Clinical Feature

Hypercalcemia: An Incidental Finding in a Postmenopausal Woman

Hypercalcemia: An Incidental Finding in a Postmenopausal Woman

A visit to a primary care provider for routine evaluation uncovers an incidental finding of hypercalcemia.

Irritable Bowel Syndrome and Vitamin D: Is There a Connection?

Irritable Bowel Syndrome and Vitamin D: Is There a Connection?

Low vitamin D levels have been linked to multiple diseases including some cancers, neurologic disorders, decrease in bone density, and cognitive decline in the elderly, and research suggests that a possible inflammatory response in the gut when vitamin D levels are low may cause irritable bowel syndrome.

Guidance for Antibiotic Use in Patients With Myasthenia Gravis

Guidance for Antibiotic Use in Patients With Myasthenia Gravis

As infection may also lead to worsening symptoms in patients with myasthenia gravis, clinicians must balance prompt and adequate treatment of infection with the risk that some antibiotics can aggravate the condition.

Multiple System Atrophy: A Common Form of Atypical Parkinsonism

Multiple System Atrophy: A Common Form of Atypical Parkinsonism

Multiple system atrophy is a rare, progressive neurodegenerative condition for which there is currently no cure.

A Zebra in the Emergency Department

A Zebra in the Emergency Department

Many cases of vaginal foreign body are unusual and often difficult to detect.

Raising Awareness of Pseudobulbar Affect: Knowing the Signs, Symptoms, and Treatment for Patients With Uncontrollable Laughing or Crying

Raising Awareness of Pseudobulbar Affect: Knowing the Signs, Symptoms, and Treatment for Patients With Uncontrollable Laughing or Crying

Pseudobulbar affect is a significant national health issue in the United States, with approximately 2 million individuals affected.

Nurse Practitioner Profession: 20 Years of Change

Nurse Practitioner Profession: 20 Years of Change

Changes in the NP profession over the past 20 years include the growth of the profession, methods of practice, and the types of patients and conditions treated.

Internet "Challenges" and Teenagers: a Guide for Primary Care Providers

Internet "Challenges" and Teenagers: a Guide for Primary Care Providers

Discussions involving Internet challenges with children and adolescents should be as sensitive as those about sexuality and drug or alcohol use.

A History of Race and the Emerging Role of Genetics in Primary Care

A History of Race and the Emerging Role of Genetics in Primary Care

In 2003, the Human Genome Project became the culmination of the history of genetics research, allowing us to understand the role of genetics in human health and disease. As part of The Clinical Advisor's 20th Anniversary, this article explores the influence of race and genetics in clinical practice.

Oral Anticoagulation: Reversing the Current View in Bleeding Events

Oral Anticoagulation: Reversing the Current View in Bleeding Events

Advances in new reversal agents will be key for managing patients treated with DOACs to prevent major bleeding events.

Long-acting reversible contraceptives: a review

Long-acting reversible contraceptives: a review

Because of the high number of unintended pregnancies and the effectiveness of LARCs, they should be a first-line contraceptive option for most women.

Noninvasive colorectal cancer screening

Noninvasive colorectal cancer screening

The FIT and the MT-sDNA are evidence-based tests that should be considered for CRC screening when a colonoscopy cannot be performed.

Preventing suicide in US veterans

Preventing suicide in US veterans

Greater awareness and enhancing communication between patients and primary care providers can help lower the risk of suicide among US veterans.

Preventing sudden death in young athletes

Preventing sudden death in young athletes

Hypertrophic cardiomyopathy, myocarditis, valvular heart disease, and dilated cardiomyopathy are among the most common causes.

Necrotizing myopathy: muscle weakness

Necrotizing myopathy: muscle weakness

Clinicians in all settings are in a position to identify patients with potential myopathic processes and complete an initial diagnostic work-up.

Developmental trauma disorder: the effects of child abuse and neglect

Developmental trauma disorder: the effects of child abuse and neglect

Developmental trauma disorder, not yet officially recognized, results from child maltreatment and has many neurobiologic consequences.

Using information technology to tailor diabetes care

Using information technology to tailor diabetes care

A study of one tracking system's effect finds improvement in the management of diabetes.

Schizophrenia: a clinical overview

Schizophrenia: a clinical overview

By

A better understanding of this complicated condition is key to helping patients reduce symptoms, maximize quality of life, and improve adaptive functioning skills.

Vulvar lichen sclerosus: breaking the silence

Vulvar lichen sclerosus: breaking the silence

Early diagnosis and treatment play a substantial role in a patient's prognosis and result in a decreased risk of malignancy and scarring.

Raynaud phenomenon: a cold-weather condition

Raynaud phenomenon: a cold-weather condition

A thorough work-up can differentiate between primary and secondary forms, mitigating progression of a more severe underlying disease.

Drone-delivered health care in rural Appalachia

Drone-delivered health care in rural Appalachia

Nurse practitioners make history with the first FAA-approved drone delivery of medications in the United States.

The role of biofilms in chronic infections

The role of biofilms in chronic infections

Bacteria in contact with living tissues form layers that resist penetration by the immune system or antibiotics, but promising treatments abound.

Interventions in childhood obesity

Interventions in childhood obesity

Effective use of research-based interventions and recommendations for overweight and obese children begin with initiating a conversation with the family.

Physical activity's effect on cancer mortality

Physical activity's effect on cancer mortality

Exercise may not only prevent cancer from developing, but it may also reduce the risk of death after cancer is diagnosed.

Managing concussion in primary care

Managing concussion in primary care

The incidence of concussion is increasing in children and adults, as is the demand for clinicians who can diagnose and treat both patient groups.

Healthcare issues of the LGBT community: What the primary care clinician should know

Healthcare issues of the LGBT community: What the primary care clinician should know

A greater understanding of the healthcare issues specific to the lesbian, gay, bisexual, and transgender community may improve the quality of care.

Skin cancer detection: every clinician's responsibility

Skin cancer detection: every clinician's responsibility

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More cases of skin cancer are diagnosed each year than of breast, prostate, lung, and colon cancers combined, and early detection is critical.

Adherence and hypertension in the geriatric patient

Adherence and hypertension in the geriatric patient

Addressing factors that lead to lack of adherence to antihypertensive 
therapy in elderly patients is crucial to improving outcomes.

Steps for improving health literacy

Steps for improving health literacy

Communicating well with your patients will lead to better provider/patient relationships, better health outcomes, and reduced healthcare disparities.

Pesticides and 
Parkinson's disease

Pesticides and 
Parkinson's disease

Increasing evidence has shown a link between pesticide exposure and the risk for Parkinson's disease. How real is this link on the golf course?

Osteoarthritis: conservative treatment options

Osteoarthritis: conservative treatment options

Osteoarthritis is one of the most common problems encountered in primary care, and conservative treatment can improve patients' quality of life.

Medical nutrition
 therapy in diabetes

Medical nutrition
 therapy in diabetes

Developing personalized nutrition goals with a registered dietitian
can be effective in managing non-insulin-dependent diabetes.

Current and emerging medications for psoriasis

Current and emerging medications for psoriasis

A number of therapeutic options exist for patients with psoriasis, including phototherapy and systemic and biologic agents.

Cryptogenic organizing pneumonia

Cryptogenic organizing pneumonia

Patients with COP generally have positive outcomes following a definitive diagnosis and the initiation of appropriate treatment.

Signs and symptoms of hepatitis C virus infection

Signs and symptoms of hepatitis C virus infection

Education of high risk populations and regular testing are crucial steps clinicians can take to stem the spread of hepatitis C infection.

Primary care clinician risk assessment for hereditary breast cancer

Primary care clinician risk assessment for hereditary breast cancer

Primary care clinicians should be proficient at assessing the potential for hereditary breast cancer risk in their patients.

A clinician's guide for managing patient perceptions of the flu vaccine

A clinician's guide for managing patient perceptions of the flu vaccine

By presenting research on the safety and efficacy of the flu vaccine, clinicians can successfully promote vaccination to patients in their care.

Personalizing anticoagulant treatments for nonvalvular atrial fibrillation

Personalizing anticoagulant treatments for nonvalvular atrial fibrillation

Multiple considerations come into play when choosing anticoagulant therapy for a patient with atrial fibrillation, a condition that greatly increases the risk for stroke.

Achieving sustained remission in major depressive disorder

Achieving sustained remission in major depressive disorder

Residual MDD symptoms are associated with poor overall outcomes. Several strategies can be used to enhance treatment effectiveness.

Glycemic control in type 2 
diabetes—how low should you go?

Glycemic control in type 2 
diabetes—how low should you go?

Treatment of the whole patient is key and should include management
of dyslipidemia, weight, and hypertension, as well as blood sugar.

Diagnosing anxiety 
disorders in primary care

Diagnosing anxiety 
disorders in primary care

The challenge associated with assessing for anxiety disorders is that the clinical features of one disorder can closely resemble those of another.

Eosinophilic esophagitis: A chronic inflammatory disorder

Eosinophilic esophagitis: A chronic inflammatory disorder

Primary care providers need to be able to recognize the symptoms
 of eosinophilic esophagitis early in the disease process.

Obtaining a sexual
 history in MSM

Obtaining a sexual
 history in MSM

Understanding the nontraditional terminology used by men who have sex with men will help form a successful patient-provider relationship.

Exploring treatment options for migraine headache

Exploring treatment options for migraine headache

A wide range of pharmacologic, nonpharmacologic, traditional,
 and nontraditional treatments are available for patients with migraine.

Treating hypertension—Losing sight of the forest for the trees?

Treating hypertension—Losing sight of the forest for the trees?

Clinicians need to be aware of the current guidelines and focus on diagnosing and treating the large number of people with uncontrolled blood pressure.

Beach medicine pearls (and seashell lacerations)

Beach medicine pearls (and seashell lacerations)

Fun at the beach exposes children and adults to a number of hazards—some avoidable, such as sunburn, and some less so.

Assessing and treating
 pediatric obesity

Assessing and treating
 pediatric obesity

NPs and PAs are at the forefront of efforts to reverse the increasing 
incidence of childhood obesity during the past three decades.

What mobile apps are useful for your clinical practice?

What mobile apps are useful for your clinical practice?

Mobile apps have great potential for use in patient-centered care,
 follow-up, and improving health outcomes.

Preventing and screening for communicable diseases

Preventing and screening for communicable diseases

Greater attention to managing infectious diseases by primary care providers will help ensure that the U.S. is ready for outbreaks such as measles or Ebola.

Dietary fiber: The prebiotic connection

Dietary fiber: The prebiotic connection

Adequate fiber intake is critical for maintaining good health, but only 5% of Americans consume the recommended daily amount.

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