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November 2010 23 11 Issue of JAAPA

Commentary

Are free drug samples in the best interest of our patients?

The author argues that PAs should consider the pros and cons of distributing free drug samples and decide whether to do so based on the ...

Pharmacology Consult

Metoclopramide for migraines; how to stock a first aid kit

This month's topics are using metoclopromide to treat migraine in the emergency department and stocking a first aid kit appropriately.

Dermatology Digest

Unusual depressed areas on  the arm  and buttock

A female patient presents for evaluation of two indentations and hypopigmented areas that had been present for the past 7 months.

Clinical Watch

Concussion:  Assessment of traumatic brain injuries

Mild traumatic brain injury, or concussion, is a common injury seen in the urgent care setting. PAs should be able to evaluate the patient and ...

CME

Irritable bowel syndrome: Relieving the symptoms, and the frustration

IBS is not life-threatening, but its symptoms are life long. Finding an effective treatment can be a frustrating process for PAs and patients.

Neuroblastoma: Management of a  common childhood malignancy

An understanding of presentation, staging, and the genetic influence of this extracranial tumor can improve outcomes of affected children.

CME Posttests

CME Posttest: Neuroblastoma; Irritable bowel syndrome

November 2010

Case Reports

Alcoholic hepatitis in a patient with  a history of daily beer consumption

Even after limiting his drinking, the patient was so nauseated that he couldn't keep down even one beer, and he reported darkening urine.

Research Report

Physician assistants working in the Department of Veterans Affairs

Projected demand for PA services in the Veterans Health Administration is expected to grow to 2,550 by 2018. Strategies are under way to improve the ...

The Surgical Patient

Small bowel necrosis in association with jejunal tube feeding

Despite successful gastrojejunostomy reconstruction and jejunal feeding tube placement, this patient died from a rare complication.

Review Articles

Educating patients about the value  of umbilical cord blood donation

PAs can help to expand knowledge of UCB banking, donation, and uses, thus increasing the opportunities for UCB to assist patients.

Quick Recertification Series

Chlamydia and gonorrhea

This article reviews the general features, clinical assessment, diagnosis, and treatment of chlamydia and gonorrhea.

Sounding Board

Serving the underserved

The month she spent practicing medicine in Niger taught the author much about the value of each individual life. She learned, too, that PAs can ...

When the Patient Asks

Can folic acid lower heart attack risk?

This information can help PAs explain the importance of folic acid in the diet and the merits of reports that folic acid supplements can prevent ...

Diagnostic Imaging Review

A boy's ankle injury reveals a more serious condition

Imaging studies obtained from a 2-year-old who presents with a sprained right ankle and head injury reveal something unexpected.

Genomics in PA Practice

Rare conditions: Where do primary care and genetic diseases intersect?

As knowledge related to rare genetic disorders grows, the role of the primary care provider must change to accommodate such patients.

Case of the Month

Persistent hiccups prompt closer examination

A homeless male patient is brought in by a roommate for evaluation of persistent hiccups and vomiting.

What caused this patient's blurred vision?

Visual disturbance is the only clue to an uncommon diagnosis that raises patients' risk of other, serious disorders.

Interpreting ECGs

Right bundle branch block

A common disorder of the cardiac conduction system is a bundle branch block. Blocks can occur in the right bundle, the left bundle, or in ...

Ask a Librarian

Ask a Librarian!—November 2010

This month's topic is the variety of resources available for working with patients from different cultures and ethnic groups.

Eliminating Health Disparities: What Works?

Eliminating health disparities: What works?—November 2010

This month's column describes some of the efforts around the country to promote increased awareness of racial and other health disparities as well as some ...