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a forum for physician assistants and nurse practitioners - The Clinical Advisor

Clinical Advisor

Early diagnosis and treatment play a substantial role in a patient’s prognosis and result in a decreased risk of malignancy and scarring.Clinical officers outnumber physicians working in Kenya, and tend to work in rural areas where the need for health care is greatest. Repealing the Affordable Care Act could endanger the health of tens of millions of Americans. A 30-year-old Caucasian woman reports a history of abnormal Pap test results with no other complaints. A student's headaches, lethargy, vomiting, and photophobia are misdiagnosed as migraine. More than 99% of immunocompetent persons aged 40 years and older have evidence of VZV infection and are susceptible to herpes zoster or shingles. A thorough work-up can differentiate between primary and secondary forms, mitigating progression of a more severe underlying disease. A woman has a myocardial infarction after her chest symptoms are misdiagnosed as acid reflux.

src="/img/11/98.jpg" alt="">By initiating a conversation, primary care providers can identify specific end-of-life needs and goals, manage symptoms, and coordinate care.The Waiting Room Managing headaches in patients with sleep disorders

Some well-known sleep disorders are associated with headaches, including sleep apnea and parasomnias.

The Waiting Room Counseling patients about annual Pap smears

Counseling patients on the difference between a Pap smear and a pelvic exam will help them realize the importance of following up with a gynecologist for an annual visit.

Read more about diagnosing herpes zoster.Case Files Blue skin in an elderly woman

The patient's use of minocycline was associated with patchy hyperpigmentation as a result of iron deposition in the dermal cells.

Clinical Pearls Treating patients with diabetic peripheral neuropathy

Alpha-lipoic acid, 600mg daily, is an effective treatment option for patients with diabetic peripheral neuropathy.

Your Comments Kratom and oxycodone

Kratom might be a safer alternative than oxycodone or other narcotics.

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