June 2010 Issue of JAAPA

June 2010 Issue of JAAPA

Commentary

Nine ways to meet and exceed patient expectations

The author shares some tips on how to make each patient visit more effective and more productive for both patients and PAs.
 

Pharmacology Consult

ACE inhibitor therapy and prescribing schedule II drugs

This month's questions: How much can the serum creatinine rise when starting an ACE inhibitor? What controlled substance prescriptions can be called into a pharmacy?
 

Letters

Lyme disease rash is not always a bull's eye

On target with Lyme disease: Understanding vector-borne infections
 

Lyme disease: More than a controversy

On target with Lyme disease: Understanding vector-borne infections
 

Urinary antigen test cannot be effective in patients with renal failure

QRS: Community-acquired pneumonia (CAP) in adults
 

Dermatology Digest

Is urtication of this solitary bump a worrisome sign?

An infant presents with a single asymptomatic lesion that becomes raised and puffy with stroking.
 

A Day in the Life

A Day in the Life of Gina Brown, MPAS, PA-C

A PA working at a family practice clinic in Kabul, Afghanistan, describes her day as a Mother-Child Health Coordinator.
 

CME

Hypertrophic cardiomyopathy: The race to find a fatal condition in athletes

Conflicting opinions and concerns about costs inhibit the routine use of 12-lead ECG in preparticipation screenings for young athletes.
 

Empowering PAs to ask female patients about their sexual health

Physician assistants should be prepared to initiate a discussion on this vital aspect of a woman's overall health.
 

Case Reports

Painful subcutaneous abdominal mass in a woman with a history of cesarean section

Years of worsening pain in a surgical scar proved baffling until an MRI revealed a soft-tissue mass in an uncommon location.
 

Mediastinal mass in a patient with a history of bypass surgery

Nonproductive cough and pleuritic chest pain with a history of chronic obstructive pulmonary disease lead to a surprising diagnosis.
 

Research Report

Venous thromboembolism (VTE) risk assessment improves compliance with recommended prophylaxis

The consistency of PA-driven care was utilized to develop a protocol for assessing risk of VTE for surgical patients, which led to significant improvement in ...
 

Review Articles

Does the right to bear children guarantee access to treatment for infertility?

The law protects the right of all patients to procreate, but clinicians should consider the welfare of the child born as a result.
 

Critically Appraised Topic

MMR vaccine and autism: Is there a link?

A focused search identifies three studies that disprove the theory of a causal relationship between autism and vaccines.
 

What's New

What's new in military medicine: The ancient art of acupuncture is new again

The modern-day equivalent of an ancient pain-relieving technique is helping injured troops without the side effects of narcotics.
 

PA Quandaries

Is it ethically permissible to mandate influenza vaccination for health care workers?

Patient autonomy does not always transcend to health care workers. The author makes a case for patient safety to be an overruling factor.
 

Diagnostic Imaging Review

Nonhealing wound following trauma

Continuing symptoms raise suspicions of a serious complication after a young man catches his finger in a car door.
 

Humane Medicine

House calls, homebodies: Remembering that you came

The comfort of a clinician's home visit is immeasurable to patients who wish to live their last days in their own home.
 

Case of the Month

What is the significance of this patient's pulsatile tinnitus?

Symptoms were worse when she tried to sleep, but there was no associated dizziness, vertigo, or otalgia.
 

Interpreting ECGs

Electrocardiography: Understanding the basics

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!—June 2010

Have you wondered where to find reliable information about rare genetic disorders or maxillofacial surgery? This month's column provides some foolproof sources.
 

Eliminating Health Disparities: What Works?

Eliminating health disparities: What works?—June 2010

This column describes recent literature on health disparities, emphasizing tools that can help clinicians to assess and address disparities in their own practices.
 

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