I’m giving away a complete study package worth $563.  Click here for details!


Win a $562 PANCE Review Package!

by Brian Wallace PA-C on June 16, 2015




I’m giving away a complete review package for your exam. Click here for all the details.

In this weeks show we talk about where the show is heading and how to best keep in touch, be sure to listen.

If you haven’t done so yet be sure to sign up for the giveaway.

I’ll be taking break from the podcast for a few months while I work another big project for the PAER community.

Good luck and feel free to reach out to me in the mean time.












Influenza, Epstein-Barr, Varicella, AIDs

by Brian Wallace PA-C on June 1, 2015



Things you should know

  • Influenza virus is an RNA virus in the Orthomyxoviridae family
  • Three subtypes
    • Influenza A
      • Aquatic birds are the natural host
      • Most virulent type
      • Spanish Flu, Asian Flu, Bird Flu
    • Influenza B
      • Humans are the natural host
      • Slower mutating than Influenza A
    • Influenza C
      • Infects dogs and pigs
  • Airborne transmission
  • Children < 4 and adults > 65 are at risk for significant complications

I came in to see my physician assistant today because of…

  • Fever
  • Aching muscles and joints
  • Sore throat
  • Chills and sweats
  • Headache
  • Congestion
  • Fatigue / weakness

Labs, Studies and Physical Exam Findings

  • Rapid influenza diagnostic tests (RIDTs)
    • Throat swab or nasal secretions with PCR
  • Viral culture
    • Gold standard
    • 3-10 days
    • Used to identify different strains of the Flu
  • Pulse oximetry
  • Chest x-ray


  • Yearly vaccination for everyone > 6 months old
  • Supportive care
  • Bedrest
  • Neuraminidase inhibitors (stop release of virus from cells)
    • Oseltamivir (Tamiflu) can be used in children > 12
    • Zanamivir – (Relenza) can be used in children > 7
  • Amantadines (prevent virus from attacking cells, only works against Type A)
    • Rimantadine

[Click here to finish this topic…]


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