Leber congenital amaurosis in a young female
Leber congenital amaurosis is a rare congenital disorder caused by a mutation in any of several different genes that causes rod-cone dystrophy and may eventually lead to blindness. Characteristic findings on fundoscopic examination include retinal pigment migration and macular atrophy. Confirmation can be obtained using electroretinograms and the specific gene can be identified with genetic testing. No treatment is available, but multiple clinical trials are underway. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - September 27, 2019 Category: Primary Care Tags: Case Report Source Type: research

Sutton's law of medicine: A bank robber's hidden message
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - September 27, 2019 Category: Primary Care Tags: Becoming a PA Source Type: research

A lot on her plate
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - September 27, 2019 Category: Primary Care Tags: The Art of Medicine Source Type: research

What is causing this pregnant patient's rash?
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - September 27, 2019 Category: Primary Care Tags: A Difficult Diagnosis Source Type: research

Predicted shortages of physicians might even disappear if we fully account for PAs and NPs
Healthcare workforce projections have important policy implications. Provider shortages can shortchange patients, and overproduction of providers imposes costs on society. The most publicized physician supply and demand projections, commissioned annually by the Association of American Medical Colleges, regularly predict dire physician shortages. These projections are based on unrealistically low estimates of the amount of physician work that can be replaced by physician assistants (PAs) and NPs. For example, the projections factor in the contribution of one primary care PA or NP as one-fourth that of a physician. If workfo...
Source: Journal of the American Academy of Physician Assistants - September 27, 2019 Category: Primary Care Tags: The Science of Healthcare Delivery Source Type: research

Managing hyponatremia
This article reviews two major consensus guidelines and recent studies that can help clinicians make evidence-based treatment decisions and reduce patient risk for iatrogenic osmotic demyelination from overly aggressive treatment. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - September 27, 2019 Category: Primary Care Tags: What's New in Nephrology Source Type: research

Rabies
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - September 27, 2019 Category: Primary Care Tags: Quick Recertification Series Source Type: research

What is the role of triple inhaled therapy in COPD?
This article discusses the role of triple therapy in treating patients with COPD. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - September 27, 2019 Category: Primary Care Tags: Pharmacology Consult Source Type: research

Recognition, diagnosis, and treatment of hidradenitis suppurativa
Hidradenitis suppurativa is a chronic skin condition characterized by recurrent painful abscesses usually limited to the intertriginous areas. Global prevalence has been estimated at up to 4% of the population. The exact pathogenesis of hidradenitis suppurativa is yet to be elucidated; however, recent research has shown that the disease occurs under the influence of multiple genetic, environmental, and lifestyle factors. Repeated insults result in sinus tract formation and disfigurement, which can have a significant psychosocial effect on patients. A wide range of treatments are available but none are curative. A combinati...
Source: Journal of the American Academy of Physician Assistants - September 27, 2019 Category: Primary Care Tags: Review Article Source Type: research

Using buprenorphine to treat patients with opioid use disorder
This article describes opioid use disorder in the United States, treatment gaps, safe treatment with buprenorphine, and PA prescriptive authority. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - September 27, 2019 Category: Primary Care Tags: Review Article Source Type: research

STEMI in a patient with mirror-image dextrocardia
ST-segment elevation myocardial infarction (STEMI) is a potentially life-threatening diagnosis that cannot be missed on ECG interpretation. However, ECG interpretation may not be straightforward in patients with dextrocardia. This case report discusses the presentation of a patient with situs inversus with dextrocardia who was found to have an acute inferior MI, and how this anatomical change results in an atypical ECG and clinical presentation. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - September 27, 2019 Category: Primary Care Tags: Case Report Source Type: research

Cme post-test
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - September 27, 2019 Category: Primary Care Tags: Post-Test Source Type: research

Updated concepts in the diagnosis and management of community-acquired pneumonia
This article reviews recent updates in best practices for diagnosing and managing pneumonia in the ED or primary care practice. Despite developments in the diagnosis of pneumonia, vital signs and chest examination findings can and should guide clinical management. Chest radiography is routinely used to diagnose pneumonia. However, a negative chest radiograph should not replace clinical impression. In immunocompetent patients with community-acquired pneumonia, the CURB-65 decision rule has a role in identifying high-risk patients, including those who will require ICU admission and a critical care intervention. (Source: Jour...
Source: Journal of the American Academy of Physician Assistants - September 27, 2019 Category: Primary Care Tags: CME: Pulmonology Source Type: research

Overview of breast cancer
This article provides an overview of nonmetastatic breast cancer in women, including general features, diagnostic considerations, and treatments for the most common breast cancer subtypes. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - September 27, 2019 Category: Primary Care Tags: CME: Women's Health Source Type: research

Treating patients with opioid use disorder
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - September 27, 2019 Category: Primary Care Tags: Commentary Source Type: research

Exploring the science of healthcare delivery
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - September 27, 2019 Category: Primary Care Tags: Editorial Source Type: research

Current and emerging treatments for sickle cell disease
This article reviews the disease process, typical presentations, complications, and acute and chronic treatment options. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - August 29, 2019 Category: Primary Care Tags: Review Article Source Type: research

Moms need to sleep like a baby, too!
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - August 29, 2019 Category: Primary Care Tags: Mindful Practice Source Type: research

In the darkness, the lotus
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - August 29, 2019 Category: Primary Care Tags: The Art of Medicine Source Type: research

What is causing this patient's low back pain?
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - August 29, 2019 Category: Primary Care Tags: A Difficult Diagnosis Source Type: research

Complex regional pain syndrome
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - August 29, 2019 Category: Primary Care Tags: Quick Recertification Series Source Type: research

Reading between the lines for a solution to burnout
This article explores burnout interventions in the literature and their usefulness to PAs. We propose that PAs and leaders of the profession must acknowledge and assess the phenomenon of burnout through standardized measurement at the population level, be mindful of personal boundaries in order to maintain a healthy work life balance, and commit to creating an organizational culture that sustains overall clinician well-being and fosters PA engagement. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - August 29, 2019 Category: Primary Care Tags: Special Article Source Type: research

Measuring the effect of a competency-based education conference for PAs and NPs
Conclusions: The competency-based conference model could serve as a viable method for providing evidence-based learning and informed practice as well as instilling reflective practice and a commitment to personal growth. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - August 29, 2019 Category: Primary Care Tags: Original Research Source Type: research

Immunotherapy for non-small cell lung cancer
This article reviews approved uses of immunotherapy for NSCLC, immune-related toxicities, and explores the future direction of this treatment. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - August 29, 2019 Category: Primary Care Tags: Review Article Source Type: research

Hypothenar hammer syndrome: An uncommon cause of secondary syndrome and digital ischemia
Hypothenar hammer syndrome affects less than 1% of the population, but if the diagnosis is delayed, digital gangrene and critical ischemia can ensue. The condition is caused by injury to the ulnar artery at the level of the hook of hamate when the palm of the hand is repetitively used as a hammer. Injury includes segmental occlusion of the ulnar artery and aneurysmal formation with or without occlusion. Patients with hypothenar hammer syndrome often present with symptoms of secondary Raynaud syndrome; if Raynaud is unilateral, a vascular origin should be suspected and ruled out. Treatment options for hypothenar hammer synd...
Source: Journal of the American Academy of Physician Assistants - August 29, 2019 Category: Primary Care Tags: Case Report Source Type: research

Cme post-test
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - August 29, 2019 Category: Primary Care Tags: Post-Test Source Type: research

HPV-associated oropharyngeal cancer
This article focuses on the epidemiology, transmission, risk factors, and clinical presentation of HPV-associated oropharyngeal SCC, and provides an update on HPV vaccination in the context of the new head and neck cancer epidemic. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - August 29, 2019 Category: Primary Care Tags: CME: Oncology Source Type: research

Managing gestational diabetes
This article reviews the steps clinicians can take to screen for patients with gestational diabetes, recommendations for future type 2 diabetes screening, and how to manage gestational diabetes during the course of a patient's pregnancy based on the American Diabetes Association's current standards of care. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - August 29, 2019 Category: Primary Care Tags: CME: Women's Health Source Type: research

Which patients should receive the herpes zoster vaccine?
This article reviews efficacy and safety of the vaccine, its use in special populations, and how to prevent administration errors to answer the question “Which patients should receive the herpes zoster vaccine?” (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - August 29, 2019 Category: Primary Care Tags: Pharmacology Consult Source Type: research

Are PAs and NPs interchangeable?
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - August 29, 2019 Category: Primary Care Tags: Commentary Source Type: research

Let's keep the momentum going for optimal team practice: Become a champion for PAs
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - August 29, 2019 Category: Primary Care Tags: From the AAPA Source Type: research

Boerhaave syndrome: A rare postoperative complication
This article describes a patient with esophageal perforation in the immediate postoperative period following elective hip arthroplasty. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - July 26, 2019 Category: Primary Care Tags: Case Report Source Type: research

Initiation
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - July 26, 2019 Category: Primary Care Tags: Becoming a PA Source Type: research

Partnering with a parent
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - July 26, 2019 Category: Primary Care Tags: The Art of Medicine Source Type: research

What is this patient's cardiac rhythm?
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - July 26, 2019 Category: Primary Care Tags: A Difficult Diagnosis Source Type: research

Updated management for patients with cardiovascular disease and diabetes
This article provides key highlights that are important for busy clinicians. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - July 26, 2019 Category: Primary Care Tags: What's New in Cardiology Source Type: research

Lumbar spinal stenosis
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - July 26, 2019 Category: Primary Care Tags: Quick Recertification Series Source Type: research

Using point-of-care ultrasound: Shock
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - July 26, 2019 Category: Primary Care Tags: Diagnostic Imaging Review Source Type: research

A simple guidewire and angiocatheter technique for urinary catheter placement
Conclusions: Our method is safe, easily learned, and performed. The technique saves time, effort, and resources, as it averts the necessity of rare use of expensive equipment, bedside flexible cystoscopy, and cystotomy. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - July 26, 2019 Category: Primary Care Tags: Original Research Source Type: research

Evaluating and managing acetabular dysplasia in adolescents and young adults
This article reviews the current understanding of the disease and better treatment options for correcting acetabular dysplasia in symptomatic adolescents and young adults before secondary osteoarthritis develops. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - July 26, 2019 Category: Primary Care Tags: Review Article Source Type: research

Negative-pressure pulmonary edema after laparoscopic appendectomy
This article describes a patient who developed postoperative NPPE following a laparoscopic appendectomy. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - July 26, 2019 Category: Primary Care Tags: Case Report Source Type: research

Cme post-test
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - July 26, 2019 Category: Primary Care Tags: Post-Test Source Type: research

Recognizing autism spectrum disorder
Autism spectrum disorder (ASD), previously called autism, is a developmental condition that can cause significant social, communication, and behavioral challenges. Early symptoms of ASD can easily be overlooked. Clinicians who can recognize the symptoms of ASD can help children get prompt referral to specialists and early intervention, which is key to improving developmental outcomes for children with ASD. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - July 26, 2019 Category: Primary Care Tags: CME: Pediatrics Source Type: research

Using pharmacogenetics in primary care
Pharmacogenetics offers a way to personalize medication prescribing for patients. Through the use of genetic tests that identify variations in enzymes important to drug metabolism, PAs can have patients' genetic information before prescribing a medication. This may reduce the risks of adverse reactions and lost treatment time when patients are given drugs to which they are unlikely to respond. Laboratory testing can identify common genetic variants that alter how the body metabolizes drugs. PAs with knowledge of these variants can choose medications that are more personalized and effective for each patient. Clinical pharma...
Source: Journal of the American Academy of Physician Assistants - July 26, 2019 Category: Primary Care Tags: CME: Primary Care Source Type: research

Health of asylum-seeking immigrants: Providing medical care from a volunteer's perspective
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - July 26, 2019 Category: Primary Care Tags: Commentary Source Type: research

A systematic approach to describing fractures: Erratum.
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - June 26, 2019 Category: Primary Care Tags: Erratum Source Type: research

Commentaries on health services research
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - June 26, 2019 Category: Primary Care Tags: Citations Source Type: research

The latest diagnostic criteria and treatment options for neuromyelitis optica
This article discusses the epidemiology, pathophysiology, clinical presentation, latest diagnostic criteria, and treatment options for neuromyelitis optica and neuromyelitis spectrum disorders. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - June 26, 2019 Category: Primary Care Tags: Review Article Source Type: research

We had a win today
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - June 26, 2019 Category: Primary Care Tags: Mindful Practice Source Type: research

When care goes beyond the patient
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - June 26, 2019 Category: Primary Care Tags: The Art of Medicine Source Type: research