During presentation to the emergency department, she was found to have a white blood cell count of 18,000 with a left shift, urinalysis positive for leukocytes and nitrites.
I will never forget the intent of his teaching as he knew the prognosis was grim for him.
This is a disease that will affect clinicians in the southwest US and eventually the entire country as climate warming progresses.
A 2-year-old boy was having worsening daily episodes of explosive diarrhea. He had no fevers, and his appetite and diet were unchanged.
There was no warning, he had no allergies, and they were not associated with any cold symptoms or other conditions.
Patients on particular medications, or with certain underlying medical conditions, may experience orthostatic hypotension when arising from bed or a chair.
A PA reflects on a time when a patient complained of left-sided neck pain and was diagnosed with a 12-cm mass.
A sonogram reveals a 9-mm epididymal cyst.
In this case, the patient not only subsequently had a stroke 2 years later, but he also required coronary artery bypass surgery within 5 years.
This nurse practitioner erred by not referring this patient to a psychiatric provider.
More aggressive depression screening for patients with stroke will help detect and treat symptoms sooner.
Creating individualized breast cancer screening strategies is the answer to minimize the morbidity and mortality of breast cancer.
Military sexual trauma includes any sexual activity in which a service member is involved against his or her will, ranging from sexual harassment to rape.
Eye contact, positive body language, and humor are ways in which a clinician can make a personal connection with the patient.
Transcending the emotional barriers between clinician and patient can lead to a stronger, more balanced professional life.
Clinicians discuss the benefits of healthcare providers receiving vaccinations in order to prevent the spread of disease in the workplace.
A Divine guidance helps a nurse practitioner make a diagnosis that saved a patient's life.
Two clinicians offer their opinion on June's Legal Advisor about a female nurse fired for falling asleep while on duty in the hospital.
Apply any toothpaste to fire ant bites and wash off after 10 minutes
The ketogenic diet increases the conversion of glutamate into glutamine into GABA, reducing neuronal excitability.
A dying man's wish to attend a Renaissance Festival taught a valuable lesson to a palliative care nurse practitioner.
A household cleaner such as Windex can be used to remove a ring from a swollen finger.
A girl presented to a small town hospital symptoms including fever, bloodshot eyes, red lips, and rash on the palms of her hands.
Features of hematoma can often be confused with those of melanoma.
Epigenetics explains the anatomy and physiology behind the central nervous system changes caused by child abuse.
Antibiotics do not always need to be used for cutaneous abscesses, but the condition must be evaluated on a case-by-case basis to make a final decision regarding the appropriate course of treatment for any individual.
Just as in nutrition, there are certified aromatherapists who can assist providers in helping their patients use essential oils safely.
Three health care clinicians discuss the advantages and disadvantages of repealing the Affordable Care Act and how the change would impact their practice.
Physician education in depression recognition and treatment and restricting access to lethal methods have significant data supporting their effectiveness in suicide prevention.
Patients who are taking opioids can manage their tolerance by taking magnesium 500mg.
There is evidence that HIV might have spread from its origins in the US to the rest of the world.
A low-carbohydrate lifestyle is an effective treatment option to prevent chronic diseases.
Working with a large number of attending physicians can be one of the biggest difficulties of being an advanced practice provider.
A young boy's complaint of a tender mass on his left thigh is diagnosed as osteosarcoma.
A transurethral resection of bladder tumor allows examination and determination of histology, depth of invasion, and involvement beyond the bladder.
Applying necessary lifestyle changes as well as incorporating pharmaceutical drugs will improve diabetes in patients compared to drugs alone.
The patient's use of minocycline was associated with patchy hyperpigmentation as a result of iron deposition in the dermal cells.
Alpha-lipoic acid, 600mg daily, is an effective treatment option for patients with diabetic peripheral neuropathy.
Kratom might be a safer alternative than oxycodone or other narcotics.
Pharmacotherapy and combination therapy may be a better alternative to the ACP's diabetes treatment guidelines.
Doppler imaging resulted in a solid mass with suggestion of increased vascularity.
Treating lacerations properly requires benzoin, Steri-Strips, and a Dermabond to cover.
Converting pounds to kilograms in your head is easier than you think.
Cases of prostate biopsies resulting in the spread of cancerous cells are rare.
The standard treatment option for premenopausal women who do not wish to get pregnant is hysterectomy.
The elevated blood glucose measurement was associated with the presence of fructose on the patient's fingers from picking cherries.
Premature thelarche can often be confused with precocious puberty and will resolve over time without intervention.
Unplanned pregnancies can occur when a patient misunderstands the proper use of contraception.
Asking for a patient's exercise regimen should be incorporated when checking for basic vital signs.
Early Lyme disease is a clinical diagnosis, and a negative blood test does not completely rule out the possibility of Lyme disease.
Evidence suggests that exposure to Agent Orange is linked with a number of serious and potentially fatal diseases.
Vitamin D3 at 2000 IU reduced the incidence of type 1 diabetes by 88%.
Pressure on a wound is the key to stopping blood flow.
Creams, sanitizers, and antiperspirant are all acceptable forms of treatment for tinea pedis and yeast infections.
A young Caucasian woman presented with complaints of years regarding pain in her feet but did not know the cause.
Suboxone can curb drug addiction if it is used correctly.
Preventing yeast infections in skinfolds by using hand sanitizer.
LGBT practice management includes routine cancer screening in accordance with current guidelines.
Research has shown that use of suboxone and methadone, in conjunction with counseling, can be effective addiction treatment.
Healthcare professionals should be educated about the hallmark signs and symptoms of the Zika virus.
Patients with G6PD should avoid triggers of oxidative stress.
Patients should be encouraged to incorporate daily exercise into their treatment regimen.
When symptoms of thyroid disease are present, clinicians should check thyroid antibodies even if thyroid function is normal.
Ice is among alternative recommendations for treatment of chronic pain.
Pediatric clinicians can avoid causing pain by using an alternative technique to assess for rebound tenderness.
Itching is a serious concern for patients with atrophic vaginitis, and alternative treatments can help.
One clinician feels that suboxone is not the answer to the opioid crisis.
Rather than identify patients as having low health literacy, it is recommended that clinicians use Universal Health Literacy Precautions.
One clinician took issue with the image published in a January 2016 Clinical Advisor article.
Clinicians should be sure that patients know how to properly take their medications.
Corticosteroids may relieve symptoms of allergic rhinitis, but are not always appropriate.
A clinician offers a tip for applying a small amount of nonsterile ointment.
Patients shouldn't turn off the alarm until their medication has been taken.
After 36 hours, a patient with a salivary duct stone shows limited improvement.
Low dose lithium can bring return absolute neutrophil count (ANC) to normal levels.
Turn a challenge into a game for your patient.
A reader weighs in on suboxone prescribing practices.
Readers provide more suggestions for treating musculoskeletal pain.
Which non-narcotic analgesics are best for treating musculoskeletal pain?
Timing of a recent administration of the meningococcal vaccination cannot be ignored.
Could cannabidiol (CBD) be an acceptable use of medical marijuana?
Earlier interventions lead to better outcomes in autism.
A patient begins rapidly losing her hair after an epidural steroid injection.
A clinician offers a tip helping patients remember to use their steroid inhalers.
Despite the guideline, clinicians may choose to order MRI's for patients with dense breasts.
A clinician weighs in on the potential harms of full practice authority for Nurse Practitioners.
A clinician questions wonders if there is a connection between cardiac arrhythmia and the flu vaccine.
Erythromycin ointment may be prescribed in place of bacitracin when performing facial laceration repair or sutures.
A patient with a history of a carcionid tumor on their appendix did not return to a physician for follow up.
A clinician expresses concerns about potentially misleading flu vaccination information for pregnant women.
Contaminated water leads to high rates of birth defects, thyroid cancer, and spontaneous abortions.
Clinicians should avoid labeling their patients as noncompliant.
More readers weigh in on the ethical issues surrounding the use of intrauterine devices.
What is the mechanism of action for laser treatment for onychomycosis of the toenails?
For women who are pro-life advocates, copper IUD devices that prevent fertilization may be an acceptable alternative.
Confusion surrounds the current screening recommendations and guidelines.
This patient presented for the evaluation of enlarging brown spots.
Correctly position your patient to ensure a proper Pap smear.
One clinician encourages the use of touch when taking a patient's history.
Medical noncompliance is a huge deterrent to patients achieving their treatment goals.