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success in medicine

Uncertain paths in medicine lead us to success

As the month of May begins, this can only mean one thing for pre-PA students, another CASPA application cycle is upon us. As I...
peripheral neuropathy

Peripheral Neuropathy Workup (numbness and tingling)

My feet are tingling with excitement to talk about today's topic.  I most commonly see this issue in patients with poorly controlled chronic diabetes,...
pertussis

Pertussis (whooping cough): A Clinical Review

Pertussis, or widely known in communities as whooping cough, is a very contagious and transmissible disease that impacts millions around the globe each year....
migraine headache or life threatening headache

Migraine Headache or Life Threatening Headache

Migraine headaches are frequent chief complaints to primary care offices as well as urgent care and emergency room encounters.  Around 18 percent of women...
delivering bad news

How to Deliver Bad News as a Clinician

Sometimes it comes when I least expect it, other times it is when I most suspect it. Regardless, the visceral reaction is always the...
kawasaki disease

Kawasaki Disease: A Clinical Review

CRASH and BURN is the well-known acronym for the diagnosis of this disease.  It is an acute body wide vasculitis of the small and...
pimped during clinical rotations

Getting pimped during clinical rotations

The act of “pimping” is very common for medical and PA students participating in rotations. Pimping is an age old term used to describe...
Elevated LFTs

Liver Enzyme Elevations (managing abnormal LFTs)

A typical laboratory finding that I run into on a daily basis is elevated liver enzymes.  When I first started practicing, I did not...

Allergic Rhinitis: When the Sneezes get you down

Each year, I always look forward to the season change from winter to spring, however, as flu season fades, a new kind of epidemic...
jaundice adults

How to Workup Jaundice in Adults

It was my second rotation of the clinical year of PA school.  I was excited to say the least.  My preceptor was phenomenal and...