Features

Clinical Challenge

Renal failure in a patient with maturity onset diabetes of the young

Renal failure in a patient with maturity onset diabetes of the young

A patient presented to the office with a 45-year history of maturity onset diabetes of the young after renal failure.

Features Major depressive disorder: a guide for primary-care clinicians

Major depressive disorder: a guide for primary-care clinicians

Ruling out a physiological reason for symptoms is a good starting point for NPs and PAs caring for patients with a new psychiatric disorder.

Clinical Challenge An adolescent with more than a cold

An adolescent with more than a cold


A 12-year-old child complains of having a slight sore throat and fatigue, but his mother becomes concerned when the child's symptoms worsen three days later.

Stat Consult Stat Consult: Measles

Stat Consult: Measles

Review the basics on measles, including risk factors, symptoms, treatment, and prevention.

Features Meningococcal meningitis: Managing outbreaks among adolescents and young adults

Meningococcal meningitis: Managing outbreaks among adolescents and young adults

Each year clusters of meningitis cases break out in the U.S. in the fall and winter months, particularly among adolescents and young adults.

Alternative Meds Update Xylitol: Low-cost treatment for dental caries, upper respiratory infections

Xylitol: Low-cost treatment for dental caries, upper respiratory infections

Xylitol is a primary sugar alcohol that can be used to help various dental problems as well as upper respiratory and ear infections.

Clinical Challenge Transplant, steroids, and diabetes: Inpatient and outpatient management

Transplant, steroids, and diabetes: Inpatient and outpatient management

A patient, aged 60 years, was admitted to the hospital to undergo renal transplant therapy. He had a history of type 2 diabetes for 15 years.

Features Managing anal fissures

Managing anal fissures

Anal fissures can be confused with hemorrhoids in everyday primary practice but require their own treatment protocol.

Evidence-Based Medicine Percutaneous closure of left atrial appendage may decrease mortality, hemorrhagic stroke risk

Percutaneous closure of left atrial appendage may decrease mortality, hemorrhagic stroke risk

Antithrombotic therapy is consistently recommended for most patients with atrial fibrillation and until recently warfarin, a vitamin K antagonist, has been the antithrombotic of choice.

Evidence-Based Medicine Extending duration of dual antiplatelet therapy in patients with drug-eluting stents yields mixed results

Extending duration of dual antiplatelet therapy in patients with drug-eluting stents yields mixed results

Extending the duration of DAPT may decrease the risk of stent thrombosis, but evidence on the efficacy of DAPT for greater than one year has been inconsistent.

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