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Home, Commute or Travel CME™
MP3/Audio CD Course
 
Neurology 10: A Primary Care Approach

Original Release Date: July 1, 2008
Expiration Date: July 1, 2011
10 AMA PRA Category 1 Credits™
Audio CDs #AUDCD-1120080211
MP3 CD #MP3CD-1120080211
Price: $295.00

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by Timothy J. Fries, M.D. - University of Vermont College of Medicine; Associate Professor of Neurology, Vice Chair of Neurology, Director of Education and Neurology Clerkship Director; Director of the Electromyography Laboratory and the Botulinum Toxin Clinic, Section of Neurology, Fletcher Allen Health Care, Burlington, VT; by Laurence J. Kinsella, M.D., F.A.A.N. - Saint Louis University Medical School; Professor of Neurology; Chief, Division of Neurology and Neurophysiology, Forest Park Hospital, St. Louis, MO; and by David E. Riley, M.D. - Case Western Reserve University School of Medicine; Professor, Department of Neurology; Director, Movement Disorders Center, The Neurological Institute, University Hospitals Case Medical Center, Cleveland, OH.


OVERALL OBJECTIVES: The overall objective is to provide the participant with practical and clinically relevant information. Upon completion of this CME activity, the physician or healthcare provider should be able to describe the current approach to formulating differential diagnoses, diagnostic, therapeutic, and preventive management of the various disciplines presented.

EDUCATIONAL GAP AND NEEDS ANALYSIS STATEMENT: The specialty of Neurology essentially impacts all Primary Care practices daily. Primary Care Providers must maintain adequate knowledge to diagnose, effectively treat and/or refer commonly seen Neurologic conditions, many with possible serious and even fatal consequences if not properly diagnosed and treated. Needs analysis specifically identifies the ability to diagnose, treat and appropriately refer patients who present with Dementias, Drug Interactions, Seizures, Movement Disorders and Stroke as vital skills for the Primary Care Provider. Educational gap analysis has identified two areas that must be addressed: increased knowledge and increased confidence on the part of Primary Care Providers in these areas of Neurology. To address these needs and close these gaps, this activity, designed from peer reviewed live presentations, presents current thinking and new information that will help Primary Care Providers maintain and update their knowledge and provide them with the confidence to diagnose, treat and refer their patients thereby improving patient outcomes.

SPECIFIC OBJECTIVES
TOPIC 1Interpreting the Neurological Exam: A Case-Based Approach - Upon completion of this session, the participant should be able to:
1.Recognize common abnormalities on the neurological examination.
2.Enhance their ability to determine whether a lesion is in the central or peripheral nervous system.
3.Categorize weakness and numbness by their patterns of distribution and recognize these patterns as aids to localization.
4.Discuss selected cases which will serve as examples of how to recognize and localize classic problems noted on the neurological examination.

TOPIC 2Alzheimer’s Disease & Other Dementias - Upon completion of this session, the participant should be able to:
1.More confidently evaluate their patients with dementia and answer the question: What testing should be done in a patient with suspected Alzheimer’s disease?
2.Better answer the question: What are the red flags suggesting that special testing for other causes of dementia is appropriate?
3.Recognize when to initiate a Cholinesterase inhibitor or NMDA antagonist in patients with Alzheimer’s disease.
4.Discuss what interventions for depression and agitation can be most helpful in their patients with Alzheimer’s disease.

TOPIC 3 Parkinson’s Disease and Its Differential Diagnosis - Upon completion of this session, the participant should be able to:
1.Identify the clinical features of the syndrome of parkinsonism.
2.Describe other important typical features of Parkinson’s disease and clinical features atypical for Parkinson’s disease.
3.Recognize long-term complications of Parkinson’s disease and major treatment options.
4.Distinguish among the common types of tremor and devise a therapeutic plan for a patient with essential tremor.

TOPIC 4Libby Zion’s Lesson: Serotonin Syndrome and P450 Drug Interactions - Upon completion of this session, the participant should be able to:
1.Review the clinical features of a common drug interaction.
2.Identify the features of serotonin syndrome and distinguish from other Neurologic drug toxicities.
3.Familiarize the practitioner with potential drug interactions and determine how to predict them.
4.Apply a simple clinical algorithm for anticipating and avoiding drug interactions.

TOPIC 5Seizures and Epilepsy - Management - Upon completion of this session, the participant should be able to:
1.Differentiate among the many available anticonvulsant medications.
2.Determine when treatment with anticonvulsant medication is warranted.
3.Recognize and treat status epilepticus.
4.Evaluate and manage problems confronted by women with epilepsy.

TOPIC 6How to Minimize Your Patient’s Risk of Stroke - Upon completion of this session, the participant should be able to:
1.Identify the most recent developments in the use of statins and antihypertensive medications in patients with a risk for stroke.
2.Identify and treat risk factors for stroke.
3.Appropriately select an antiplatelet or anticoagulant medication after a stroke or TIA.
4.Identify the indications and potential benefits of vascular procedures such as carotid endarterectomy and stenting.

TOPIC 7Brain Attack! Acute Treatment of Stroke and TIA - Upon completion of this session, the participant should be able to:
1.Appropriately use imaging studies of the brain and cerebral vessels in the setting of acute cerebrovascular disease.
2.Explain how management of blood pressure, fever, blood sugar and airway can improve the prognosis of their stroke patients.
3.Appreciate that in stroke, time is brain and discover what immediate interventions, including thrombolytics, are necessary in their stroke patients.
4.Better manage and triage patients with intracerebral hemorrhage.

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Updated: July 31, 2008