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CME/CE articles from The Clinical Advisor


The Clinical Advisor, a monthly journal for nurse practitioners and physician assistants in primary care, delivers high-quality CME/CE articles with each monthly issue. See below for a list of The Clinical Advisor's CME/CE articles available on myCME.com. Click here to visit The Clinical Advisor's web site.





Latest CME/CE Articles - May 2013


Symptoms and treatment of low testosterone in men

From the May 2013 issue of The Clinical Advisor: Symptoms and treatment of low testosterone in men. There is a direct correlation between testosterone and metabolic syndrome, mental function, libido, erectile dysfunction, bone density, and overall energy.
 

Skin-colored papules; Purple trunk plaques on a homosexual man; Blue discoloration on both arms and legs

From Dermatologic Look-Alikes and Dermatology Clinic in the May 2013 issue of The Clinical Advisor: Skin-colored papules; Purple trunk plaques on a homosexual man; Blue discoloration on both arms and legs.
 

Archived CME/CE Articles - 2011-13

Below is a list of archived CME/CE articles from 2011-13

For a collection of CME/CE articles from 2010, click here.



April 2013


Vaginal bleeding in the early stages of pregnancy

From the April 2013 issue of The Clinical Advisor: Vaginal bleeding in the early stages of pregnancy. A number of potential causes of vaginal bleeding in early pregnancy must be considered when deciding what type of management is required.
 

White plaques on the tongue; Tender, atrophic plaque on the arm and chest; Firm, indurated scalp lesion with hair loss

From Dermatologic Look-Alikes and Dermatology Clinic in the April 2013 issue of The Clinical Advisor: White plaques on the tongue; Tender, atrophic plaque on the arm and chest; Firm, indurated scalp lesion with hair loss.
 



March 2013




Plaques on the lower extremities; Discoloration worsens following sun exposure; Arm ulcer on a Latin American immigrant

From Dermatologic Look-Alikes and Dermatology Clinic in the March 2013 issue of The Clinical Advisor: Plaques on the lower extremities; Discoloration worsens following sun exposure; Arm ulcer on a Latin American immigrant.
 

Primary-care prevention of cervical cancer

From the March 2013 issue of The Clinical Advisor: Primary-care prevention of cervical cancer. To reduce the mortality and incidence of this disease, clinicians must be aware of the most recent vaccination and screening guidelines.
 



February 2013




Intertriginous erosions; Red scalp plaque with painful ulceration; Discolored patches from wrist to elbow

From Dermatologic Look-Alikes and Dermatology Clinic in the February 2013 issue of The Clinical Advisor: Intertriginous erosions; Red scalp plaque with painful ulceration; Discolored patches from wrist to elbow.
 

Evaluation and treatment of acute cerebral ischemia

From the February 2013 issue of The Clinical Advisor: Evaluation and treatment of acute cerebral ischemia. To ensure that therapeutic interventions begin in time, providers must be able to recognize the clinical presentation of an acute ischemic stroke.
 



January 2013



Ulcerations in the oral cavity; Small brown spots on the lower shins; Erosions on the hands and elevated iron levels

From Dermatologic Look-Alikes and Dermatology Clinic in the January 2013 issue of The Clinical Advisor: Ulcerations in the oral cavity; Small brown spots on the lower shins; Erosions on the hands and elevated iron levels.
 

New paradigms in managing chronic kidney disease

From the January 2013 issue of The Clinical Advisor: New paradigms in managing chronic kidney disease. To slow the progression to end-stage renal disease, primary-care clinicians must be able to identify, screen, treat, and educate at-risk individuals.
 



December 2012



A collaborative approach to myasthenia gravis

From the December 2012 issue of The Clinical Advisor: A collaborative approach to myasthenia gravis. This chronic autoimmune disorder is caused by antibodies that block muscle cells from receiving neurotransmitters from the nerve cell.
 

Hyperpigmented cheek patches; Chest papule turns red when rubbed; Painless, nongrowing nasal lesion

From Dermatologic Look-Alikes and Dermatology Clinic in the December 2012 issue of The Clinical Advisor: Hyperpigmented cheek patches; Chest papule turns red when rubbed; Painless, nongrowing nasal lesion.
 



November 2012




Updated standards for CCHD screening: pulse-oximetry pearls and statewide protocols

The article will also provide a greater understanding of CCHD screening performance, offer practice pearls, and discuss future advances to ensure optimal sensitivity of CCHD screening of newborns.
 

Erythematous, pruritic leg plaques; Itchy leg bullae after a trip outdoors; Firm, red plaques and xerotic skin

From Dermatologic Look-Alikes and Dermatology Clinic in the November 2012 issue of The Clinical Advisor: Erythematous, pruritic leg plaques; Itchy leg bullae after a trip outdoors; Firm, red plaques and xerotic skin.
 



October 2012



CCHD Screening Guidelines Part 2: Implementation of standardized protocols

This activity is designed to take the learner from a comprehensive understanding of critical congenital heart disease (CCHD), the imperatives of appropriate neonatal screening for CCHD and implementation of standardized protocols nationwide, to discussion of the continuum of care from assessment and diagnosis to management decisions and follow-up post-discharge.
 

White plaques in the oral cavity; Extremely pruritic rash on the back and chest; Facial pustules after radiation treatment

From Dermatologic Look-Alikes and Dermatology Clinic in the October 2012 issue of The Clinical Advisor: White plaques in the oral cavity; Extremely pruritic rash on the back and chest; Facial pustules after radiation treatment.
 



September 2012



Asymptomatic skin lesions; Isolated areas of darkening skin; Dirty-appearing truncal eruption

From Dermatologic Look-Alikes and Dermatology Clinic in the September 2012 issue of The Clinical Advisor: Asymptomatic skin lesions; Isolated areas of darkening skin; Dirty-appearing truncal eruption.
 

Detection of hypoxemia: visual observation versus pulse oximetry

The article takes the learner from a comprehensive understanding of critical congenital heart disease (CCHD) and introduces the role of pulse oximetry as a simple, safe, and effective screening tool that improves the detection of CCHD when added to physical examination.
 



August 2012


Infections, tumors, and lumps affecting the scrotal content

From the August 2012 issue of The Clinical Advisor: Infections, tumors, and lumps affecting the scrotal content. A lump, enlarging scrotum or pain can conjure up images of testicular cancer, but other conditions involving the scrotal content are possible.
 

Erythematous scaling lesions; Painful, itchy foot vesicles and bullae; Enlarging annular plaques and patches

From Dermatologic Look-Alikes and Dermatology Clinic in the August 2012 issue of The Clinical Advisor: Erythematous scaling lesions; Painful, itchy foot vesicles and bullae; Enlarging annular plaques and patches.
 



July 2012


Evaluating and managing pediatric food allergy

From the July 2012 issue of The Clinical Advisor: Evaluating and managing pediatric food allergy. An approach involving primary-care clinicians, and specialists—including allergists, gastroenterologists, nutritionists, and counselors—is crucial.
 

Erythematous palmar lesions; Blue-black mole with regular borders; Extremely pruritic-hyperkeratotic papules

From Dermatologic Look-Alikes and Dermatology Clinic in the July 2012 issue of The Clinical Advisor: Erythematous palmar lesions; Blue-black mole with regular borders; Extremely pruritic-hyperkeratotic papules.
 



June 2012



Oral Involvement of Systemic Diseases

From the June 2012 issue of The Clinical Advisor: Oral Involvement of Systemic Diseases. Oral manifestations are often an early signal of systemic disease, so recognizing them can point the way to a prompt diagnosis.
 

Asymptomatic red lesions; Itchy papules on an infant's torso and palms; Pink scaly rash on the trunk and arms

From Dermatologic Look-Alikes and Dermatology Clinic in the June 2012 issue of The Clinical Advisor: Asymptomatic red lesions; Itchy papules on an infant's torso and palms; Pink scaly rash on the trunk and arms.
 



May 2012


HAART meds: Implications for the older adult patient

From the May 2012 issue of The Clinical Advisor: HAART meds: Implications for the older adult patient. Patients infected with HIV are living longer, which means they have more age-related comorbidities that require other medications as well.
 

Facial rashes; Macules spread to extremities; Pink nodule on crown

From Dermatologic Look-Alikes and Dermatology Clinic in the May 2012 issue of The Clinical Advisor: Facial rashes; Macules spread to extremities; Pink nodule on crown.
 



April 2012


Trunk rashes; Depigmentation on the chest and nail folds; Recent-onset hair loss

From Dermatologic Look-Alikes and Dermatology Clinic in the April 2012 issue of The Clinical Advisor: Trunk rashes with central clearing; Depigmentation on the chest and nail folds; Recent-onset hair loss in a high-school student.
 

A new understanding of osteoarthritis

From the April 2012 issue of The Clinical Advisor: A new understanding of osteoarthritis. Ongoing research and new developments hold promise for altering osteoarthritis and go beyond simply treating the symptoms.
 



March 2012


Towards eradication of H. Pylori

From the March 2012 issue of The Clinical Advisor: Helicobacter pylori: Toward effective eradication
 

Growing skin plaques; Thick, leathery, and red skin; Papule with no pain or itching

From Dermatologic Look-Alikes and Dermatology Clinic in the March 2012 issue of The Clinical Advisor: Growing skin plaques with scale; Thick, leathery, and red skin over the hands; Slow-growing papule with no pain or itching.
 



February 2012


A practical guide to metabolic syndrome

From the February 2012 issue of The Clinical Advisor: A practical guide to metabolic syndrome
 

Diffuse erythematous papules; Pink papules; Scalp plaque

From Dermatologic Look-Alikes and Dermatology Clinic in the February 2012 issue of The Clinical Advisor: Diffuse erythematous papules; Nonscaly pink papules on the neck; Asymptomatic scalp plaque since birth.
 



January 2012


Lupus and the autoimmune process: The view from 2012

From the January 2012 issue of The Clinical Advisor: Lupus and the autoimmune process: The view from 2012
 

Linear pink papules; Pink, pearly nasal papule; Macular lip lesion

From Dermatologic Look-Alikes and Dermatology Clinic in the January 2012 issue of The Clinical Advisor: Linear pink plaques; Slow-growing pink, pearly nasal papule; Pigmented macular lip lesion.
 



December 2011




Urinary incontinence in the older female population

From the December 2011 issue of The Clinical Advisor: This program focuses on managing urinary incontinence in older women.
 

Yellow facial growths; Vesicular eruption; Depigmented area

From Dermatologic Look-Alikes and Dermatology Clinic in the December 2011 issue of The Clinical Advisor: Yellow processes on the face; Vesicular eruption coupled with fever; Depigmented area surrounding a mole
 





November 2011




Managing diabetic ketoacidosis in adults

From the November 2011 issue of The Clinical Advisor: When developing a plan of care for individuals in diabetic ketoacidosis — an acute complication of diabetes — search for the inciting stressor.
 

Yellow papules; Swollen chest nodule; Bleeding blister

From Dermatologic Look-Alikes and Dermatology Clinic in the November 2011 issue of The Clinical Advisor: Yellow papules; Bleeding blister; Swollen chest nodule
 



October 2011


Dyspnea with comorbid heart failure and COPD

From the October 2011 issue of The Clinical Advisor: This program focuses on managing dyspnea in patients with both heart failure and COPD.
 

Newly developed brown papules; Spreading macules; Hardened plaque

From Dermatologic Look-Alikes and Dermatology Clinic in the Otober 2011 issue of The Clinical Advisor: Newly developed brown papules; Macules spread to the ears, neck, and trunk; Hardened plaque on a neonate's back
 



September 2011


Screening for functional deficits in older adults

From the September 2011 issue of The Clinical Advisor: This program focuses on the growing number of aging patients primary care providers are seeing and the unique challenges they present.
 

Discoloration of the eyelid

From Dermatologic Look-Alikes in September 2011: A black woman, aged 65, with velvety plaques and skin tags near her right area that did not itch, burn, or hurt; an 8-year-old boy with a family history of atopy, presented with eyelid dermatitis.
 

Thinning hair at the frontal scalp and crown; Painful shin lesions described as "bumps"

From Dermatology Clinic in September 2011: A woman aged 54 years presented with a complaint of hair loss; a woman aged 58 years presented to the dermatology clinic with a complaint of painful bruising on both of her legs over the past several weeks.
 



August 2011


Therapeutic strategies for bacterial conjunctivitis

From the August 2011 issue of The Clinical Advisor: This program focuses on drug resistance in ophthalmic antibiotics and new topical treatment options.
 

Growth on the fingers

From Dermatologic Look-Alikes in August 2011: A black woman aged 45 years presents with papules on the outside of her pinkies that had been present since birth; a man aged 40 years with a six-month history of a growth on the side of one middle finger.
 

Multiple blisters on the hands and abdomen; Home surgery leads to persistent neck mass

From Dermatology Clinic in August 2011: A disoriented man aged 82 years presented with several nickel-sized blisters on his abdomen and smaller blisters on his hands; a man aged 70 years presented with a slightly tender neck mass that had developed in the same location as a pea-sized nodule.
 



July 2011


Taking back control: the fight against obesity

From the July 2011 issue of The Clinical Advisor: As obesity rates continue to rise, primary-care clinicians remain integral in assessing, diagnosing, and treating this worldwide epidemic.
 

Vascular nodules and papules

From Dermatologic Look-Alikes in July 2011: A white infant aged 4 months presented with a three-month history of a red, verrucous nodule on his scalp; a white man aged 50 years presented with a group of red papules that had grown together.
 

Red, itchy scaling plaques on a toddler; Hyperpigmented patch with hypertrichosis

From Dermatology Clinic in July 2011: A girl aged 2 years presented with a pruritic rash; a man aged 20 years presented to discuss treatment options for the hairs growing within a back lesion.
 



June 2011


Treatment guidelines for Alzheimer-type dementia

From the June 2011 The Clinical Advisor. The most common dementia in the elderly, Alzheimer disease places tremendous physical and emotional strain on patient and caregiver alike.
 

Pustular facial eruptions

From the Dermatologic Look-Alikes in the June 2011 The Clinical Advisor. A man aged 35 years presented with multiple pustules on his face, and a woman aged 18 years with an eruption of facial pustules, cysts, and red papules. Can you differentiate between the two?
 

Pruritic rash develops after diet change; Itchy back papules with a white, flaky scale

From Dermatology Clinic in the June 2011 The Clinical Advisor: A man aged 33 years presented with a one-week history of blisters on his hands and a severely itchy rash on his scalp, arms, and groin; a boy aged 23 months with red and itchy papules on his back.
 



May 2011


An Update on Treatments for Sleep Disorders

From the May 2011 The Clinical Advisor. Learn more about insomnia treatments with an emphasis on combining pyschological intervention, behavioral change and drug therapy.
 

Infant Hand and Foot Blisters

From the Dermatologic Look-Alikes in the May 2011 The Clinical Advisor. Two patients present with blisters. One has bilateral blister formation on the dorsum of the hands, the other has blisters on the foot, face and diaper regions that are surrounded by areas of mild superficial erosion and crust. Can ...
 

Mildly pruritic elbow and knee plaques; Hyperpigmented lesion returns to the palm

From Dermatology Clinic in the May 2011 The Clinical Advisor: A girl aged 12 years presented with a 6-month history of enlarging red plaques on bilateral elbows and knees. A woman aged 37 years presented with an asymptomatic, ill-defined patch on the palm.
 



April 2011


Gouty Arthritis: How to Make the Diagnosis

From the April 2011 The Clinical Advisor. This program focuses on diagnosis, treatment, and lifestyle modifications to ease the long-term effects of gouty arthritis, a painful disease that greatly impacts the daily lives of those who suffer from it.
 

Hair Loss in an Adult and a Child

From the Dermatologic Look-Alikes in the April 2011 The Clinical Advisor. Two patients present with hair loss. The first, a 55-year-old gay man presented with patchy-scalp hair loss. The scalp did not itch, burn or hurt, and was not scaly. The other patient, an 8-year-old boy with a several ...
 

Persistent rash not affected by steroids; Asymptomatic ulcer in a high-risk patient

From Dermatology Clinic in the April 2011 The Clinical Advisor. A boy aged 10 years presented for treatment of "eczema" of three years' duration on his back and legs. A man aged 52 years man presented with a one-week history of an isolated sore on his upper lip.
 



March 2011


Diagnosis and Management of Celiac Disease in Adults

From the March 2011 The Clinical Advisor. Celiac disease is an autoimmune disorder that primarily affects nutrient absorption. As the disorder becomes more prevalent in primary care, clinicians should recognize the symptoms and understand the importance of a gluten-free diet.
 

Itchy facial rash spread to back and chest; Papules grow to cover patches below knees

From Dermatology Clinic in the March 2011 The Clinical Advisor. A woman aged 29 years presented with a mildly pruritic facial rash that started suddenly two weeks earlier and spread to her upper chest and upper back over the course of several days. A white woman aged 45 years presented ...
 

Painless, Annular Lesions

From the Dermatologic Look-Alikes in the March 2011 The Clinical Advisor. Two patients present with painless annular lesions. One presented to the dermatology clinic with a two-month history of a ringed rash on his abdomen, and the other patient had a three-week history of a slowly enlarging, pruritic rash ...
 



February 2011


Treating Giant Cell Arteritis to Avoid Complications

From the February 2011 The Clinical Advisor. This program examines symptoms of giant cell arteritis, an inflammatory disorder that primarily affects seniors. Clinicians should know available treatment options for symptoms and vision-loss prevention.
 

Atrophic facial plaques and palatal erosions; Painful ulcers on the lips and tongue

From Dermatology Clinic in the February 2011 The Clinical Advisor. A black woman, aged 31 years, developed multiple asymptomatic plaques on the central face over the course of one year. An elderly white woman was admitted to the hospital for management of an acute exacerbation of chronic obstructive pulmonary disease.
 

Pediatric Facial Rashes

From the Dermatologic Look-Alikes in the February 2011 The Clinical Advisor. Two patients present facial rashes. One presented to the dermatology clinic with an eight-month history of an asymptomatic progressive rash on his arms and legs, and the other patient had a history of multiple nonmelanoma skin cancers presented ...
 



January 2011


Oral Lesions Caused by Human Papillomavirus

From the January 2011 The Clinical Advisor. This program examines the oral pathology of HPV and it’s association with oral cancer. Most clinicians are familiar with human papillomavirus’s involvement in cervical cancer, but the virus can also be present in the oral cavity as well.
 

Nonhealing hand ulcer turns erythematous; Keratotic palms paired with brittle nails

From Dermatology Clinic in the January 2011 The Clinical Advisor: A woman aged 34 years was referred for treatment of a recurrent, painful, nonhealing ulcer of six months' duration on her left hand. A 42-year-old man presented with abnormally thick skin of the palms.
 

Infants with Hypopigmented Processes

From the Dermatologic Look-Alikes in the January 2011 The Clinical Advisor. Two patients present with similar hyperpigmented spots on the skin — one with a series of macules on the cheek, and the other with lesions on his back.
 

For a collection of CME/CE articles from 2010, click here.


       

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