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by Glenn Eiger, M.D., F.C.C.P., F.A.C.P. - Jefferson Medical College, Thomas Jefferson University; Associate Professor of Medicine; Director, Internal Medicine Residency Program and Associate Chairman, Department of Medicine, Albert Einstein Medical Center, Philadelphia, PA; 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; Herbert L. Muncie, Jr., M.D. - Louisiana State University Health Sciences Center School of Medicine; Professor of Family Medicine and Director, Predoctoral Education, Department of Family Medicine, New Orleans, LA; and John W. Pendleton, M.D. - University of Virginia School of Medicine; Assistant Professor of Clinical Medicine, Roanoke-Salem Program; Chief, Rheumatology Section, Veterans Affairs Medical Center, Salem, Virginia; Staff Rheumatologist, Carilion Clinic, Carilion Roanoke Memorial Hospital, Roanoke, VA.

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.

SPECIFIC OBJECTIVES FOR EACH TOPIC
TOPIC 1	Evaluation and Treatment of Hypertensive Patients - Upon completion of this session, the participant should be able to: 1. Describe non-pharmacologic methods to manage hypertension. 2. Compare and contrast the advantages and disadvantages of antihypertensive medications and their compelling indications. 3. Identify the therapeutic goal for different patient populations and the combination therapies to achieve that goal.
TOPIC 2	Community Acquired Pneumonia - We will review the diagnosis and treatment of this common disorder with emphasis on the published guidelines. Upon completion of this session, the participant should be able to: 1. Categorize patients with respect to severity of illness. 2. Develop a strategy to triage patients - outpatient therapy, hospitalize or ICU. 3. Characterize the different pathogens that commonly cause community acquired pneumonia. 4. Identify the current status of diagnostic work-up including the use of cultures, gram stains, serology and bronchoscopy. We will emphasize a cost effective approach. 5. Demonstrate how to properly use antibiotics for community acquired pneumonia. We will discuss both old and new agents. Numerous cases will be presented with chest x-rays and gram stains to illustrate important teaching points.
TOPIC 3	Osteoporosis: Contemporary Diagnosis and Treatment - Upon completion of this session, the participant should be able to: 1. Define osteoporosis pathologically and by the WHO standards. 2. Distinguish between the effects on bone metabolism of aging and those during the post-menopausal period. 3. Recognize the usefulness of the T-score on DEXA scan reports and how to incorporate bone markers into treatment decision. 4. List the anti-resorptive agents available for the treatment of osteoporosis.
TOPIC 4	Headache and Migraine - Upon completion of this session, the participant should be able to: 1. Review five sub-types of chronic daily headaches. 2. Describe the pathophysiology of headache and migraine. 3. Review medication and non-pharmacologic strategies. 4. Recognize the prevalence of medication overuse headaches in daily practice.

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