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Home, Commute or Travel CME™
Video DVD Course
 
Internal Medicine: A Clinical Review and Update

Original Release Date: July 1, 2007
Review Date: July 1, 2008
Expiration Date: July 1, 2010
10 AMA PRA Category 1 Credits™
Course #VIDVD-0520071204
Price: $365.00

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by David A. Horowitz, M.D. - Assistant Professor of Clinical Medicine; Medical Director, Clinical Effectiveness and Quality Improvement, University of Pennsylvania Health System, University of Pennsylvania School of Medicine; Chief Medical Officer, Home Care Division of UPHS, PennCare at Home, Philadelphia, PA; by Gerald W. Smetana, M.D. - Associate Professor of Medicine, Harvard Medical School; Director of CME, Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Boston, MA; and by C. Christopher Smith, M.D. - Assistant Professor of Medicine, Harvard Medical School; Associate Director, Internal Medicine Residency Training Program, and Associate Firm Chief, Blumgart Medical Firm, Beth Israel Deaconess Medical Center, Boston, MA.


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.

NEEDS STATEMENT: There is a need to continue to maintain and improve the clinical diagnostic and therapeutic skills of physicians within the field of Internal Medicine. This CME activity addresses the issues of diagnosing and treating common IM disorders in which the physician may learn when to treat when to refer and how to best provide health maintenance. Commonly seen disorders that present diagnostic and therapeutic challenges in this age of rapid drug and technology development can easily cause a negative impact on medical systems in terms of cost control. This is especially important when treating commonly seen disorders such as Dizziness, Headache, Hypertension and Diabetes. Further, the effective and efficient use of laboratory and diagnostic resources in not only diagnosing but also to properly monitor chronic disease states such as Hypertension, Hyperlipidemia and Diabetes Mellitus, needs to be communicated. This activity will present information regarding these commonly seen disorders as well as issues in diagnosing and treating Thyroid Nodules in an attempt to improve the knowledge and skills required in the IM/Primary Care setting.

SPECIFIC OBJECTIVES
TOPIC 1Approach to the Patient with Hypertension - Upon completion of this session, the participant should be able to:
1.Appreciate that all antihypertensive medications do not equally reduce cardiovascular risk.
2.Apply the JNC-7 guidelines to clinical care of hypertensive patients.
3.Recognize compelling indications for selection of initial antihypertensive therapy.

TOPIC 2Practical Approach to the Patient with Hyperlipidemia - Upon completion of this session, the participant should be able to:
1.Discuss the current NCEP guidelines.
2.Develop a practical approach for considering the new medications available.
3.Consider the new targets developed for cholesterol end points.

TOPIC 3Dizziness - Upon completion of this session, the participant should be able to:
1.Differentiate between the most common causes of dizziness.
2.Distinguish between central and peripheral causes of vertigo.
3.Describe physical examination maneuvers used to diagnose and treat vertigo.

TOPIC 4Diagnosis of Primary Headache Syndromes - Upon completion of this session, the participant should be able to:
1.Discuss the historical features of migraine, tension-type, and cluster headache.
2.Recognize which historical features best discriminate between migraine and tension-type headache.
3.List the triggers for migraine.

TOPIC 5Treatment of Primary Headache Syndromes - Upon completion of this session, the participant should be able to:
1.Appreciate the role of abortive therapy for migraine, tension-type, and cluster headache.
2.Recognize the range of options for pharmacologic preventive therapy for migraine, tension-type, and cluster headache.
3.Develop non-pharmacologic treatment strategies for migraine.

TOPIC 6Thyroid Nodules - Upon completion of this session, the participant should be able to:
1.Describe the incidence of thyroid nodules in the primary care setting.
2.Discuss features from history and physical examination that increase the likelihood of malignancy.
3.Outline the best diagnostic approach to a thyroid nodule.
4.Review common cytologic findings from fine needle aspirate and their clinical significance.

TOPIC 7Practical Approach to the Patient with Diabetes - Upon completion of this session, the participant should be able to:
1.Consider this primer on management.
2.Identify the patient who is likely to go on to develop complications and appreciate the potential long term course.
3.Review the current guidelines for therapy and the anticipated outcome goals.

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Updated: July 31, 2008