Clinical Pearl of the Month – A 27 Year-Old Woman with Asthma Exacerbation

Gerard Kiernan, MD, FAAFP, FHMClinical Pearls, Family Medicine, Internal Medicine, Nurse Practitioner, Nursing RN/PN, Pediatric Medicine, Physician Assistant

asthma exacerbation case

Asthma exacerbation in a 27-year-old woman.Guidelines and Treatment for Asthma Pearls of Wisdom Q&A Case Asthma is a common and potentially serious chronic disease that imposes a substantial burden on patients, their families and the community. It causes respiratory symptoms, limitation of activity, and flare-ups (attacks) that sometimes require urgent health care and may be fatal. Asthma attacks – called … Read More

Clinical Pearl of the Month – Identify and Treat Tinea Capitis

Gerard Kiernan, MD, FAAFP, FHMClinical Pearls, Family Medicine, Internal Medicine, Nurse Practitioner, Nursing RN/PN, Pediatric Medicine, Physician Assistant

Tinea Capitis Case

A 10-Year-Old Boy with an Itchy Scalp and Patches of Hair LossIdentify and Treat Tinea Capitis Pearls of Wisdom Q&A Case Tinea capitis is a dermatological condition most common in children. It is caused by a fungal infection of the hair and scalp caused by dermatophyte fungi.  Let’s take a look at this tinea capitis case and see if you … Read More

Tips for a Successful Early Clinical Career for Residents, Fellows, and New Board-Certified Clinicians

Paul Griner, MD, MACPClinical Pearls, Emergency Medicine, Family Medicine, Internal Medicine, Medical News, Medical Schools, Nurse Practitioner, Nursing Programs, Nursing RN/PN, Pediatric Emergency Medicine, Pediatric Medicine, Personal Education, Physician Assistant, Residency Programs, Urgent Care

tips for a successful early clinical career and starting clinical practice

Tips for a Successful Early Clinical Career for Residents, Fellows, and New Board-Certified CliniciansHow to get off to a good start in your clinical practice. Completion of residency or fellowship training is an important step in one’s early clinical career.  Equally important is getting off to a good start in your chosen branch of medicine once you have completed training. … Read More

Clinical Pearl of the Month – Ticks and Tickborne Diseases

Gerard Kiernan, MD, FAAFP, FHMClinical Pearls, Emergency Medicine, Family Medicine, Guideline Knowledge Check, Internal Medicine, Nurse Practitioner, Nursing RN/PN, Pediatric Medicine, Physician Assistant, Urgent Care

tickborne disease clinical pearl of the month from Med-Challenger

Tickborne Disease in a 53-year-old WomanTicks and Tick-borne Disease Clinical Pearls of Wisdom Q&A Case Tickborne diseases in the United States include Rocky Mountain spotted fever, Lyme disease, ehrlichiosis, tularemia, babesiosis, Colorado tick fever, and many others according to the CDC. It is important for physicians to consider these illnesses when patients present with influenza-like symptoms. Early, accurate diagnosis allows … Read More

Clinical Pearl of the Month – Preeclampsia, High Risk Pregnancy, High Blood Pressure

Gerard Kiernan, MD, FAAFP, FHMClinical Pearls, Emergency Medicine, Family Medicine, Guideline Knowledge Check, Internal Medicine, Nurse Practitioner, Nursing RN/PN, Pediatric Medicine, Physician Assistant, Urgent Care

preclampsia prevention

Preeclampsia is a pregnancy complication characterized by high blood pressure and signs of damage to another organ system, most often the liver and kidneys. Preeclampsia usually begins after 20 weeks of pregnancy in women whose blood pressure had been normal. Left untreated, preeclampsia can lead to serious — even fatal — complications for both you and your baby. If you … Read More

Clinical Pearl of the Month – Tremor and Tremor Differentiation

Gerard Kiernan, MD, FAAFP, FHMClinical Pearls, Emergency Medicine, Family Medicine, Guideline Knowledge Check, Internal Medicine, Nurse Practitioner, Nursing RN/PN, Pediatric Medicine, Physician Assistant, Urgent Care

tremor - 55 year old woman with tremor

Tremor consists of alternating contractions of agonist and antagonist muscles in an oscillating, rhythmic manner. Tremor may also be characterized based on distribution, frequency, amplitude, and related neurologic dysfunction.The first step in the evaluation of a patient with tremor is to categorize the tremor based on its activation condition, topographic distribution, and frequency. The diagnosis of tremor is based on … Read More

Clinical Pearl of the Month – Gout Treatment in 49-year-old Chinese American man

Gerard Kiernan, MD, FAAFP, FHMClinical Pearls, Emergency Medicine, Family Medicine, Guideline Knowledge Check, Internal Medicine, Nurse Practitioner, Pediatric Medicine, Urgent Care

Gout Case - 49-year-old chinese-american man with gout

Gout affects 8.3 million Americans according to NHANES 2007–2008, roughly 3.9% of the U.S. population. Gout has significant impact on physical function, productivity, health-related quality of life and health care costs. Compared to whites, racial/ethnic minorities have higher prevalence of gout and there is a wide variation in the prevalence of gout in various populations in the Asia‐Pacific region.  There’s … Read More

Against Medical Advice (AMA): Clinical Pearls Blog

Gerard Kiernan, MD, FAAFP, FHMClinical Pearls, Emergency Medicine, Family Medicine, Internal Medicine, Nurse Practitioner, Pediatric Medicine, Urgent Care

against medical advice AMA discharge

When a patient leaves against medical advice – or AMA, the patient is leaving before their treating physician recommends discharge or despite medical advice to the contrary. This definition implies the patient received and understood the medical advice given. In practice, the term “AMA” is often used regardless of whether medical advice was given or not.  Patients may lack the … Read More

Asymptomatic Bacteriuria: Clinical Pearls Blog

Gerard Kiernan, MD, FAAFP, FHMClinical Pearls, Family Medicine, Internal Medicine, Nurse Practitioner

Asymptomatic Bacteriuria positive urine culture

Asymptomatic bacteriuria (ASB) is a common finding in many populations, including healthy women and persons with underlying urologic abnormalities or those who have bladder catheters inserted for an extended period.  Asymptomatic bacteriuria is a condition in which larger than normal numbers of bacteria are present in the urine but symptoms do not result. A 76-year-old woman with Alzheimer’s disease, hypertension, … Read More