JAAPA : official journal of the American Academy of Physician Assistants
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Femoral hernias occur in about 3% of all abdominal wall hernias. Herniation of the appendix through a femoral hernia (called de Garengeot hernia) is a much rarer finding, occurring in 0.8% to 1% of all cases. This unique surgical finding is most often found intraoperatively due to the similarities it shares with an irreducible inguinal or femoral hernia that requires emergent surgical intervention. When evaluating a patient with a persistent groin lump, consider de Garengeot hernia in the differential diagnosis.
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Review Case Reports
A persistent cough related to aspiration of a nonradiopaque bone.
Aspiration of a foreign body by an adult often is not diagnosed until a month or more after the event, because of a lack of presenting symptoms indicative of an aspiration and low reliability, sensitivity, and specificity of plain film radiographs. Instead, the foreign body aspiration typically is diagnosed during the evaluation of other lung-related pathology.
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Early recognition of sepsis and early goal-directed therapy following evidence-based bundles can reduce patient mortality from sepsis and septic shock. This article reviews current recommendations for diagnosis and management.
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A potentially lifelong and fatal parasitic tropical infection, Chagas disease is increasing in the United States. This article reviews the causes and risk factors for Chagas disease and how PAs can screen, diagnose, and manage affected patients.
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An acute, diffuse, inflammatory lung injury, acute respiratory distress syndrome (ARDS) affects up to 10% of patients in the ICU and leads to multiorgan failure and death in nearly half the patients affected. This article reviews the causes, signs and symptoms, and treatment of ARDS.