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Upon completion of this course, you will be able to: * Discuss airway obstruction and describe the two major forms of COPD. * Explain the damage to the lungs caused by COPD. * Identify the causes of COPD. * Describe characteristic findings in the history, physical exam, and lab values of a patient with COPD. * Summarize the components of a long-term treatment plan for COPD. * Understand the goals and techniques of pulmonary rehabilitation. * Discuss acute exacerbations of COPD and the...

Description According to the American Academy of Family Physicians, about 12 million people in the United States have COPD. COPD can cause a variety of symptoms, including: chronic or persistent cough, Increased mucus, shortness of breath especially during physical activity, wheezing, and a tight feeling in the chest. Objectives Upon completion of this educational activity, the participant will be able to: 1.) Review the stepwise approach to COPD management based on stage. 2.) Review pha...

Objectives 1. Describe the pulmonary rehabilitation process. 2. Understand the role of pulmonary rehabilitation in the integrated health-care model. 3. Describe the essential outcomes of pulmonary rehabilitation. 4. Understand the potential role of pulmonary rehabilitation in COPD exacerbations.

Learning Objectives After participating in this educational activity, participants should be better able to 1. Implement evidence-based recommendations for the accurate diagnosis and appropriate management of patients with chronic obstructive pulmonary disease based on established clinical guidelines 2. Develop treatment plans that incorporate individual patient’s needs, preferences, and lifestyle to optimize patient adherence OVERVIEW Obstructive Lung Disease’s Global Strategy ...

Objectives 1. Name four consequences or outcomes of COPD and some of the tools currently available to clinicians to assess COPD progression. 2. Describe interventions that have changed the natural history of COPD. 3. Explain the effect of smoking cessation on the rate of decline of FEV1 and other important clinical outcomes. 4. Illustrate the impact of pharmacotherapy on patient-centered outcomes. 5. Review the long-term effects of lung volume reduction surgery on surviva...

Program Overview Chronic obstructive pulmonary disease (COPD) affects approximately 10% of people 40 years old and older and is the fourth leading cause of death in the United States. In 2007, twelve million people were diagnosed with COPD. However, it is believed an additional 12 million people have COPD, but remain undiagnosed, and there were no improvements in hospitalization rates in patients with COPD aged 45 and older between 1995 and 2006. Despite the recommendations set forth by the G...

This conference is designed to meet the educational needs of practicing clinicians, and is targeted to pulmonologists, primary care physicians, respiratory therapists, physician assistants, nurse practitioners and allied healthcare providers who treat patients for COPD and/or asthma, and who must maintain a current understanding of assessing and monitoring these diseases, reducing risk factors, exacerbation reduction and prevention; recognizing and screening patients who may have Alpha1-Antitr...

Upon completion of this course, you will be able to: Summarize chronic bronchitis, emphysema, asthma and bronchiectasis. Define the normal control of ventilation in order to identify abnormal pathologies like hypoxic drive and CO2 narcosis. Differentiate auscultation of adventitious and vesicular breath sounds. Define normal ventilation / perfusion ratios and relate abnormalities in disease states. Outline normal blood gas values as a review of what disease states change these normali...

Educational Objectives: At the conclusion of the course, participants should be able to: * Improve the diagnosis and treatment of common family practice problems * Apply traditional modes of diagnosis and management more effectively * Apply information to commonly asked questions in office practice * Increase proficiency and maintain competence by updating cognitive understanding of family medicine * Feel better prepared to pass the American Board of Family Medici...

PULMONARY EMBOLISM (PE) occurs when a pulmonary artery becomes blocked-usually by a blood clot that has broken free from its site of origin and embolized or migrated to the lungs. If misdiagnosed, unrecognized, or untreated, PE can cause death quickly-within just an hour. It's fatal in up to 26% of cases. **Objectives:** * Describe the pathophysiology of PE. * Identify the signs and symptoms of PE. * Discuss the management of PE.

At the end of the program, participants should be able to: • Describe the rational for the use of extracorporeal life support (ECLS) • Identify the basic “anatomy” of the ECLS circuit and the team needed to support an ECLS program • Differentiate the risk and benefits of ECLS, and better identify which patients may benefit from ECLS • Explain current diagnostic and treatment strategies for infection in the ICU • Discuss the state-of-the-art in recognition and treatment of ...

Description According to the National Institutes of Health, Bronchitis is an inflammation of the main air passages to the lungs. It causes a cough, shortness of breath and chest tightness. Two main types of bronchitis exist: acute and chronic. Objectives Upon completion of this educational activity the participant will be able to: 1.) Review the diagnosis, etiology, and approach to therapies for acute bronchitis in adults and children. 2.) Discuss pertussis as an important etiology of br...

Objectives 1. Provide a definition of an acute exacerbation of idiopathic pulmonary fibrosis (IPF). 2. Discuss the clinical findings of patients with IPF who develop an acute exacerbation. 3. Discuss precipitating factors that have been associated with an acute exacerbation of IPF. 4. Discuss the pathobiology of an acute exacerbation of IPF. 5. Discuss the management and outcome of patients with an acute exacerbation of IPF.

This activity addresses selected data on the evaluation and management of pulmonary arterial hypertension (PAH) presented at the American College of Chest Physicians 2011 Annual Meeting (CHEST 2011). Upon completion of this activity, participants should be better able to: * Evaluate the impact of emerging data on the management of PAH on current consensus treatment guidelines * Discuss the potential clinical implications of novel therapies for the management of PAH

is program is part of is part of the 2011 Fall Conference: Clinical Masterclass Bundle, please click “Access Activity” to view the entire program listing. At the conclusion of Pulmonary Cases, attendees should understand: 1. Review the current recommendations for the treatment of patients with bronchitis and pneumonia. 2. Describe the management of patients with reactive airways disease exacerbation. 3. Discuss a rational plan for the work-up of patients with chronic cough. 4. Recogn...

Objectives 1. Appreciate the heterogeneity of clinical response to corticosteroids. 2. Describe the immunopathology of corticosteroid resistance. 3. Consider mechanisms underlying corticosteroid action and resistance. 4. Examine the factors that contribute to corticosteroid resistance. 5. Review the management of corticosteroid resistance.

After completing this CME module, participants will be able to 1. Apply the AAOS Guideline on the Prevention of Pulmonary Embolism Guidelines in treating patients undergoing hip and knee reconstruction and trauma procedures. 2. Compare the American College of Chest Physicians' (ACCP) guideline with the AAOS PE guideline. 3. Present key arguments to hospital guideline committees in order to gain hospital acceptance of the AAOS guideline. 4. Identify performance measurements re...

This activity is designed to meet the needs of healthcare professionals involved in the management of patients with pulmonary arterial hypertension (PAH). The goal of this curriculum is to increase both the knowledge and competence of learners with respect to the diagnosis and treatment of PAH, while considering the heterogeneity of etiologies, diagnostic challenges, risk stratification, and multiplicity of treatment modalities available for the disease. Upon completion of this activity, pa...

Learning objectives Upon completion of this activity, participants should be better able to: * Assess the possibility that a patient's previous healthcare experiences in other societies may make it difficult for them to access US healthcare services. * Review the importance of obtaining a trained medical interpreter to facilitate effective communication with your patient and provide good care. * Incorporate clinical and communication tools and competencies to accommodate a patient's cult...

Scott & White’s Annual Internal Medicine Review for the Primary Care Provider is designed to provide the internal medicine and primary care physician, pysician assistant and nurse with information directly applicable to daily patient care. The topics represent some of the most common problems encountered in clinical practice and emphasis will be placed on the pertinent practical aspects of patient care and problems encountered in both the inpatient and outpatient setting. OBJECTIVES Upon...

Michael S. Feldman, MD, is Clinical Professor of Medicine at the University of Pennsylvania School of Medicine, and Chairman of the Graduate education Foundation. Bernard Segal, MD, is professor of medicine at Thomas Jefferson University Hospital, and director of the Jefferson Heart Institute. Here, they discuss combined systolic and diastolic and continuous murmurs. Auscultatory examples of the most common and significant murmurs are provided. This lecture and the post-test is worth 1.5 cr...

Mayo Clinic’s 15th Annual Internal Medicine Update: Sedona 2011 is a four-day course offering primary care physicians, nurse practitioners, and physician assistants a practical update on a variety of subspecialty topics including allergy, cardiovascular diseases, dermatology, endocrinology, gastroenterology, hematology, infectious diseases, integrative medicine, neurology, psychiatry, pulmonary, renal disease, rheumatology, travel medicine, and others applicable to today’s practice and pat...

Objectives: * Update your knowledge and understanding of pulmonary medicine topics. * Update your knowledge and understanding of critical care medicine topics. * Update your knowledge and understanding of sleep medicine topics. * Learn clinically useful practice procedures.

OBJECTIVES After viewing this activity, the participant will demonstrate the ability to: Describe current guidelines for preoperative cardiac and pulmonary risk assessment and how to prevent and/or minimize cardiac and pulmonary complications using cost effective preoperative testing and specific intraoperative and postoperative interventions in both ambulatory and hospitalized patients Describe the perioperative risks associated with diabetes, obesity, advanced age, and pregnancy and ...

Pulmonary arterial hypertension (PAH) is characterized by vascular obstruction and variable vasoconstriction, resulting in elevated pulmonary vascular resistance and right-sided heart failure. The signs and symptoms of PAH are often mild and poorly characterized by the patient, and insidious in their onset. This subtlety, along with a complex differential diagnosis, may explain the significant delay in its diagnosis. Recent advancements in medical therapy for PAH have markedly improved phy...

Acute pulmonary embolism (PE) encompasses a spectrum of disorders with distinct pathophysiological mechanisms and therapeutic implications. Patients with acute PE who present with normal systemic arterial pressures and no evidence of right ventricular dysfunction have an excellent prognosis when treated with standard anticoagulation alone. Normotensive patients with acute PE and evidence of right ventricular dysfunction are categorized as having submassive PE and comprise a population at incre...

AN INNOVATIVE EDUCATIONAL RESOURCE FOR PRIMARY CARE PHYSICIANS, THEIR STAFF AND THEIR PATIENTS WITH CHRONIC DISEASE CME activities Challenging ideas that can change your care of patients -- or confirm that you are doing the right thing. You will find a spectrum of multimedia activities, including interactive case studies, in diabetes, COPD and hypertension. PI CME Working from as few as 25 patient charts on a given clinical topic, you can earn up to 20 credits and measure the improvement...

In a global perspective, the effect of TB on the health and economy of the world is staggering. It has been estimated that 2 billion people worldwide have active TB. This represents one-third of the world's population. In 2008, 9.4 million people around the world became sick with tuberculosis, and 1.8 million died of TB-related illnesses. The return of TB, teamed with the spread of HIV/AIDS and the prevalence of MDR-TB, has created a serious, and potentially deadly, healthcare problem. All hea...

OVERVIEW In the United States, lung cancer remains the leading cause of cancer mortality in both men and women, with more than 50% of patients presenting with locally advanced, inoperable, or metastatic disease. Approximately 33% of patients with non–small-cell lung cancer (NSCLC) present with advanced-stage disease while most patients with early stage NSCLC will eventually develop metastatic lung cancer. Despite the numerous therapeutic options available, only 15% of patients with lung ca...

Learning Objectives After reading this article, the learner should be able to: * learn the present day strategies for repair of tetralogy of Fallot as determined by this database review * recognize that this study was devised to determine if the newer applications of pulmonary valve preservation operations were used nationwide * learn the most common age groups of patients undergoing primary tetralogy repairs and those who underwent repair after previous cardiac surgery (palliat...

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