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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 (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...
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 same. I open a CT...
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...
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 medium-sized arteries...
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 when a...
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 know precisely how...
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 creeps into urgent...
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 allowed me to be involved...
Plantar Fasciitis: A Clinical Review
Plantar fasciitis is an inflammation and degenerative change of the plantar fascia, which is the deep tissue located on the plantar region of the...