| Description |
SPECIFIC OBJECTIVES FOR THIS COURSE: DAY 1 – AMENORRHEA – Causes of primary and secondary amenorrhea and associated health risks, appropriate evaluation for both. Therapy to the patient with regard to hormone replacement therapy or infertility. Anatomic and functional levels of distinction with respect to amenorrhea. HORMONAL CONTRACEPTIVES: GOOD, BAD AND CONTROVERSIAL – Clinical differences in oral contraceptives. Appropriate agent for specific patients. Relative and absolute contraindications to oral contraceptives. ABNORMAL UTERINE BLEEDING – Abnormal uterine bleeding. Functional and organic causes. Non-surgical etiologies. ANEMIA – Common anemias and usual etiology. Diagnostic evaluation needed to determine etiology. Therapeutic options for each of the identified anemias. Follow-up plans for assessing the efficacy of treatment. DAY 2 – CHRONIC ANOVULATION – Hypothalamic, pituitary and ovarian causes of anovulation. Associated health risks. Treatment regimen. OSTEOPOROSIS: DIAGNOSIS AND TREATMENT – Risk factors. Methods for evaluating patients at risk. Therapeutic classes of medications and appropriate use. MENOPAUSE: MYTHS AND REALITIES – Issues that face the menopausal woman. True concerns and current anecdotal myths. Osteoporosis, cardiovascular disease, breast cancer, endometrial cancer and current therapies. Critically evaluate Evidence-Based menopause literature. MIGRAINE HEADACHES – Update on Diagnosis and Treatment – Evaluating a patient with possible migraine headaches. Advantages of supportive therapy and lifestyle changes to treat migraine headaches. Pharmacologic options for treating an acute migraine headache. When prophylactic therapy is appropriate for patients with recurrent migraine headaches. DAY 3 – HIRSUTISM – Understand the pathophysiology of abnormal body hair growth in women. Source of androgen excess. Treatment options. PREMENSTRUAL SYNDROME – Identify patients with this disorder. Myths and realities. Current effective therapies. Differential diagnosis. EVALUATION AND INITIAL MANAGEMENT: BENIGN BREAST DISEASE – Describe benign breast disease. Evaluate for breast pain, breast lumps, and nipple discharge. Findings associated with breast cancer. GYNECOLOGIC COMPLEMENTARY THERAPY – Complementary medicine: acupressure, acupuncture, herbal therapy, massage therapy, etc. Basic mechanism of actions. Apply complementary therapies to various gynecologic problems such as PMS, infertility, ovulatory disorders. DAY 4 – TREATMENT OF SEXUALLY TRANSMITTED INFECTIONS – Treatable forms of STIs. Diagnosis. Treatment options. ECTOPIC PREGNANCY – Early extrauterine gestation; intervene or facilitate intervention before an emergent situation exists. Non-surgical management. Limitations and capabilities of ultrasound in diagnosis. VENOUS THROMBOEMBOLISM (VTE): DIAGNOSIS AND TREATMENT – Sensitivity and specificity of the diagnostic tests. Algorithm for diagnosing a PE. Monitoring and adjustment of warfarin therapy for DVT/PE. PELVIC PAIN – Patient with acute or chronic pain. Differential diagnosis and management options. True surgical emergencies. DAY 5 - ADULT HEALTH SCREENING AND IMMUNIZATIONS – EBM – Evidence based recommendations for preventive screening tests. Routine immunizations. Common side effects immunizations. Contraindications for each adult immunization. When screening tests can be discontinued. GYNECOLOGIC EMERGENCIES – Common and significant gynecologic emergencies. Rapid and concise treatment plan for: Ectopic pregnancies, Uterine hemorrhage, Gynecologic infections. Follow-up care to the post-gynecologic emergency patient. USE AND INTERPRETATION OF THYROID TESTS – Utility of the various serum tests for thyroid function. Combination of test results that occur in clinical conditions. Follow-up of abnormal thyroid tests. ENDOMETRIOSIS – Suspicion of endometriosis based on symptoms and physical examination. Management options. Long term management for pain and/or fertility considerations.
|
|
