RESUMO
Nearly 6,100 reports of sex trafficking were made to the United States Human Trafficking Hotline in 2017; 29% of those reports involved minors. Physician assistants (PAs), especially those working in emergency medicine and primary care, are among the few frequently accessed healthcare providers who have the opportunity for a private conversation with a sex trafficking victim or survivor. PAs must be able to recognize the risk factors and signs of trafficking and respond in a trauma-informed, survivor-centered manner. Connecting trafficking victims, survivors, and at-risk youth with wraparound services is critical to their well-being.
Assuntos
Abuso Sexual na Infância/prevenção & controle , Crime/prevenção & controle , Atenção à Saúde , Pessoal de Saúde , Tráfico de Pessoas/prevenção & controle , Menores de Idade , Assistentes Médicos , Papel Profissional , Sobreviventes , Adolescente , Criança , Vítimas de Crime , Feminino , Humanos , Aplicação da Lei , Fatores de Risco , Estados UnidosRESUMO
Increasingly, renal cell cancer is diagnosed because of an incidental finding of a renal mass on an imaging study. Incidentally discovered masses are more likely to be small and, if malignant, represent localized renal cell cancer. The imaging features of the tumor and patient characteristics inform the management options, which favor a nephron-sparing approach over radical nephrectomy. Clinical stage at the time of diagnosis has important prognostic implications for the patient. This article reviews the presentation, diagnostic evaluation, and management of an incidentally discovered renal mass.
