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Pennsylvania Society of Physician Assistants

Member Login Join or Renew
  • Home
  • About
    • Our Purpose
    • Officer Directory
    • Officer’s Responsibilities
      • President
      • President Elect
      • Immediate Past President
      • Treasurer
      • Secretary
      • Directors at Large
      • Student Directors at Large
  • News
    • Blog
    • Newsletters
    • PSPA News Brief
  • Contact
  • Why PSPA
    • Overview
    • For Practicing PAs
    • For Students
    • For Employers
  • Membership
    • Reasons to Join PSPA
    • Join PSPA
    • Membership Levels
    • Benefits of Membership
      • Insurance Benefits
    • Member Directory
    • Renew Membership
    • Keystone Cash
    • Gift Memberships
  • Career Center
    • Overview
    • Job Seekers
      • Find a Job
      • Interviewing Tips
      • Pre-Employment Checklist
      • Anatomy of a Contract
      • New Graduate Info Sheet
      • Obtaining State License
      • Employment Exit Checklist
    • Employers/Recruiters
      • Employer Career Center
      • How to Find a PA
      • Benefits of Hiring a PA
      • Reimbursement for Services
      • Advertising and Fees
    • Resources
      • Salary and Demographics
      • Physician PA Team
      • Summary of PA Regulations
      • Amending Hospital Bylaws
      • Research Grant
  • Student Affairs
    • Overview
    • Potential Students
    • Active Students
    • Graduating Students
    • Pennsylvania PA Programs
    • Challenge Bowl
      • General Info/Rules
      • Challenge Bowl FAQs
    • Student Leader Philanthropic Endowment
    • Student Awards/Scholarships
      • Nathaniel Alston Student Achievement Scholarship Award
      • Thomas J. Lemley Award for Health Disparities Competition
    • Links
  • Advocacy
    • Overview
    • Governmental Affairs
      • Action Center
      • State Boards of Medicine and Osteopathic Medicine
      • Online Written Agreement Information
      • Regulatory Activity
      • Legislative Activity
      • Political Action Committee
      • About PSPA PAC
      • Tools
      • SBM Regulations**
      • SBOM Regulations**
      • Archives
    • Workplace
      • Leadership
      • PSPA Annual Awards
        • How it Works
        • Fellow Awards
        • PSPA Award Winners
    • Community
      • Health Disparities
      • Annual Charity
      • 10 Ways to Make a Difference
    • Committees
      • Committee Information
      • Committee Annual Reports
      • AAPA House Delegates
      • Awards Committee
      • Conference Planning Committee
      • Election Committee
      • Finance Committee
      • Governmental Affairs Committee
      • Health Disparities Committee
      • Historian
      • Leadership & Mentoring Committee
      • Membership Committee
      • Newsletter Committee
      • PSPA Liaison
      • Public Relations & Education Committee
      • Regional Affairs Committee
      • Reimbursement Committee
      • Social Media
      • Standing Rules & Policy Committee
      • Student & Faculty Affairs Committee
      • Technology Committee
      • Website Committee
    • Public Relations
      • Spread the Word
      • Addressing Specific Audiences
      • Concepts to Convey
      • Publications & Products
      • Resources
  • Events & CME
    • Calendar
    • Annual Conference
      • 2023 CME Conference Rates & Registration
      • General Information
      • Schedule
      • Thank you to our 2022 speakers!
      • Hotel Information
      • CME Workshops
      • Professional Sessions
      • Current Exhibitors
      • Special Events
      • Conference Faculty
      • Committee Interest Form
      • Exhibitor and Sponsor Information
      • Speaker Application
      • Future Conference Locations
      • Posting of Conference Lectures
    • CME Miniseries
    • CME Announcements
    • Deadlines
    • Regional Affairs
      • Map of Regions
      • Get Involved
      • Regional Representatives
      • Meeting Information
    • Courses
  • Resources
    • Professional Organizations / Liaisons
    • AAPA Links
    • Helpful Links
    • Reimbursement
      • Reimbursement
      • Medicaid
      • Workers Compensation
      • Private Payers
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News

CLINICAL CASE CHALLENGE

Posted on June 18, 2012 by Susan DeSantis

We would like to introduce a new member benefit- the Clinical Case Challenge! Every quarter, a clinical case will be presented. If you think you know the diagnosis, you simply email Membership@pspa.net. Every individual who gets it right will be entered in to a raffle for $25 of Keystone Cash! The next issue of PSPA News will feature the answer, the winner and the next Challenge. You can also win big by submitting your own Clinical Case Challenge. If your case is chosen you can also win $25 of Keystone Cash.
CASE #1: A 36yo Black Male presents with a chief complaint of sore throat. He reports a sore throat for the past 4 days and low grade fever. Denies nasal symptoms, cough, nausea, vomiting or diarrhea. He is not a smoker, and no chronic health concerns, though it’s been about 2 years since his last physical. He reports dizziness as well. On further questioning, he reports intermittent dizziness and “balance problems” for the past 6 months. He reports an occasional “falling” sensation, though he can recall no inciting factors when these episodes occur. They are usually brief, but will occur several times over several days then abate for several weeks or months. He has not discussed this with his PCP.
On exam, well developed, well-nourished male in no acute distress. Vitals: BP 136/80, P 90, T 100.1F, R 16, Ht 70”, Wt 185lbs. Heart: regular rate and rhythm without murmurs, Lungs: clear to auscultation bilaterally without adventitious sounds. HEENT: Normocephalic, ears clear/TMs intact, PERRLA, EOMI, Funduscopic exam- no papilledema, neck supple with some tender anterior cervical lymphadenopathy, mucous membranes moist, pharynx injected, tonsils 2+ erythematous and with exudate. Muscle strength 5/5 and symmetric in upper and lower extremities. On neuro exam, patient is able to do finger-to-nose touching, rapid alternating movements and shin scratch tests symmetrically. DTRs 2+ and symmetric. There is no pronator drift; patient can change position without difficulty. However, he is unable to heel-toe walk or balance on either foot individually. When attempting Romberg test, he has problems keeping his balance after initially closing his eyes but then passes the remainder of the test.
CBC: WBC count- 11.5, H/H- 15.5/45, Platelet- 175, Seg- 85%, Lymph-10%, remainder of count unremarkable
BMP: All within normal limits
Rapid strep test Positive
Patient was treated with Amoxicillin 500mg TID x 10 days and referred for an MRI and to neurology for his dizziness and balance problems. What is the source of the dizziness and balance problems?
Email your diagnosis to Membership@pspa.net Remember you must be a member to win!

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