Despite its name, spontaneous pneumomediastinum may be associated with a number of factors.

Research Report

A role in trauma care for advanced practice clinicians

Advanced practice clinicians can treat trauma patients, safely filling the void left by decreased availability of surgical residents.

Review Articles

Spinal cord astrocytomas: Rare but life-threatening tumors in children

These usually benign tumors require early surgical intervention to preserve neurologic function.

What's New

A simple new blood test for allergy triggers

What's New in ... Allergy testing

Sounding Board

Is continuity of care a victim of progress?

Somehow, with all the recent advancements we have made in medicine, we have lost an important element: continuity of care.

POEMs

Unequal breast cancer risk found with use of HRT progestagens

Clinical question: Do hormone replacement therapies (HRTs) for postmenopausal women carry different breast cancer risks?

Single intra-articular hyaluronic acid is equal to placebo for DJD of the hip

Clinical question: Is a single intra-articular injection of hyaluronic acid effective in reducing pain or improving function in patients with symptomatic degenerative joint disease (DJD) ...

Early treatment is beneficial for patients with PTSD

Clinical question: Is early treatment after a traumatic stress event beneficial?

PSA screening does not reduce mortality from prostate cancer

Clinical question: Does screening with prostate-specific antigen (PSA) reduce mortality?

BNP testing does not lower hospitalization rate

Clinical question: Does B-type natriuretic peptide (BNP) testing in the emergency department improve outcomes or affect hospitalization rates?

Is PCI more beneficial than CABG for three-vessel/ left main CAD?

Clinical question: Is percutaneous coronary intervention (PCI) or coronary artery bypass graft (CABG) preferred in patients with three-vessel or left main coronary artery disease (CAD)?

Diagnostic Imaging Review

Unusual vascular structures in the chest cavity

Shortness of breath and occasional chest pain signal a vascular anomaly in a middle-aged woman.

Humane Medicine

Face to face: Glimpsing the man behind the mask

The author reflects on how deceiving outward appearances can be after watching the interaction between a little girl and her disfigured parent.

Case of the Month

Midline lingual lesion

A middle-aged man presents with a partially flattened, erythematous, painless lesion on the dorsum of his tongue.

Conference Logs

Conference Log 2009—AAPA San Diego

JAAPA editorial board member Jim Anderson spends almost a week at AAPA's 37th annual conference in San Diego—and writes about it for JAAPA! Click here ...

Ask a Librarian

Ask a Librarian!—June 2009

How can a new partnership between AAPA and the National Library of Medicine and knowing how to find the most current clinical guidelines help you ...

Eliminating Health Disparities: What Works?

Eliminating health disparities: What works?—June 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 ...