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Effect of a PA-led arthritis center on hip and knee osteoarthritis care
Conclusions: The establishment of a dedicated PA-led arthritis center is associated with improved access to care, operational efficiency, and patient satisfaction in patients with hip and knee osteoarthritis. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - November 29, 2021 Category: Primary Care Tags: Original Research Source Type: research

PA- and NP-led Ommaya clinics to manage leptomeningeal carcinomatosis
Conclusions: PA- and NP-led procedural clinics optimize use of these clinicians and open physician availability for nonprocedural duties. This research highlights the institutional patient and financial benefit while demonstrating the operational and leadership growth potential for PAs and NPs. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - November 29, 2021 Category: Primary Care Tags: Original Research Source Type: research

Metabolic acidosis in a lactating woman induced by a deliberate ketogenic diet
This article describes a rare case of lactation ketoacidosis in a patient who started a ketogenic diet while nursing an infant and toddler. The patient presented to the ED with a history of nausea, vomiting, and postural dizziness, and was found to have a significant metabolic acidosis and elevated lipase level. The metabolic changes induced in this patient could occur in anyone with high metabolic demands who also is on a strict ketogenic diet. The case highlights the importance of a dietary history in patients with unexplained metabolic derangements. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - November 29, 2021 Category: Primary Care Tags: Case Report Source Type: research

Treating overactive bladder with percutaneous tibial nerve stimulation
This article describes a patient who was successfully treated with percutaneous tibial nerve stimulation after traditional treatment failed. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - November 29, 2021 Category: Primary Care Tags: Case Report Source Type: research

Lyme carditis: An atypical cause of syncope
With the rising prevalence of Lyme disease over the last 2 decades comes an increase in cases of Lyme carditis, a consequence of early disseminated infection. This case report focuses on a young man with a complicated case of Lyme carditis that required advanced therapy. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - November 29, 2021 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 - November 29, 2021 Category: Primary Care Tags: Post-Test Source Type: research

Understanding resistant hypertension
Resistant hypertension affects about 17% of the US population. However, it is difficult to diagnose because of multiple factors that influence adequate treatment of BP, including patient lifestyle and comorbidities, improper therapeutic regimens, and secondary mechanisms. Possible causes of resistant hypertension include nonmodulator hypertension, which affects patients who have an inappropriate response to elevated sodium through the renin-angiotensin-aldosterone system. Early identification and frequent follow-up can help patients achieve BP goals more rapidly and may reduce morbidity and mortality associated with compli...
Source: Journal of the American Academy of Physician Assistants - November 29, 2021 Category: Primary Care Tags: CME: Cardiovascular Medicine Source Type: research

Adhesive capsulitis: A review for clinicians
Adhesive capsulitis, a common primary care and orthopedic diagnosis often referred to as frozen shoulder, is a painful inflammatory process that leads to a mechanical block in active and passive range of shoulder motion. Risk factors include diabetes and thyroid dysfunction. Diagnosis is made based on physical examination, but can be augmented by diagnostic imaging. Nonsurgical management is the mainstay of treatment because the disease is self-limiting. However, some patients may need surgical intervention. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - November 29, 2021 Category: Primary Care Tags: CME: Orthopedics Source Type: research

Bempedoic acid: LDL-C lowering without adverse reactions
Low-density lipoprotein-cholesterol (LDL-C) causes atherosclerosis and increases patient risk for cardiovascular mortality. However, patients who cannot tolerate statins present a treatment challenge. Bempedoic acid, an oral once-daily drug that reduces cholesterol synthesis, may help close this treatment gap. A meta-analysis demonstrated that bempedoic acid provides a well-tolerated and effective therapeutic option for lipid lowering in patients with hyperlipidemia, both as monotherapy and in combination with various other lipid-lowering agents. Also, although bempedoic acid acts on the same pathway as statins, it does no...
Source: Journal of the American Academy of Physician Assistants - November 29, 2021 Category: Primary Care Tags: Pharmacology Consult Source Type: research

Financial analysis of PA lifetime earnings and debt
This economic analysis of physician assistant/associate (PA) career earnings sought to assess the increasing effect of student debt, its potential effect on job selection, and whether such financial obligations may influence graduates to select higher-paying specialties. The model was a 30-year-old newly graduated PA who begins working in family medicine. A simulation included wages, student debt, national household expenditures, and real estate statistics. The scenario consisted of a high and middle cost of living in two geographic areas, a family of four, and an average life expectancy. Using a validated economic program...
Source: Journal of the American Academy of Physician Assistants - October 31, 2021 Category: Primary Care Tags: Original Research Source Type: research

Meaningful use
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - October 31, 2021 Category: Primary Care Tags: Mindful Practice Source Type: research

A suitable replacement
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - October 31, 2021 Category: Primary Care Tags: The Art of Medicine Source Type: research

What is the cause of this patient's solitary facial nodule?
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - October 31, 2021 Category: Primary Care Tags: A Difficult Diagnosis Source Type: research

Breast mastitis or abscess
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - October 31, 2021 Category: Primary Care Tags: Quick Recertification Series Source Type: research

Evaluating liability in the supervising physician, PA, and employer relationship
Emerging case law demonstrates that physicians who collaborate with physician assistants (PAs), as well as the entity that employs the physician and PA, are facing allegations of liability. The allegations of liability arise from the actions of the PA, inaction of the physician, and failure to meet the regulatory requirements for the oversight of PA practice. In some instances, the physician and employer struggle to meet the complex state regulatory requirements that govern the relationship(s) between the PA and the physician. A review of case law demonstrated that courts generally assign liability for the actions of the P...
Source: Journal of the American Academy of Physician Assistants - October 31, 2021 Category: Primary Care Tags: Special Article Source Type: research