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Bronchiolitis: Is the nebulized albuterol party is over

You are precepting a PA student and she is presenting to you the next patient. Juliette is an 18 month old with a prior 2 day history of nasal congestion and cough and a 1 day history of increasing cough and subcostal retractions.  She presents with a respiratory rate in the low 40’s with slight

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There’s A New Topical in Town

A 7-year-old patient with atopic dermatitis (AD) presents for follow-up with her mother. Despite daily warm water bathing and liberal application of moisturizer, she continues to have dry, itchy skin and recurrent flares of erythematous papules and plaques with excoriation in the antecubital fossa and behind her knees. Review of her medical record over the

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Everything Changes with Time

In 2006, my wife and I purchased a Toyota Sienna minivan.  Looking at vehicles, this certainly wasn’t one of my favorite choices.  After some debate, we ended up with the van.  It turned out to be a great decision.  We made hundreds of trips to family and sporting events, mostly chasing our teenaged children to

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Did She Just Overdo It?

Ms. Z is a 40 year old female who was attempting her first half marathon. She reported at mile 11 didn’t feel well. It was hot that day and she thought she was dehydrated. She stopped to call her husband who met her mile ten where she said she had to lay down and, after

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Resources to recommend to a parent after making the diagnosis of ADHD

Noah is a second grader who you recently diagnosed with ADHD combined type.  His parents are educated and involved parents and have questions about treatment options for Noah.  They have hesitation about starting on medication and worry about the short term and long term.  In addition, they wonder what resources are available to assist with

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Macular, Papular, Lichenified, Oh My, or Why, Oh, Why?

Diagnosing the “Mysterious Red Rash” is…frustrating, challenging, invigorating, discouraging, bottom line…difficult. With over 3000 different dermatologic diagnoses, and more than 50% of patients with these conditions presenting first to primary care, it is an important skill to prioritize for any health care provider (1). Primary care clinicians often feel inadequately prepared to deal with dermatologic

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Did you know that January is Cervical Health Awareness Month?

While you’re not likely to see an overwhelming number of t-shirts, scarves, and socks in teal and white (the color for Cervical Health Awareness Month), there are some interesting and important facts about cervical cancer screening that may be useful for your practice. Over 99% of cervical cancers in the United States are caused by

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Did you know that January is Cervical Health Awareness Month?

While you’re not likely to see an overwhelming number of t-shirts, scarves, and socks in teal and white (the color for Cervical Health Awareness Month), there are some interesting and important facts about cervical cancer screening that may be useful for your practice. Over 99% of cervical cancers in the United States are caused by

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Can Stress Kill?

Ms. X was a was healthy 51-year-old female when she died. She reported being “very busy” all the time taking care of a household. She was taking care of her three grown children who had moved back in with her along with her grandchildren and her husband while working a full-time job. The morning of

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Introducing the new GAPA logo

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