The Clinical Advisor

The Clinical Advisor Stay in touch with the latest information about diagnosing, treating, managing, and preventing conditions seen in a typical office-based primary-care setting.

The Clinical Advisor is a monthly journal for nurse practitioners and physician assistants in primary care.

Operating as usual

A woman presents with a generalized body fatigue, fever, weakness, and shortness of breath. Her medical history shows ac...
10/03/2020
Aspiration Pneumonia Mistaken for Community- Acquired Pneumonia - Clinical Advisor

A woman presents with a generalized body fatigue, fever, weakness, and shortness of breath. Her medical history shows achalasia but otherwise is clear. A chest x-ray reveals bibasilar infiltrates and bilateral pleural effusions, indicative of #pneumonia. http://ow.ly/1k0950BI1N8

A patient with a history of achalasia presents to the emergency department with pneumonia that quickly leads to hypoxic respiratory failure.

Long-acting reversible #contraception methods, such as hormonal and nonhormonal #IUDs and hormonal implants, have been p...
10/02/2020
The Art of Managing Long-Acting Reversible Contraception for Adolescent Patients - Clinical Advisor

Long-acting reversible #contraception methods, such as hormonal and nonhormonal #IUDs and hormonal implants, have been proven safe and effective forms of birth control for adolescent patients. http://ow.ly/u2rg50BH7ZY

Long-acting reversible contraception, such as hormonal and nonhormonal intrauterine devices (IUDs) and hormonal implants, have been proven safe and effective for adolescent patients.

The researchers concluded that earlier and more frequent #mammographic screenings (yearly screenings beginning around ag...
10/02/2020
Can Earlier Mammographic Screenings Affect Mortality Rates? - Clinical Advisor

The researchers concluded that earlier and more frequent #mammographic screenings (yearly screenings beginning around age 40 to 41 as opposed to every 3 years beginning at age 50) was associated with a reduction in #breast cancer mortality. http://ow.ly/L1l950BH7A4

A study in The Lancet Oncology examined the age when breast cancer screenings commonly begin, and whether researchers feel it should be sooner.

The researchers found that the risk for pharmacologically treated depression was higher in individuals with #psoriasis, ...
10/01/2020
Depression Common Among Psoriasis Patients - Clinical Advisor

The researchers found that the risk for pharmacologically treated depression was higher in individuals with #psoriasis, with 21.1% of women with psoriasis receiving pharmacological treatment for #depression compared with 14.2% of the control population. http://ow.ly/XjQO50BFVMW

Researchers assessed the prevalence of pharmacologically treated depression among individuals with and without psoriasis.

Greater adherence to the prescribed #antidepressants was considered predictive of a higher likelihood of treatment respo...
09/30/2020
Antidepressant Adherence Predicts Depression Response in Middle-Aged, Older Adults With Depression - Clinical Advisor

Greater adherence to the prescribed #antidepressants was considered predictive of a higher likelihood of treatment response at 12 and 24 weeks. http://ow.ly/tB3Y50BFVy3

Adherence to antidepressants, rather than the adequacy of the prescribed antidepressant dosage, is predictive of treatment response in middle-aged and older patients who are being treated for depression in primary care.

How frequently do you encounter parents who are not interested in vaccinating their child(ren)? Our latest story discuss...
09/29/2020
How to Discuss Vaccinations With Parents - Clinical Advisor

How frequently do you encounter parents who are not interested in vaccinating their child(ren)? Our latest story discusses effective tools to communicate the importance of child immunization with parents. http://ow.ly/aE5I50BDIbT

When meeting with wary parents, familiarize yourself with recent statistics and controversies regarding vaccinations.

A recently published statement put forth by the #AHA  reviews and discuss medications that may cause or exacerbate #arrh...
09/28/2020
AHA Issues Statement on Drug-Induced Arrhythmias - Clinical Advisor

A recently published statement put forth by the #AHA reviews and discuss medications that may cause or exacerbate #arrhythmias, risk factors for specific arrhythmias, monitoring strategies, prevention and risk reduction methods, and #treatment options. http://ow.ly/HN1j50BDGnG

A scientific statement on drug-induced arrhythmias has been published by the American Heart Association.

The final version of the CMS rule, which will go into effect on October 1, 2020, allows #NPPs who are determined by the ...
09/25/2020
Inside the Debate Over Rehabilitation Services: What Nurse Practitioners and Physician Assistants Need to Know - Clinical Advisor

The final version of the CMS rule, which will go into effect on October 1, 2020, allows #NPPs who are determined by the IRF to have enough specialized training and experience to perform 1 of the 3 required face-to-face visits with a patient per week. http://ow.ly/nLLk50BACRi

Opposition from medical organizations caused the CMS to roll back a proposal granting autonomy to non-physician practitioners caring for patients in inpatient rehabilitation facilities.

A 22-year-old woman presents with #RLQ pain and nausea that has been intensifying over the past 18 hours. She denies exp...
09/24/2020
Case Study: Pain in the Right Lower Abdomen - Clinical Advisor

A 22-year-old woman presents with #RLQ pain and nausea that has been intensifying over the past 18 hours. She denies experiencing vomiting, diarrhea, vaginal discharge, fever, dysuria, missed menses, or other symptoms. http://ow.ly/FWJf50Bzv9J

Case study of a young woman who presents with right lower quadrant pain that has become progressively worse over the past 18 hours.

The multicenter, randomized, double-blind, placebo-controlled EMPACTA study included hospitalized #COVID-19 patients wit...
09/23/2020
Tocilizumab Reduces Need for Mechanical Ventilation in COVID-19 Pneumonia Trial - Clinical Advisor

The multicenter, randomized, double-blind, placebo-controlled EMPACTA study included hospitalized #COVID-19 patients with oxygen saturation less than 94% while on ambient air who did not require noninvasive or invasive mechanical #ventilation. http://ow.ly/FySX50BzuUr

The phase 3 EMPACTA study assessing tocilizumab for the treatment of hospitalized patients with COVID-19 associated pneumonia met its primary end point.

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