8 results match your criteria JAAPA : official journal of the American Academy of Physician Assistants[Journal]

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An uncommon cause of vision loss: Leber hereditary optic neuropathy.

JAAPA 2018 Nov;31(11):32-34

Julie M. Glover practices emergency medicine at Wright Patterson Medical Center at Wright Patterson Air Force Base in Dayton, Ohio, and is an adjunct professor in the PA program at Kettering (Ohio) College. Monica L. Casmaer is program director at Brooke Army Medical Center in San Antonio, Tex., and a faculty member of the US Army/Baylor University doctor of science emergency medicine physician assistant program in Dallas, Tex. Michael D. April is assistant program director for research in the emergency medicine residency at the San Antonio Uniformed Services Health Education Consortium. The views expressed in this article are those of the authors and do not reflect the official policy or position of Brooke Army Medical Center, the US Army Medical Department, the US Army Office of the Surgeon General, the Department of the Army, the Department of the Air Force and Department of Defense or the US government. The authors have disclosed no potential conflicts of interest, financial or otherwise.

Leber hereditary optic neuropathy (LHON) is a rare mitochondrial genetic disorder characterized by painless acute or subacute vision loss that develops during adolescence. Clinicians should know how to identify potential LHON and when to refer patients to a neuro-ophthalmologist for diagnosis and treatment. This case highlights the value of a thorough family history in ED patients. Read More

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http://dx.doi.org/10.1097/01.JAA.0000546478.56818.50DOI Listing
November 2018
5 Reads

Why is this patient's chronic knee pain worsening?

JAAPA 2018 May;31(5):50-52

Brandon M. Carius is a PA in the US Army, serving as an emergency medicine fellow at Brooke Army Medical Center in Fort Sam Houston, Tex. Charles J. Kambe is a physical therapist at the US Army's Tripler Army Medical Center in Honolulu, Hawaii. The authors have disclosed no potential conflicts of interest, financial or otherwise. The views expressed in this article are those of the authors and do not reflect the official policy or position of the US Army Medical Department, US Army Office of the Surgeon General, Department of the Army, Department of Defense, or the US government.

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http://dx.doi.org/10.1097/01.JAA.0000531048.51513.bbDOI Listing
May 2018
2 Reads

A history of US Army PAs.

JAAPA 2017 Nov;30(11):39-43

Robyn L. Chalupa practices orthopedics at Carl R. Darnall Military Medical Center in Fort Hood, Tex. W. Sanders Marble is a senior historian in the Office of Medical History at US Army Medical Command at Fort Sam Houston in Texas. The authors have disclosed no potential conflicts of interest, financial or otherwise. The views expressed in this article are those of the authors and do not reflect the official policy or position of Brooke Army Medical Center, the US Army Medical Department, the US Army Office of the Surgeon General, the Department of the Army, Department of Defense, or the US government.

The US military has a long tradition of using physician assistants (PAs). The Army began using PAs in 1971 in an effort to supplement the physicians and surgeons in the medical corps. As their numbers grew, PAs gradually replaced general medical officers assigned to battalions. Read More

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http://dx.doi.org/10.1097/01.JAA.0000525910.74978.89DOI Listing
November 2017
11 Reads

A rare cause of abdominal pain and hypotension in pregnancy.

Authors:
Jonathan D Monti

JAAPA 2016 Nov;29(11):31-34

Maj. Jonathan D. Monti is the director of the US Army/Baylor Emergency Medicine Physician Assistant Residency Program at Madigan Army Medical Center in Tacoma, Wash. The opinions or assertions contained herein are the private views of the authors and are not to be construed as official or reflecting the views of the Department of the Army or the Department of Defense. The author has disclosed no potential conflicts of interest, financial or otherwise.

Splenic artery aneurysm rupture is rare. Pregnancy is a significant risk factor and the mortality for mother and fetus is very high if the rupture is undiagnosed or diagnosis is delayed. Patients typically present with abdominal pain and hemodynamic instability. Read More

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http://dx.doi.org/10.1097/01.JAA.0000499629.82493.d1DOI Listing
November 2016
10 Reads

The inherited patient on opioids: A challenge for primary care clinicians.

JAAPA 2016 Oct;29(10):37-43

Christopher L. Owston practices in the US Navy's Medical Service Corps at the Branch Health Clinic Joint Expeditionary Base Little Creek/Fort Story in Virginia Beach, Va. The views expressed in this article are those of the author and do not necessarily reflect the official policy or position of the Department of the Navy, Department of Defense, or the US government. The author has disclosed no potential conflicts of interest, financial or otherwise.

Chronic pain is a common problem, affecting more than 100 million people in the United States, and primary care providers are highly likely to encounter patients on chronic opioid therapy. Initial encounters with a new patient already on high-dose opioids can be difficult and lead to apprehension for both patient and provider. This article describes how to use current opioid prescribing guidelines, conduct a comprehensive pain assessment, and implement risk mitigation strategies to improve patient safety and effectively manage this patient population. Read More

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http://dx.doi.org/10.1097/01.JAA.0000496955.25829.7fDOI Listing
October 2016
11 Reads

A case of acute carpal tunnel syndrome.

JAAPA 2016 Jan;29(1):31-2

At Womack Army Medical Center in Fort Bragg, N.C., George A. Barbee practices emergency medicine, Chelsey L. Haley is a research coordinator for the Henry M. Jackson Foundation, and Cristóbal S. Berry-Cabán is an epidemiologist in the Department of Clinical Investigations. The views expressed in this article are the authors' and do not reflect the official policy of the Department of the Army, Department of Defense, or the US government. The authors have disclosed no potential conflicts of interest, financial or otherwise.

Acute carpal tunnel syndrome is a rare diagnosis in orthopedic medicine. This article describes a 35-year-old man who presented to the ED with complaints of discomfort and paresthesias in his right wrist after a fall, and was subsequently diagnosed with acute carpal tunnel syndrome. The article reviews the pathophysiology of the syndrome and suggested treatment. Read More

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http://dx.doi.org/10.1097/01.JAA.0000473361.84974.14DOI Listing
January 2016
54 Reads

A lesion near the eye.

JAAPA 2015 Sep;28(9):59-60

Lindsay A. Johnston practices at Lackland Air Force Base in San Antonio, Tex. The author has disclosed no potential conflicts of interest, financial or otherwise. The views expressed are those of the author and do not reflect the official views or policy of the Department of Defense or its components.

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http://dx.doi.org/10.1097/01.JAA.0000470443.81768.2aDOI Listing
September 2015
7 Reads

Origins of the physician assistant movement in the United States.

JAAPA 2012 Dec;25(12):36-40, 42

Department of Prevention and Community Health, School of Public Health and Health Services, The George Washington University, Washington, DC, USA.

The 1960s saw a rethinking of health care delivery in the United States. The physician assistant (PA) emerged from that reconceptualization, along with the nurse midwife (CNM) and the nurse practitioner (NP). The PA, CNM, and NP were the product of demand for greater health care access, especially for the nation's poorer citizens. Read More

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http://www.theoma.org/sites/default/files/documents/Origin_o
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December 2012
25 Reads
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