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Case Reports

A rare presentation of metastatic breast cancer in a woman with apparent cholangiocarcinoma

Holly L. Johnson, MPAS, PA-C? March 08, 2010

Jaundice and intermittent abdominal pain were the only clues to a primary breast cancer that manifested without the usual symptoms.
 

Exploratory laparotomy for a pancreatic pseudocyst uncovers an adrenal mass instead

Castigliano M. Bhamidipati, DO; Matthew Smeds, MD February 08, 2010

In the patient with an abdominal mass, good communication, collaboration, and an evidence-based approach are essential.
 

Common signs and symptoms, and a diagnosis that is often overlooked

Bettie Coplan, MPAS, PA-C December 14, 2009

Celiac disease should be considered in anyone who presents with suspicious gastrointestinal symptoms or with associated conditions.
 

Bilateral shoulder pain developing after a hypoglycemic seizure

Captain Christopher L. Furbee, PA-C, MPAS; Colonel David A. Brown, MD December 07, 2009

Posterior shoulder dislocations are hard to diagnose because of their rarity. Your ability to interpret the appropriate radiographs is key.
 

Poor medication history plus slow symptom onset delays a diagnosis

Todd Wilkin, MPA, PA-C; LaDonna S. Hale, PharmD; Richard A. Claiborne, MD October 14, 2009

The best way to identify this type of adverse drug reaction is to obtain and document a complete and accurate medication history.
 

Referral to a dietitian uncovers why this woman cannot lose weight

Louise Lee, MHA, PA-C October 12, 2009

This eating disorder is probably often missed in primary care because the condition is so difficult for providers to recognize.
 

FAP: Recognizing the importance of family history and genetic testing

Mike Deeter, PA-C September 14, 2009

A young woman with a family history of abdominal scars presents with hematochezia, diffuse abdominal pain, and anemia.
 

Stone-induced ruptured calyx in a patient with a horseshoe kidney

Capt Donald Adams, MPAS, APA-C; Col Michael W. Restey, MD, USAF (Ret), MC; Kevin Dwyer, MD; Maj Elena Schlenker, MSHS, CPRN, USAF, NC August 31, 2009

A soldier in Afghanistan reports bloody urine, dysuria, and diffuse abdominal pain, leading to discovery of a congenital anomaly.
 

An elusive tumor in a man who has evidence of prostate cancer metastasis

Brendan Patrick Boyer, PA-C; Martin James Boyer, DO August 10, 2009

Conventional imaging studies failed to locate the metastasis in a patient with an elevating PSA level. Scintigraphy revealed the tumor.
 

The risk of tramadol abuse and dependence: Findings in two patients

James D. Stoehr, PhD; Alison C. Essary, MHPE, PA-C; Chrissi Ou; Rob Ashby, MD, PLC; Michel Sucher, MD, FASAM, FACEP July 13, 2009

Tramadol dependence is controversial, but these cases provide a blueprint for recognizing and treating similar patients in your practice.
 

Review Articles

Remitting seronegative symmetrical synovitis with pitting edema

Linda Sekhon, MMS, PA-C February 22, 2010

RS3PE must be distinguished from other forms of arthritis and PMR to avoid exposing the patient to inappropriate therapy.
 

Have the latest CPR guidelines improved cardiac arrest outcomes?

David J. Klocko, MPAS, PA-C November 16, 2009

Do CPR and ACLS protocols make a difference for cardiac arrest victims? Outcome data are finally available to answer this question.
 

Identifying and managing physeal injuries in the upper extremity

Jason R. Smith, PA-C; Scott H. Kozin, MD September 21, 2009

Understanding bone growth in young patients and knowing what to look for on imaging are key to managing upper-extremity injuries.
 

Overwhelming postsplenectomy infection: Managing patients at risk

Sandra L. Moffett, PA-C July 27, 2009

Asplenia can be triggered by conditions that decrease splenic function, leaving patients susceptible to life-threatening infection.
 

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

Johanna L. Chelcun, MHS, PA-C; Richard S. Pope, MPAS, PA-C June 15, 2009

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

Surgical Reviews

Surgical treatments for patients with an infected total knee arthroplasty

Joseph Kotelnicki, PA-C; Kevin Mitts, MD November 23, 2009

Two-stage revision arthroplasty is the usual treatment for an infected knee replacement, but less invasive procedures may also work.
 

Use of drug-eluting stents for patients with coronary heart disease

Jessica Justice, MHS, PA-C; Christian Yacono, MHS, PA-C August 24, 2009

Which patients are good candidates for drug-eluting stents, and how do we ensure the best long-term outcome?
 

Coil or clip? Current trends in the treatment of intracranial aneurysms

Robert F. Brach, PA-C February 19, 2009

Timely diagnosis and treatment can improve the quality of life for patients who survive this cerebrovascular event.
 
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