Migraine Headache or Life Threatening Headache

Clay Walker - May 07, 2018

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

Clay Walker - Apr 26, 2018

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

Daniel Champigny - Apr 25, 2018

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)

Clay Walker - Apr 19, 2018

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

Daniel Champigny - Apr 18, 2018

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

Clay Walker - Apr 07, 2018

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

Daniel Champigny - Apr 05, 2018

Plantar fasciitis is an inflammation and degenerative change of the plantar fascia, which is the deep tissue located on the plantar region of the...

Interstitial Cystitis

Clay Walker - Mar 31, 2018

A few months back we had a patient in our clinic that would come into the office every few weeks with symptoms of a UTI.The patient had the classic...

Hemoptysis

Clay Walker - Mar 25, 2018

When someone says, “I coughed up blood,” it is always something that perks up my ears a bit.This symptom often brings on a host of additional...

Diagnosing and Treating Hypertension in Primary Care

Daniel Champigny - Mar 25, 2018

Hypertension is one of the most common reasons for office visits to primary care and urgent care clinics every day in the United States. It is...