To stifle the gag reflex while performing a strep test, start at the superior tonsillar pillar next to the uvula and swipe downward. — Eugenia Zawadzki, PA-C, LaPorte, Ind. (174-7)

These are letters from practitioners around the country who want to share their clinical problems and successes, observations and pearls with their colleagues. We invite you to participate. If you have a clinical pearl, submit it here.