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NEWS

ClinicalAdvisor.com/News

Sleep Disturbances in Childhood May Predict Future Symptoms of ADHD

Parent-reported sleep disturbances predict increased symptomology of ADHD when the children grow older, according to study ndings.

Expert Panel Publishes Guides for Personalized Long-Term Acne Care

An expert panel provides recommendations to support comprehensive, personalized, long-term treatment strategies that address all presentations of acne and its current and potential future burden.

Safety of COVID-19 mRNA Vaccines in Pregnancy Proved in Large Study

The rate of postvaccination health events was lower among pregnant persons than among similarly aged, nonpregnant female individuals following COVID19 mRNA vaccinations.

Inappropriate Antibiotic Use for Uncomplicated Cystitis Still Occurs

Urologists appear more likely than other specialists to inappropriately treat uncomplicated cystitis with antibiotics, according to study ndings.

Diets High in Calcium and Potassium May Prevent Kidney Stones

Daily intake of 1200 mg of calcium may help prevent incident and recurrent kidney stones, study ndings show.

CLINICAL CHALLENGE

ClinicalAdvisor.com/Clinical-Challenge

Brady Pregerson, MD

Generalized Epigastric Pain and Syncope

A woman in her mid-50s presents to the emergency department with a history of nonradiating epigastric pain that began 36 hours ago. The patient notes that the pain has become more generalized. Can you make the diagnosis? See the full case at: clinicaladvisor.com/ case_september_october22

MY PRACTICE

ClinicalAdvisor.com/MyPractice

Kristin Della Volpe

Is It Time to End Medicare Indirect Billing for NPs and PAs?

Experts discuss the often hidden phenomenon of indirect billing for NP and PA services and whether the 85% reimbursement rate for APPs is equitable.

THE WAITING ROOM

Of cial Blog of The Clinical Advisor

ClinicalAdvisor.com/WaitingRoom

Jim Anderson, MPAS, PA-C, DFAAPA

Rising Fentanyl Use Challenges Current Methadone Induction Protocols

Jim Anderson, MPAS, PA-C, discusses strategies for adapting methadone induction protocols to meet the therapeutic needs of patients using fentanyl.

Advisor Dx

Interact with your peers by viewing the images and offering your diagnosis and comments. To post your answer, obtain more clues, or view similar cases, visit ClinicalAdvisor.com/AdvisorDx. Learn more about diagnosing and treating these conditions, and see how you compare with your fellow colleagues.

Check out some of our latest cases below!

DERM DX

New Growth After Basal Cell Carcinoma

A 66-year-old man presents with several skin lesions. He has a history of basal cell carcinomas removed from his cheek and forehead. His medical history is also positive for hypertension, actinic keratoses, and stasis dermatitis. He works outdoors and has experienced several episodes of moderately severe sunburns throughout his life. Examination reveals multiple seborrheic keratoses and skin tags as well as a slightly erythematous nodule with a hyperpigmented base located on his left shoulder.

CAN YOU DIAGNOSE THIS CASE? • Basal cell carcinoma • Nodular melanoma • Dermal duct tumor • Angiokeratoma • Osteoarthritis • Peripheral vascular disease

● See the full case at clinicaladvisor.com/dermdx_september_october22

ORTHO DX

In partnership with

TheJopa.org Journal of Orthopedics for Physician Assistants

Edema in Lower Leg

A 65-year-old construction worker presents with complaints of right lower extremity edema. An emergency department visit ruled out deep vein thrombosis. He reports that the ultrasound showed a Baker cyst in the back of his knee. He has a history of a right total knee replacement 13 years ago. On physical examination, knee effusion and pitting edema are observed in the right lower extremity. He has no edema in his left leg and his ankle pulses are strong in bilateral lower extremities.

CAN YOU DIAGNOSE THIS CASE? • Infection • Metallosis

● See the full case at clinicaladvisor.com/orthodx_september_october22