Historically, hypertension was diagnosed with two or more elevated blood pressure readings on separate occasions. However, as of 2025, The American College of Cardiology now recommendshome blood pressure monitoring for any patient that has suspected...
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Understanding Coagulation Disorders: A Sample Chapter from Hippo’s MOCA-Peds 2026 eBook
When you’re deep into MOCA-Peds questions, few things can spike your heart rate faster than a lab value that doesn’t quite fit or a bleeding history that feels just a little too complicated for a “pick-the-best-answer” moment. Coagulation disorders live right in that space: high-stakes, detail-heavy, and absolutely fair game for exams. Whether it’s a bruising toddler, a...
Read moreLower Back Pain Part 2: Treatment and Follow up
Last month, we started a two-part series on the evaluation and treatment of acute lower back pain (LBP) in the ED. This month, we are going to get into treatment options and how to help arrange follow-up care.
Compassion Fatigue: The Hidden Cost of Caring in Nursing Practice
As nurse practitioners, we step into some of the most vulnerable and sacred moments of our patients’ lives. Whether it’s delivering life-altering news, managing chronic illness, or walking alongside someone at the end of life, our work is meaningful. It’s also emotionally demanding. Over time, this emotional labor can take a toll in the form of compassion fatigue.
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The Green and Red Flags of the NP/PA Job Hunt
Whether you are a new graduate or an experienced advanced practice clinician (APC) looking for a change, navigating the job market can be daunting. There’s much more to unpack than just the salary, and the most important details are never going to be found on the job posting.
Recurrent Bacterial Vaginosis in Female Patients: New Guidance on Treating Male Partners
If you’ve ever treated the same female patient for bacterial vaginosis (BV) more times than you can count, you’re not alone. Recurrent BV is incredibly common. In fact, more than 50% of women experience a recurrence within six months of treatment. For clinicians, it's tough to manage. For our patients, it’s disruptive and frustrating. But there’s good news: recent...
Teamwork Makes the Dream Work
Emergency medicine is a team sport. From physicians to nurses and respiratory therapists, every person on the shift has a role to play. When we work together, we get to help people navigate through their toughest moments (and occasionally, their worst decisions).
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Snoring in Kids: When It Signals Sleep Apnea or Other Disorders
There’s a moment many of us have had in clinic: a parent mentions that their child snores. Loudly. Every night. Sometimes with pauses. Sometimes with gasps. And then they add, “But kids snore, right?”
Chief Complaint: Differential Diagnosis of Red Eye: When to Refer and When to Manage
The “red eye” is a common presenting symptom in primary care, spanning a spectrum of conditions from benign to sight-threatening emergencies. Knowing how to differentiate these conditions quickly is key to providing safe, effective care.
Focus, Please: Adult ADHD in Primary Care
Adult ADHD is having a moment: patients are showing up with TikTok checklists, AI-generated “diagnoses,” and a lot of lived frustration. And honestly, that makes sense: untreated ADHD can look like chronic overwhelm, missed deadlines, “brain fog,” relationship conflict, and repeated experiences of feeling like you should be able to do things you can’t consistently...
More Than Words: What Pediatricians Need to Know About Deaf Culture and Communication
If you’ve ever felt unsure about how to care for a deaf or hard-of-hearing child, you’re in good company. Supporting these kids goes beyond hearing screens and referrals; it’s about understanding the unique culture, language, and communication needs that shape their world. The good news? You don’t need to be an expert in sign language to make a difference.
Who Chooses the Treating Clinician? Understanding Direction of Care
Occupational medicine is rarely a "one size fits all” approach. For clinics and clinicians operating across state lines, managing workers' compensation isn't just a clinical challenge; it is a regulatory maze.
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