Internal Medicine: A Clinical Update

Venue: Hyatt Sarasota on Sarasota Bay

Location: Sarasota, Florida, United States

Event Date/Time: Mar 16, 2009 End Date/Time: Mar 20, 2009
Registration Date: Mar 16, 2009
Early Registration Date: Feb 14, 2009
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SPECIFIC OBJECTIVES FOR THIS COURSE: DAY 1 - HYPERTENSION - All antihypertensive medications do not equally reduce cardiovascular risk. Apply the JNC-7 guidelines to clinical care of hypertensive patients. Indications for selection of initial antihypertensive therapy. Which drugs most effectively reduce the risk of cardiovascular disease. NEW DRUGS FOR THE PRIMARY CARE PHYSICIAN - Survey important advances in pharmacotherapy. Discuss the efficacy and list the side effects for each drug. Compare key new drugs with previously available medications for similar indications. DRUG INTERACTIONS AND SIDE EFFECTS - Common mechanisms for drug interactions. Most frequent culprit drugs. Most frequent side-effects seen with commonly used medications. SYNCOPE - Etiologies of syncope. Clues in the history and physical as well as simple office testing to risk-stratify patients. Use of additional testing in syncope. Role of lifestyle measures, medication, and more invasive measures to prevent recurrent syncope. DAY 2 - DIAGNOSIS OF PRIMARY HEADACHE SYNDROMES - Historical features of migraine, tension-type, and cluster headache. Which historical features best discriminate between migraine and tension-type headache. Triggers for migraine. TREATMENT OF PRIMARY HEADACHE SYNDROMES - Role of abortive therapy for migraine, tension-type, and cluster headache. Options for pharmacologic preventive therapy for migraine, tension-type, and cluster headache. Non-pharmacologic treatment strategies for migraine. PERIPHERAL ARTERIAL DISEASE (PAD) - Pathophysiology of arteriosclerosis, the most common cause of PAD. Patients at increased risk for PAD. History and physical examination to assess for PAD. Role of ancillary testing. Management of PAD utilizing evidence-based guidelines for exercise, medications, revascularization. OUTPATIENT ANTICOAGULATION ISSUES – Manage outpatient warfarin using current guidelines. When and how to reverse the effects of warfarin. Hypercoagulable states and the implications. Duration and intensity of anticoagulation in a variety of clinical scenarios. DAY 3 - DYSLIPIDEMIA - Changes to lipid management guidelines to their clinical practice. Secondary causes of dyslipidemia. Treatment strategies for various dyslipidemic states. HEPATITIS B – Natural history of a hepatitis B infection: serologic markers and indications for treatment. Treatment of hepatitis B: risks and benefits of new treatment modalities. Common complications of chronic hepatitis B. Recommendations for hepatocellular carcinoma screening. PREOPERATIVE CARDIAC EVALUATION - Risk stratification for perioperative cardiac risk. Preoperative cardiac risk guidelines and the revised cardiac risk index. Beta-blockers and statins for perioperative cardiac complications. PREOPERATIVE PULMONARY EVALUATION - Risk factors for postoperative pulmonary complications. Limited role of preoperative spirometry. Strategies to reduce the risk of postoperative pulmonary complications. DAY 4 - PREVENTION OF TYPE 2 DIABETES - Potential benefits of delaying and/or preventing the onset of type 2 diabetes. Recommendations of professional organizations regarding diabetes prevention. Potential benefits and risks of available therapeutic strategies for diabetes prevention. HYPERGLYCEMIA IN TYPE 2 DIABETES - Pathogenesis and natural history of hyperglycemia in T2DM. Pharmacological treatment options. Individualized regimens to optimize glycemic control. THYROID NODULES - Incidence of thyroid nodules in the primary care setting. Features from history and physical examination that increase the likelihood of malignancy. Best diagnostic approach to a thyroid nodule. Common cytologic findings from fine needle aspirate and their clinical significance. DIZZINESS - Most common causes of dizziness. Central and peripheral causes of vertigo. Physical examination maneuvers used to diagnose and treat vertigo. DAY 5 - EVALUATION OF THE PAINFUL KNEE - Key historical features to help distinguish between common causes of knee pain. Physical examination skills utilized in the diagnosis of common causes of knee pain. Treatment of common knee injuries and determine which require orthopedic consult. EVALUATION AND TREATMENT OF THE PAINFUL SHOULDER - Anatomy of the shoulder in relation to common mechanisms of injury. Key historical and physical examination skills needed to accurately diagnose common causes of shoulder pain. Initial management of common shoulder injuries. COMMON THYROID DISORDERS - Common causes of thyroid hyper-function and hypo-function. Common thyroid function abnormalities. Evaluation of thyroid nodules. COMMON ENDOCRINE DISORDERS - Common adrenal, pituitary and gonadal abnormalities. Disorders of calcium metabolism. Patients who are concerned they may have a "hormone problem”.


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Additional Information

Physician Fees $745.00 Regular Registration (30 days prior to seminar start date) $795.00 Late Registration Non Physician/Resident* Fees $645.00 Regular Registration (30 days prior to seminar start date) $695.00 Late Registration