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Bipolar disorder. 双相情感障碍。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-05-01 Epub Date: 2025-04-24 DOI: 10.1097/01.JAA.0000000000000100
Ashley Herren
{"title":"Bipolar disorder.","authors":"Ashley Herren","doi":"10.1097/01.JAA.0000000000000100","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000100","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 5","pages":"44-45"},"PeriodicalIF":0.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Squamous cell carcinoma arising from chronic enteroatmospheric fistula. 慢性肠大气瘘引起的鳞状细胞癌。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-05-01 Epub Date: 2025-04-24 DOI: 10.1097/01.JAA.0000000000000074
Phillip Alix, Genesis Moseley, Shai Chazin, Courtland Polley, Steven Bowers, Amanda P Stanton
{"title":"Squamous cell carcinoma arising from chronic enteroatmospheric fistula.","authors":"Phillip Alix, Genesis Moseley, Shai Chazin, Courtland Polley, Steven Bowers, Amanda P Stanton","doi":"10.1097/01.JAA.0000000000000074","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000074","url":null,"abstract":"<p><strong>Abstract: </strong>Marjolin ulcers are aggressive, cutaneous malignancies typically arising from chronic, nonhealing wounds. The presence of an obvious defect often masks this potentially life-threatening condition, making detection difficult and frequently leading to delayed diagnosis. Most cases of Marjolin ulcers are squamous cell carcinoma (SCC) in histology. Unlike for other common cutaneous malignancies, no clear guidelines or protocols are in place for early surveillance and management of Marjolin ulcers. Given the aggressive nature of this malignancy when associated with metastasis, early diagnosis and intervention are imperative. We present a unique case describing an immunocompromised patient with an extensive surgical abdominal history who had developed a cutaneous mass determined to be well-differentiated invasive SCC on final histology. The mass was superimposed over a chronic enteroatmospheric fistula that was present for more than 20 years.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 5","pages":"32-34"},"PeriodicalIF":0.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
CME POST-TEST. 芝加哥商品交易所测试后。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-04-01 Epub Date: 2025-03-25 DOI: 10.1097/01.JAA.0000000000000200
{"title":"CME POST-TEST.","authors":"","doi":"10.1097/01.JAA.0000000000000200","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000200","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 4","pages":"28"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
CME POST-TEST. 芝加哥商品交易所测试后。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-04-01 Epub Date: 2025-03-25 DOI: 10.1097/01.JAA.0000000000000200
{"title":"CME POST-TEST.","authors":"","doi":"10.1097/01.JAA.0000000000000200","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000200","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 4","pages":"28"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Metabolic syndrome and obesity. 代谢综合征和肥胖症
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-04-01 Epub Date: 2025-03-25 DOI: 10.1097/01.JAA.0000000000000094
Brittany Strelow, Brian Burroughs
{"title":"Metabolic syndrome and obesity.","authors":"Brittany Strelow, Brian Burroughs","doi":"10.1097/01.JAA.0000000000000094","DOIUrl":"10.1097/01.JAA.0000000000000094","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 4","pages":"45-46"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Primary aldosteronism: Screening, diagnosis, and management. 原发性醛固酮增多症：筛查、诊断和管理。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-04-01 Epub Date: 2025-03-25 DOI: 10.1097/01.JAA.0000000000000102
Justine Herndon
{"title":"Primary aldosteronism: Screening, diagnosis, and management.","authors":"Justine Herndon","doi":"10.1097/01.JAA.0000000000000102","DOIUrl":"10.1097/01.JAA.0000000000000102","url":null,"abstract":"<p><strong>Abstract: </strong>Hypertension (HTN) is a common condition that physician associates (PAs) encounter in clinical practice. Of patients with HTN, about 10% have secondary HTN, of which primary aldosteronism is one of the most common causes. Primary aldosteronism is a condition in which the adrenal glands produce excess aldosterone, and it contributes to HTN development by inducing sodium and water retention. Primary aldosteronism is underdiagnosed, as it can be hard to identify due to its lack of specific signs and symptoms. Moreover, without proper treatment, patients are at higher risk of cardiovascular disease, chronic kidney disease, metabolic syndrome, osteoporosis, and lower quality of life. It is therefore critical for PAs to be aware of indicators for primary aldosteronism screening. This review discusses primary aldosteronism screening and treatment in primary care while highlighting appropriate specialist referral.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 4","pages":"37-40"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
What is causing this patient's weakness? 是什么导致了这个病人的虚弱？
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-04-01 Epub Date: 2025-03-25 DOI: 10.1097/01.JAA.0000000000000104
Brian Burroughs, Nathan Young
{"title":"What is causing this patient's weakness?","authors":"Brian Burroughs, Nathan Young","doi":"10.1097/01.JAA.0000000000000104","DOIUrl":"10.1097/01.JAA.0000000000000104","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 4","pages":"47-49"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Taking a dermatological history: More than skin deep. 了解皮肤病史：不止于皮肤
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-04-01 Epub Date: 2025-03-25 DOI: 10.1097/01.JAA.0000000000000197
Brian T Maurer
{"title":"Taking a dermatological history: More than skin deep.","authors":"Brian T Maurer","doi":"10.1097/01.JAA.0000000000000197","DOIUrl":"10.1097/01.JAA.0000000000000197","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 4","pages":"50"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Urea cycle disorders: A puzzling case of acute encephalopathy. 尿素循环障碍：一例令人费解的急性脑病。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-04-01 Epub Date: 2025-03-25 DOI: 10.1097/01.JAA.0000000000000073
Maleah Roth, Laura McRae
{"title":"Urea cycle disorders: A puzzling case of acute encephalopathy.","authors":"Maleah Roth, Laura McRae","doi":"10.1097/01.JAA.0000000000000073","DOIUrl":"10.1097/01.JAA.0000000000000073","url":null,"abstract":"<p><strong>Abstract: </strong>Urea cycle disorders (UCDs) are rare genetic disorders affecting the urea cycle, a metabolic pathway that leads to the excretion of waste products such as ammonia. This case report describes a patient who developed acute encephalopathy secondary to hyperammonemia. Following an extensive workup to determine the etiology of the hyperammonemia, the patient was found to have a UCD. Diagnosis of a UCD was challenging, not only due to the rarity of the disorder, but also in this case due to atypical presentation and multiple confounding clinical variables. However, after the UCD was identified and appropriately managed, the patient's clinical status improved.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 4","pages":"e2-e5"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Aplastic anemia: A person-centered approach to diagnosis and treatment. 再生障碍性贫血：以人为中心的诊断和治疗方法。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-04-01 Epub Date: 2025-03-25 DOI: 10.1097/01.JAA.0000000000000195
Alexis C Geppner
{"title":"Aplastic anemia: A person-centered approach to diagnosis and treatment.","authors":"Alexis C Geppner","doi":"10.1097/01.JAA.0000000000000195","DOIUrl":"10.1097/01.JAA.0000000000000195","url":null,"abstract":"<p><strong>Abstract: </strong>Aplastic anemia (AA) is an inherited, idiopathic, or acquired syndrome of bone marrow failure characterized by pancytopenia and ineffective hematopoiesis. Diagnosis, while crucial, is often difficult due to required exclusion of numerous inherited or acquired diseases with similar phenotypes. Mortality from severe AA without treatment approaches 70% within 2 years. The diagnostic algorithm for AA has increased in complexity, now incorporating molecular and genetic testing, and AA treatment guidelines have evolved to optimize patient outcomes. For individuals younger than age 50 years, a matched sibling allogeneic hematopoietic stem cell transplant remains the treatment of choice, and possible cure, for AA. For those without a donor, immunosuppressive therapy (IST) utilizing equine antithymocyte globulin, cyclosporine A, and eltrombopag is the mainstay of treatment. This article explores updated AA guidelines, covering presentation, diagnostic workup, differential diagnosis, IST, supportive care, and monitoring for appropriate dosing and adverse events.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":" ","pages":"18-27"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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