Clinical Feature

Assessing ­peritonsillar abscesses

Assessing ­peritonsillar abscesses

This infection manifests as a collection of pus and is often a complication of tonsillitis that may require referral to a specialist or hospitalization.

Recognizing and treating low testosterone in men

Recognizing and treating low testosterone in men

There is a direct correlation between testosterone and metabolic syndrome, mental function, libido, erectile dysfunction, bone density, and overall energy.

Vaccinations to 
protect adolescents

Vaccinations to 
protect adolescents By

Often at increased risk for disease transmission, many teens and preteens
 do not receive the recommended immunizations in a timely manner.

Vaginal bleeding in the early stages of pregnancy

Vaginal bleeding in the early stages of pregnancy

A number of potential causes of vaginal bleeding in early pregnancy must be considered when deciding what type of management is required.

Sexual risk behavior 
among older adults

Sexual risk behavior 
among older adults

Societal changes and pharmaceutical advances have led to a rise in sexual 
activity in this population, and clinicians must adapt to a new reality.

Primary-care prevention of cervical cancer

Primary-care prevention of cervical cancer

To reduce the mortality and incidence of this disease, clinicians must be aware of the most recent vaccination and screening guidelines.

What is BPA and how harmful is it to kids?

What is BPA and how harmful is it to kids?

Primarily used in food and drink packaging, ingestion of bisphenol A has recently been linked to obesity, diabetes, and reproductive disorders.

Evaluation and treatment of acute cerebral ischemia

Evaluation and treatment of acute cerebral ischemia

To ensure that therapeutic interventions begin in time, providers must be able to recognize the clinical presentation of an acute ischemic stroke.

New paradigms in managing chronic kidney disease

New paradigms in managing chronic kidney disease

To slow the progression to end-stage renal disease, primary-care clinicians must be able to identify, screen, treat, and educate at-risk individuals.

Managing UTIs in women

Managing UTIs in women

Urinalysis and physical exam determine if the infection is complicated or uncomplicated, primary or recurrent and guide treatment strategy.

Communicating Concerns About Nonspecific Changes on ECG

Communicating Concerns About Nonspecific Changes on ECG

Exercise caution when a patient presents with acute chest pain. The ability to explain the situation as clearly as possible is essential.

Vasomotor rhinitis and allergic conjunctivitis

Vasomotor rhinitis and allergic conjunctivitis

The ability to differentiate between the allergic and nonallergic form of these conditions is crucial when determining treatment.

A collaborative approach to myasthenia gravis

A collaborative approach to myasthenia gravis

This chronic autoimmune disorder is caused by antibodies that block muscle cells from receiving neurotransmitters from the nerve cell.

Case Report: High-Dose Methylphenidate for Adult ADHD

Case Report: High-Dose Methylphenidate for Adult ADHD

Long-acting ADHD medications improve adherence and demonstrate efficacy similar to that of immediate-release dose formulations.

Postpartum depression in a primary-care setting

Postpartum depression in a primary-care setting

Experienced by up to one in five mothers, postpartum depression often goes untreated. Learn what risk factors to be alert for.

Updated standards for CCHD screening: Pulse-oximetry pearls and statewide protocols, Part 3

Updated standards for CCHD screening: Pulse-oximetry pearls and statewide protocols, Part 3

Improved pulse-oximetry standards translate into more sensitive critical congenital heart disease screening.

The effects of exercise on LDL

The effects of exercise on LDL

As LDL goals become more aggressive, therapeutic lifestyle changes are increasingly important in achieving recommended lipid levels.

Osteoarthritis and 
Rheumatoid ­Arthritis 2012: Pathophysiology, Diagnosis, 
and Treatment

Osteoarthritis and 
Rheumatoid ­Arthritis 2012: Pathophysiology, Diagnosis, 
and Treatment

This article highlights the differences in the pathophysiology and diagnostic criteria for OA and RA, and also describes current and potentially new treatment options for these conditions.

Managing infants with bronchiolitis

Managing infants with bronchiolitis

The symptoms of this common lung infection usually dissipate after a week, but some cases can become severe and require hospitalization.

CCHD screening guidelines: Implementation of standardized protocols, Part 2

CCHD screening guidelines: Implementation of standardized protocols, Part 2

Taking the pulse of neonatal screening for critical congenital heart disease.

What to do with a positive hepatitis C test

What to do with a positive hepatitis C test

If the treatment goal of viral eradicatication cannot be met, strive to slow disease progression, lower risk of liver cancer, and improve quality of life.

Detection of hypoxemia: 
Visual observation 
versus pulse oximetry, Part 1

Detection of hypoxemia: 
Visual observation 
versus pulse oximetry, Part 1

Early diagnosis is essential to providing treatment in infants with critical congenital heart disease.

Vitamin D deficiency: Beyond bone health

Vitamin D deficiency: Beyond bone health

Vitamin D promotes absorption of calcium in the intestine and maintains adequate serum phosphate and calcium concentrations.

Infections, tumors and lumps affecting the scrotal content

Infections, tumors and lumps affecting the scrotal content

A lump, enlarging scrotum or pain can conjure up images of testicular ­cancer, but other conditions involving the scrotal content are possible.

Minimize admissions for heart failure

Minimize admissions for heart failure

The need to educate patients and help them make difficult lifestyle changes requires clinicians to think differently and offer novel treatment approaches.

Evaluating and managing 
pediatric food allergy

Evaluating and managing 
pediatric food allergy

An approach involving primary-care clinicians, and specialists — including 
allergists, gastroenterologists, nutritionists and counselors — is crucial.

Mixing herbal and 
prescription meds

Mixing herbal and 
prescription meds

Patients often consider supplements and herbs harmless, but combining them with other drugs can have devastating consequences.

Oral involvement of ­systemic diseases

Oral involvement of ­systemic diseases

Oral manifestations are often an early signal of systemic disease, so ­recognizing them can point the way to a prompt diagnosis.

Dismiss a problem
 patient in 10 safe steps

Dismiss a problem
 patient in 10 safe steps

Most clinicians have dealt with a dissatisfied or noncompliant patient. 
But how do you end the relationship without putting yourself at risk?

HAART meds: Implications for the older adult patient

HAART meds: Implications for the older adult patient

Patients infected with HIV are living longer, which means they have more age-related comorbidities that require other medications as well.

Salary Survey 2012: How are you doing?

Salary Survey 2012: How are you doing? By

Find out how your income compares with the more than 9,000 nurse practitioners and physician assistants who completed our 2012 salary survey.

Optimizing technology for diabetes care

Optimizing technology for diabetes care

Advancements in diabetes care abound, but busy practice schedules 
make staying current difficult.

A new understanding of 
osteoarthritis

A new understanding of 
osteoarthritis

Ongoing research and new developments hold promise for altering 
osteoarthritis and go beyond simply treating the symptoms.

Helicobacter pylori: Toward effective eradication

Helicobacter pylori: Toward effective eradication

When choosing among the available treatment options, consideration must be given to local prevalence and antibiotic resistance.

"Predisease": A concept whose time has come?

"Predisease": A concept whose time has come?

Treating patients before they develop a disease is tempting, but the old 
adage still applies: First, do no harm.

A practical guide to 
metabolic syndrome

A practical guide to 
metabolic syndrome

With obesity on the rise, more patients are at risk for metabolic 
syndrome, a diagnosis given to a set of simultaneous disorders.

Demystifying the liver and its diseases

Demystifying the liver and its diseases

An understanding of the liver and its functions will provide the tools to perform a basic workup of patients suspected of having hepatic disease.

Lupus and the autoimmune process in 2012

Lupus and the autoimmune process in 2012

Thanks to new prevention strategies and safer treatments, patients are surviving almost as long as their counterparts without lupus.

Making the right choice in hormone therapy

Making the right choice in hormone therapy

A young cancer survivor prompts consideration of best practice in prescribing estrogen replacement therapy for herself and for others.

Urinary incontinence in the older female population

Urinary incontinence in the older female population

Despite what clinicians and patients think, accurate evaluation and targeted interventions can relieve symptoms and improve quality of life.

Alleviating treatment-resistant depression

Alleviating treatment-resistant depression

Anywhere from 10% to 30% of individuals taking a single antidepressant face obstacles to successful treatment, including undiagnosed illness.

Updated information 
on MRSA infections

Updated information 
on MRSA infections

The number of hospital-acquired MRSA infections is down; however, 
community-acquired MRSA infections continue to rise.

Management of diabetic 
ketoacidosis in adults

Management of diabetic 
ketoacidosis in adults

When developing a plan of care for individuals in diabetic ketoacidosis — an acute complication of diabetes — search for the inciting stressor.

Alternative therapy for gestational diabetes

Alternative therapy for gestational diabetes

Insulin is the only agent recommended to lower glucose levels in pregnant 
women, but a second-generation sulfonylurea may provide another option.

Evaluating heart risk in 
asymptomatic patients

Evaluating heart risk in 
asymptomatic patients

An evidence-based guideline is available to help primary-care clinicians lower the burden of coronary deaths in this adult population

Dyspnea with comorbid heart failure and COPD

Dyspnea with comorbid heart failure and COPD

There are guidelines for the management of each as a separate condition, but how do you evaluate and treat them when they appear together?

Evaluating salivary gland tumors and diseases

Evaluating salivary gland tumors and diseases

When diagnosing, consider the location and duration of the lesion, patient age, underlying systemic disorders and clinical appearance.

When to screen for prostate cancer

When to screen for prostate cancer

In an update of its 2001 guidelines, the American Cancer Society stresses the importance of sharing the screening decision with the patient.

Diagnosing new-onset diabetes in children and teens

Diagnosing new-onset diabetes in children and teens

Type 2 diabetes in this population is increasing, but type1 diabetes is more prevalent. The ability to differentiate between these conditions is crucial.

Screening for functional deficits in older adults

Screening for functional deficits in older adults

Assessment of functional impairments in an aging population is one of the most daunting challenges facing primary-care clinicians.

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