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      <channel>
        <title>Latest articles from The Clinical Advisor Clinical Challenge</title>
        <link>http://feeds2.feedburner.com/clinicaladvisorclinicalchallenge</link>
        <description>Latest articles from The Clinical Advisor Clinical Challenge</description>
        
          <itunes:author><![CDATA[Clinical Advisor]]></itunes:author>
        <itunes:subtitle>Clinical Challenge</itunes:subtitle>
        <itunes:summary><![CDATA[Medcal case studies and clinical challenges for NPs and PAs to  review and gain insights into clinical challenges encountered in a medical primary-care office setting.
]]></itunes:summary>
        <itunes:owner>
            <itunes:name>Clinical Challenge</itunes:name>
            <itunes:email>custserv@haymarketmedia.com</itunes:email>
        </itunes:owner>
        <itunes:category text="Business">
            <itunes:category text="Business News" /> 
        </itunes:category> 
        <itunes:image href='https://media.haymarketmedia.com/images/212/CA-logo_mobile_52754.gif'></itunes:image>
        <itunes:explicit>no</itunes:explicit>
          
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        <item>
          
          <title>Case Study: Shoulder Injury Following a Biking Accident </title>
            
            
            <description>A 41-year-old man presents with a shoulder injury sustained as the result of a fall from his road bike.</description>
            
            <link>https://www.clinicaladvisor.com/case-study-shoulder-injury-following-a-biking-accident/article/829388/</link>
            <pubDate>Fri, 25 Jan 2019 14:00:00 GMT</pubDate>
            
          <itunes:summary>A 41-year-old man presents with a shoulder injury sustained as the result of a fall from his road bike.</itunes:summary>
          <itunes:author><![CDATA[Clinical Advisor]]></itunes:author>
            
            
            
            <guid>https://www.clinicaladvisor.com/case-study-shoulder-injury-following-a-biking-accident/article/829388/</guid>
               
                                
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          <title>Case Study: Fever and Headache in an Adolescent Boy</title>
            
            
            <description>A 13-year-old boy is sent to the emergency department for evaluation of fever and headache that have been present for approximately 1 week.</description>
            
            <link>https://www.clinicaladvisor.com/case-study-fever-and-headache-in-an-adolescent-boy/article/825124/</link>
            <pubDate>Fri, 04 Jan 2019 14:00:00 GMT</pubDate>
            
          <itunes:summary>A 13-year-old boy is sent to the emergency department for evaluation of fever and headache that have been present for approximately 1 week.</itunes:summary>
          <itunes:author><![CDATA[Clinical Advisor]]></itunes:author>
            
            
            
            <guid>https://www.clinicaladvisor.com/case-study-fever-and-headache-in-an-adolescent-boy/article/825124/</guid>
               
                                
        </item>
  
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          <title>Case Study: White Paste Found After Ankle Aspiration </title>
            
            
            <description>A 53-year-old obese man with a history of diabetes and hypertension presents with migratory bilateral ankle pain that is worse on the left side.</description>
            
            <link>https://www.clinicaladvisor.com/case-study-white-paste-found-after-ankle-aspiration/article/816424/</link>
            <pubDate>Mon, 26 Nov 2018 16:08:58 GMT</pubDate>
            
          <itunes:summary>A 53-year-old obese man with a history of diabetes and hypertension presents with migratory bilateral ankle pain that is worse on the left side.</itunes:summary>
          <itunes:author><![CDATA[Clinical Advisor]]></itunes:author>
            
            
            
            <guid>https://www.clinicaladvisor.com/case-study-white-paste-found-after-ankle-aspiration/article/816424/</guid>
               
                                
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          <title>Trauma-Induced Pulmonary Embolism: A Clinical Case</title>
            
            
            <description>A 25-year-old man complaining of chest pain and with evidence of significant chest trauma presented to the emergency department after suffering an accident while riding an all-terrain vehicle.</description>
            
            <link>https://www.clinicaladvisor.com/pulmonary-embolism-trauma-thrombolysis-case-study/article/812053/</link>
            <pubDate>Fri, 02 Nov 2018 13:00:00 GMT</pubDate>
            
          <itunes:summary>A 25-year-old man complaining of chest pain and with evidence of significant chest trauma presented to the emergency department after suffering an accident while riding an all-terrain vehicle.</itunes:summary>
          <itunes:author><![CDATA[Clinical Advisor]]></itunes:author>
            
            
            
            <guid>https://www.clinicaladvisor.com/pulmonary-embolism-trauma-thrombolysis-case-study/article/812053/</guid>
               
                                
        </item>
  
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          <title>Case Study: Abdominal Pain, Malaise, and a Bruise on the Leg</title>
            
            
            <description>A 44-year-old man presents to the hospital with generalized abdominal pain, malaise, subjective low-grade fever, and a bruise on his left shin. He has an extensive medical history including HIV, hypertension, diabetes, and GERD, but he denies vomiting or diarrhea.</description>
            
            <link>https://www.clinicaladvisor.com/case-study-abdominal-pain-malaise-and-bruised-leg/article/810902/</link>
            <pubDate>Mon, 29 Oct 2018 20:00:00 GMT</pubDate>
            
          <itunes:summary>A 44-year-old man presents to the hospital with generalized abdominal pain, malaise, subjective low-grade fever, and a bruise on his left shin. He has an extensive medical history including HIV, hypertension, diabetes, and GERD, but he denies vomiting or diarrhea.</itunes:summary>
          <itunes:author><![CDATA[Clinical Advisor]]></itunes:author>
            
            
            
            <guid>https://www.clinicaladvisor.com/case-study-abdominal-pain-malaise-and-bruised-leg/article/810902/</guid>
               
                                
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          <title>Case Study: Worsening Headache After Giving Birth </title>
            
            
            <description>A 32-year-old woman presents to the emergency department with gradually worsening generalized headache 8 days after giving birth to her second child.</description>
            
            <link>https://www.clinicaladvisor.com/case-study-worsening-headache-after-giving-birth/article/803234/</link>
            <pubDate>Fri, 28 Sep 2018 13:00:00 GMT</pubDate>
            
          <itunes:summary>A 32-year-old woman presents to the emergency department with gradually worsening generalized headache 8 days after giving birth to her second child.</itunes:summary>
          <itunes:author><![CDATA[Clinical Advisor]]></itunes:author>
            
            
            
            <guid>https://www.clinicaladvisor.com/case-study-worsening-headache-after-giving-birth/article/803234/</guid>
               
                                
        </item>
  
        <item>
          
          <title>Case Study: Elbow and Biceps Pain After a Fall </title>
            
            
            <description>An elderly man presents to the emergency department with elbow and biceps pain after falling on the stairs.</description>
            
            <link>https://www.clinicaladvisor.com/clinical-challenge-elbow-and-biceps-pain/article/792004/</link>
            <pubDate>Wed, 29 Aug 2018 15:17:12 GMT</pubDate>
            
          <itunes:summary>An elderly man presents to the emergency department with elbow and biceps pain after falling on the stairs.</itunes:summary>
          <itunes:author><![CDATA[Clinical Advisor]]></itunes:author>
            
            
            
            <guid>https://www.clinicaladvisor.com/clinical-challenge-elbow-and-biceps-pain/article/792004/</guid>
               
                                
        </item>
  
        <item>
          
          <title>Case Study: Purple Fingertips in an Elderly Woman</title>
            
            
            <description>An elderly woman with a history of hypertension and metastatic bladder cancer presents to the ED with bilateral finger pain and cyanosis associated with a 15-lb weight loss.</description>
            
            <link>https://www.clinicaladvisor.com/elderly-woman-with-purplish-fingertips/article/784771/</link>
            <pubDate>Tue, 31 Jul 2018 20:25:18 GMT</pubDate>
            
          <itunes:summary>An elderly woman with a history of hypertension and metastatic bladder cancer presents to the ED with bilateral finger pain and cyanosis associated with a 15-lb weight loss.</itunes:summary>
          <itunes:author><![CDATA[Clinical Advisor]]></itunes:author>
            
            
            
            <guid>https://www.clinicaladvisor.com/elderly-woman-with-purplish-fingertips/article/784771/</guid>
               
                                
        </item>
  
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          <title>Case Study: Sudden Abdominal Pain</title>
            
            
            <description>A 90-year-old woman with a history of coronary disease and gallstones presents to the emergency department with generalized abdominal pain that started suddenly about 7 hours prior.</description>
            
            <link>https://www.clinicaladvisor.com/a-case-of-sudden-abdominal-pain/article/773800/</link>
            <pubDate>Fri, 15 Jun 2018 14:08:11 GMT</pubDate>
            
          <itunes:summary>A 90-year-old woman with a history of coronary disease and gallstones presents to the emergency department with generalized abdominal pain that started suddenly about 7 hours prior.</itunes:summary>
          <itunes:author><![CDATA[Clinical Advisor]]></itunes:author>
            
            
            
            <guid>https://www.clinicaladvisor.com/a-case-of-sudden-abdominal-pain/article/773800/</guid>
               
                                
        </item>
  
        <item>
          
          <title>Case Study: Cardiovascular Complications of Chronic Obstructive Pulmonary Disease</title>
            
            
            <description>A 55-year-old man with chronic obstructive pulmonary disease reports having some mild chest pain.</description>
            
            <link>https://www.clinicaladvisor.com/chronic-obstructive-pulmonary-disease-and-cardiovascular-complications/article/764478/</link>
            <pubDate>Wed, 09 May 2018 13:00:00 GMT</pubDate>
            
          <itunes:summary>A 55-year-old man with chronic obstructive pulmonary disease reports having some mild chest pain.</itunes:summary>
          <itunes:author><![CDATA[Clinical Advisor]]></itunes:author>
            
            
            
            <guid>https://www.clinicaladvisor.com/chronic-obstructive-pulmonary-disease-and-cardiovascular-complications/article/764478/</guid>
               
                                
        </item>
  
        <item>
          
          <title>Case Study: Mottling and Infection in an Adult</title>
            
            
            <description>A 44-year-old woman presents to her local emergency department after 5 days of persistent fever, productive cough, and worsening dyspnea on exertion.</description>
            
            <link>https://www.clinicaladvisor.com/case-mottling-infection-adult/article/761495/</link>
            <pubDate>Thu, 26 Apr 2018 13:30:00 GMT</pubDate>
            
          <itunes:summary>A 44-year-old woman presents to her local emergency department after 5 days of persistent fever, productive cough, and worsening dyspnea on exertion.</itunes:summary>
          <itunes:author><![CDATA[Clinical Advisor]]></itunes:author>
            
            
            
            <guid>https://www.clinicaladvisor.com/case-mottling-infection-adult/article/761495/</guid>
               
                                
        </item>
  
        <item>
          
          <title>Case Study in Diabetes: Fungal Infections</title>
            
            
            <description>A 68-year-old patient with type 2 diabetes presents to a urologist to evaluate funguria, and a CT scan showed right hydroureteronephrosis.</description>
            
            <link>https://www.clinicaladvisor.com/case-fungal-infection-diabetes/article/760034/</link>
            <pubDate>Fri, 20 Apr 2018 15:51:47 GMT</pubDate>
            
          <itunes:summary>A 68-year-old patient with type 2 diabetes presents to a urologist to evaluate funguria, and a CT scan showed right hydroureteronephrosis.</itunes:summary>
          <itunes:author><![CDATA[Clinical Advisor]]></itunes:author>
            
            
            
            <guid>https://www.clinicaladvisor.com/case-fungal-infection-diabetes/article/760034/</guid>
               
                                
        </item>
  
        <item>
          
          <title>Case Study: Headache, Back Pain, and Fever</title>
            
            
            <description>A 25-year-old woman presents to the emergency department with a chief complaint of headache, back pain, and fever, while also experiencing some vaginal itching and discharge.</description>
            
            <link>https://www.clinicaladvisor.com/case-headache-back-pain-fever/article/756685/</link>
            <pubDate>Fri, 06 Apr 2018 15:00:00 GMT</pubDate>
            
          <itunes:summary>A 25-year-old woman presents to the emergency department with a chief complaint of headache, back pain, and fever, while also experiencing some vaginal itching and discharge.</itunes:summary>
          <itunes:author><![CDATA[Clinical Advisor]]></itunes:author>
            
            
            
            <guid>https://www.clinicaladvisor.com/case-headache-back-pain-fever/article/756685/</guid>
               
                                
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          <title>Case Study: Worsening Dyspnea in a Pregnant Woman</title>
            
            
            <description>A 32-year-old woman, diagnosed several months earlier with pulmonary arterial hypertension, presented to the emergency department with dyspnea and near syncopal episodes.</description>
            
            <link>https://www.clinicaladvisor.com/near-syncopal-episodes-dyspnea-in-a-pregnant-woman/article/753786/</link>
            <pubDate>Tue, 20 Mar 2018 13:00:00 GMT</pubDate>
            
          <itunes:summary>A 32-year-old woman, diagnosed several months earlier with pulmonary arterial hypertension, presented to the emergency department with dyspnea and near syncopal episodes.</itunes:summary>
          <itunes:author><![CDATA[Clinical Advisor]]></itunes:author>
            
            
            
            <guid>https://www.clinicaladvisor.com/near-syncopal-episodes-dyspnea-in-a-pregnant-woman/article/753786/</guid>
               
                                
        </item>
  
        <item>
          
          <title>Case Study: Chest Pain and Shortness of Breath in a Patient with Colorectal Cancer </title>
            
            
            <description>A 64-year-old woman who was recently diagnosed with colorectal cancer is brought to the emergency department with substernal chest pain and shortness of breath.</description>
            
            <link>https://www.clinicaladvisor.com/substernal-chest-pain-shortness-of-breath-colorectal-cancer/article/751227/</link>
            <pubDate>Fri, 16 Mar 2018 13:00:00 GMT</pubDate>
            
          <itunes:summary>A 64-year-old woman who was recently diagnosed with colorectal cancer is brought to the emergency department with substernal chest pain and shortness of breath.</itunes:summary>
          <itunes:author><![CDATA[Clinical Advisor]]></itunes:author>
            
            
            
            <guid>https://www.clinicaladvisor.com/substernal-chest-pain-shortness-of-breath-colorectal-cancer/article/751227/</guid>
               
                                
        </item>
  
        <item>
          
          <title>Case Study: Syncope, Dizziness, and Fatigue on a Camping Trip</title>
            
            
            <description>A 52-year-old man presents to the emergency department with dizziness and fatigue after a syncopal episode on a camping trip.</description>
            
            <link>https://www.clinicaladvisor.com/syncopal-episode-during-a-camping-trip/article/748052/</link>
            <pubDate>Thu, 01 Mar 2018 22:30:00 GMT</pubDate>
            
          <itunes:summary>A 52-year-old man presents to the emergency department with dizziness and fatigue after a syncopal episode on a camping trip.</itunes:summary>
          <itunes:author><![CDATA[Clinical Advisor]]></itunes:author>
            
            
            
            <guid>https://www.clinicaladvisor.com/syncopal-episode-during-a-camping-trip/article/748052/</guid>
               
                                
        </item>
  
        <item>
          
          <title>Case Study: A gradually progressive rash after a URI</title>
            
            
            <description>A 33-year-old man presents to the emergency department for 6 small spots on his chest, arms, and legs that gradually grew in diameter after using a topical cream and cephalexin.</description>
            
            <link>https://www.clinicaladvisor.com/gradually-progressive-rash-after-uri/article/746119/</link>
            <pubDate>Thu, 22 Feb 2018 20:00:00 GMT</pubDate>
            
          <itunes:summary>A 33-year-old man presents to the emergency department for 6 small spots on his chest, arms, and legs that gradually grew in diameter after using a topical cream and cephalexin.</itunes:summary>
          <itunes:author><![CDATA[Clinical Advisor]]></itunes:author>
            
            
            
            <guid>https://www.clinicaladvisor.com/gradually-progressive-rash-after-uri/article/746119/</guid>
               
                                
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          <title>Case Study: Dizziness in a 42-year-old man</title>
            
            
            <description>A 42-year-old man presents to the emergency department with vertigo that is worse with head motion as well as vomiting, but has no headache or abdominal pain.</description>
            
            <link>https://www.clinicaladvisor.com/a-case-of-dizziness-in-a-42-year-old-man/article/739585/</link>
            <pubDate>Fri, 26 Jan 2018 15:00:00 GMT</pubDate>
            
          <itunes:summary>A 42-year-old man presents to the emergency department with vertigo that is worse with head motion as well as vomiting, but has no headache or abdominal pain.</itunes:summary>
          <itunes:author><![CDATA[Clinical Advisor]]></itunes:author>
            
            
            
            <guid>https://www.clinicaladvisor.com/a-case-of-dizziness-in-a-42-year-old-man/article/739585/</guid>
               
                                
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          <title>Case Study: Lower extremity edema and heart failure in a middle-aged woman </title>
            
            
            <description>A 55-year-old obese woman with hypertension, diabetes, and scleroderma is referred for follow-up after a recent admission for new-onset heart failure.</description>
            
            <link>https://www.clinicaladvisor.com/a-case-of-new-onset-heart-failure-with-lower-extremity-edema/article/738305/</link>
            <pubDate>Mon, 22 Jan 2018 14:00:00 GMT</pubDate>
            
          <itunes:summary>A 55-year-old obese woman with hypertension, diabetes, and scleroderma is referred for follow-up after a recent admission for new-onset heart failure.</itunes:summary>
          <itunes:author><![CDATA[Clinical Advisor]]></itunes:author>
            
            
            
            <guid>https://www.clinicaladvisor.com/a-case-of-new-onset-heart-failure-with-lower-extremity-edema/article/738305/</guid>
               
                                
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          <title>Case Study: Foot pain after jogging</title>
            
            
            <description>A 64-year-old woman presents to an urgent care clinic with 24 hours of left foot pain. She states that she tweaked it while jogging. The pain is localized to the lateral portion of her foot.</description>
            
            <link>https://www.clinicaladvisor.com/a-case-of-foot-pain-after-jogging/article/734746/</link>
            <pubDate>Thu, 04 Jan 2018 17:00:00 GMT</pubDate>
            
          <itunes:summary>A 64-year-old woman presents to an urgent care clinic with 24 hours of left foot pain. She states that she tweaked it while jogging. The pain is localized to the lateral portion of her foot.</itunes:summary>
          <itunes:author><![CDATA[Clinical Advisor]]></itunes:author>
            
            
            
            <guid>https://www.clinicaladvisor.com/a-case-of-foot-pain-after-jogging/article/734746/</guid>
               
                                
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