The Exchange

Commentary and Observations from
the Medical Front Lines

 

Welcome to PCE's The Exchange—Stay Current on Issues That Matter Most to You and Your NP/PA Colleagues

PCE is excited to announce the launch of The Exchange, a collection of short commentaries from your NP/PA colleagues on a broad range of topics relevant to your practice. The Exchange will bring you reflections on trends in medicine, observations about new treatments and guidelines, and advice related to career decisions and practicing in today's changing healthcare environment.


Non-Infectious Complications of Common Variable Immunodeficiency

Non-Infectious Complications of Common Variable Immunodeficiency

Common variable immunodeficiency (CVID) is the most common type of symptomatic primary immune deficiency disorder, affecting approximately 1 out of every 25,000 persons. The most recent guidelines suggest CVID in the presence of the following: low immunoglobulin (Ig) G levels, based on age; either low IgM or IgA; poor antibody response after vaccination; older than 4 years of age; and no secondary causes of hypogammaglobulinemia. Secondary causes of hypogammaglobulinemia can include liver dis... Continue Reading

Filed under: Allergy/Immunology

Diagnosis and Management of Hereditary Angioedema

Diagnosis and Management of Hereditary Angioedema

Hereditary angioedema (HAE) is an autosomal-dominant disorder caused by deficiency of C1 esterase inhibitor (C1-INH). It is estimated that HAE affects 1 out... Continue Reading

Filed under: Allergy/Immunology

Not All Moisturizers Are the Same

Not All Moisturizers Are the Same

With summer coming to an end, the temperature will decrease, the humidity will lower, heaters will be turned on, and dry, cracked skin will appear. The term... Continue Reading

Filed under: Dermatology

Controversies in Sunscreen – An Update

Controversies in Sunscreen – An Update

It is well established that too much ultraviolet radiation from the sun can damage the DNA in your skin cells, which can lead to premature aging and skin can... Continue Reading

Filed under: Dermatology

Periprosthetic Fractures: The New Osteoporotic Fragility Epidemic

Periprosthetic Fractures: The New Osteoporotic Fragility Epidemic

Periprosthetic fracture, defined as a post-operative fracture around or near a prosthesis, has become increasingly common. This was shown in a study publishe... Continue Reading

Filed under: Orthopedics, Rheumatology

Prime Time for Osteoanabolic Therapy

Prime Time for Osteoanabolic Therapy

We now have fracture risk reduction evidence from 2 separate trials comparing oral bisphosphonates with osteoanabolic medications. These well controlled phas... Continue Reading

Filed under: Orthopedics, Rheumatology

Advanced Practice Clinicians in Rheumatology, Part 2

Advanced Practice Clinicians in Rheumatology, Part 2

As I alluded to in my previous po... Continue Reading

Advanced Practice Clinicians in Rheumatology, Part 1

Advanced Practice Clinicians in Rheumatology, Part 1

I have been practicing as an NP in rheumatology for 7 years and I love it. I got lucky, really: A recruiter reached out to a fellow student who was not inter... Continue Reading

Filed under: NPs & PAs, Practice Management/Career, Rheumatology

STEMI Mimics: Part 2, Left Bundle Branch Block

STEMI Mimics: Part 2, Left Bundle Branch Block

Left bundle branch block (LBBB) is the second most common STEMI mimic. The ECG pattern includes an elevated ST segment at baseline, making it impossible to u... Continue Reading

Filed under: Cardiometabolic

STEMI Mimics: Part 1, Left Ventricular Hypertrophy

STEMI Mimics: Part 1, Left Ventricular Hypertrophy

As advanced practice providers, we are expected to be able to discern dangerous rhythms on the ECG—such as the dreaded ST-segment elevation myocardial infa... Continue Reading

Filed under: Cardiometabolic

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