Neurology: Top Topic Updates for Primary Care |
Mon Apr 26, 2021 - Thu Apr 29, 2021 |
7:30 am-12:50 pm EST |
Lido Beach Resort, Sarasota, Florida |
SEMLA-3520210426 |
|

Presented By
Presenter
-
Laurence Kinsella (Learn More)
Adjunct Professor of Neurology, Saint Louis University Medical School and Director of Neurology, SSM Neurosciences Institute at St. Clare, SSM Health, St. Louis, MO -
David Riley (Learn More)
Neurologist in Private Practice; Chair of Medical Education, InMotion, Cleveland, OH
Course Outline
Day 1
The Neurological Examination.
Upon completion of this session, the participant should be able to: COMP,EBM
- Organize the disparate parts of the neurologic examination into a personally relevant, manageable and reproducible diagnostic tool.
- Perform a concise screening neurologic exam for asymptomatic patients.
- Perform a problem-tailored neurologic exam for patients with neurologic complaints such as altered mental status and gait disturbances using evidence-based medicine.
- Obtain maximum yield from the examination of a patient with an altered mental status.
Seizures and Epilepsy – Diagnosis.
Upon completion of this session, the participant should be able to: COMP,EBM
- Differentiate among the major types of seizures.
- Apply epidemiologic aspects to the diagnosis of epilepsy.
- Employ AAN and AES practice guidelines regarding sudden unexpected death in epilepsy. (SUDEP)
- Distinguish seizures from syncope.
- Formulate a plan for diagnostic investigation.
Seizures and Epilepsy – Management.
Upon completion of this session, the participant should be able to: COMP, EBM
- Determine when treatment with anticonvulsant medication is warranted using evidence-based medicine.
- Choose among the many available anticonvulsant medications.
- Manage problems confronted by women with epilepsy.
- Counsel patients regarding their driving privileges.
Stroke, Part I – An Evidence-Based Review of Risk Factors and Prevention.
Upon completion of this session, the participant should be able to: EBM, GL, COMP
- Identify risk factors and apply prevention strategies.
- Apply the CHA2DS2-VASc Score to assess risk of stroke with Atrial Fibrillation and guide treatment plan.
- Plan when to refer patients for carotid endarterectomy.
- Determine use of aspirin, clopidogrel, dipyridamole, warfarin and novel anticoagulants, carotid endarterectomy and stenting.
Stroke, Part II – TIA and Acute Stroke.
Upon completion of this session, the participant should be able to: GL, COMP
- Apply risk stratification to TIA.
- Employ a protocol for evaluation and treatment of TIA and stroke.
- Apply inclusion criteria and vascular imaging for thrombolysis and interventional clot retrieval.
- Review 2018 Guidelines for wake up stroke.
Day 2
An Approach to the Dizzy Patient.
Upon completion of this session, using evidence-based medicine, the participant should be able to: COMP, EBM
- Detect common presentations of dizziness.
- Assess the pathophysiology of vertigo and nystagmus.
- Apply bedside techniques to distinguish dizziness subtypes and identify dangerous causes.
- Utilize potentially curative treatment for benign positional vertigo.
Syncope and Autonomic Dysfunction.
Upon completion of this session, using evidence-based medicine, the participant should be able to: COMP, EBM
- Discuss the causes and natural history of syncope and Postural Orthostatic Tachycardia Syndrome (POTS).
- Apply bedside tilt and tilt table testing.
- Define treatment strategies for orthostatic hypotension.
Migraine and Chronic Daily Headache.
Upon completion of this session, the participant should be able to: COMP, GL
- Differentiate between the five sub-types of chronic daily headaches.
- Appraise the pathophysiology of headache and migraine.
- Develop a plan for appropriate medication for intractable headache.
- Assess the prevalence of medication overuse headaches in daily practice and employ the non-pharmacologic guideline for migraines.
Sleep Disorders – Insomnia and Obstructive Sleep Apnea.
Upon completion of this session, the participant should be able to: COMP, EBM
- Appraise the normal structure and function of stages of sleep.
- Formulate a diagnostic and therapeutic approach to insomnia using best practice recommendations from the American Academy of Sleep Medicine and American Geriatric Society.
- Detect clinical features and initiate management of sleep apnea.
- Evaluate patients for comorbidities of obstructive sleep apnea.
Sleep Disorders – Restless Legs Syndrome, Narcolepsy and Others
Upon completion of this session, the participant should be able to: COMP
- Diagnose restless legs syndrome in under a minute.
- Manage restless legs syndrome using practice guidelines.
- Diagnose and treat narcolepsy.
- Determine the prognosis of, and treat, REM-sleep behavior disorder.
Day 3
Dementia.
Upon completion of this session, the participant should be able to: COMP, GL
- Evaluate patients with mild cognitive impairment or dementia.
- Diagnose the major syndromes associated with common causes of dementia.
- Distinguish the conditions that frequently mimic dementia.
- Manage major complications of dementia.
- Utilize the American Psychiatric Association practice guidelines for management of agitated dementia.
Parkinson’s Disease and Essential Tremor.
Upon completion of this session, the participant should be able to: COMP, GL
- Assess the clinical features of the syndrome of parkinsonism.
- Evaluate other important typical features of Parkinson’s disease.
- Select treatment options for management of Parkinson’s disease.
- Distinguish among common types of tremor and devise a therapeutic plan for a patient with essential tremor using American Academy of Neurology evidence-based guidelines.
Peripheral Neuropathy and Neuropathic Pain Management.
Upon completion of this session, the participant should be able to: COMP, EBM
- Define the spectrum of neuropathic signs, symptoms, and causes.
- Develop an approach to bedside examination.
- Discuss the mechanism of neuropathic pain.
- Apply effective therapies using evidence-based medicine.
Confessions of a Mostly Happy Doctor – Strategies for Reducing Physician Burnout.
Upon completion of this session, the participant should be able to: COMP
- Review current literature re: physician burnout.
- Incorporate strategies to reduce clerical burdens of EMR.
- Adopt strategies for successful patient experience surveys.
- Apply techniques for managing functional symptoms in the office.
Libby Zion’s Lesson: Serotonin Syndrome and P450 Drug Interactions.
Upon completion of this session, using evidence-based medicine, the participant should be able to: COMP
- Define the clinical features of common drug interactions.
- List the features of serotonin syndrome and distinguish from other Neurologic drug toxicities.
- Recognize potential drug interactions and determine how to predict them.
- Apply a simple clinical algorithm for anticipating and avoiding drug interactions.
Day 4
Cobalamin (B-12) Deficiency and Other Neurologic Disorders of Gastrointestinal Function.
Upon completion of this session, using evidence-based medicine, the participant should be able to: COMP
- Define recent advances in B-12 deficiency, Post-Gastroplasty Neuropathy, and Copper deficiency.
- Examine the changing clinical presentation of this illness.
- Apply newer laboratory techniques to the diagnosis.
- Apply an algorithm for the diagnosis and treatment of B-12 deficiency.
Concussion and Sports: A Guide for Primary Care
Upon completion of this session, using Cochrane EBM sources and guidelines from the 3rd International Symposium on Concussion in Sports, the participant should be able to: EBM, GL, COMP
- Describe the pathophysiology and, using evidence-based medicine, review the emergency treatment of concussion.
- Apply an evidence-based medicine approach to decisions regarding imaging after minor head trauma.
- Demonstrate use of currently recommended management approaches for assessment, follow up, and return to play.
Psychogenic Neurologic Disorders.
Upon completion of this session, the participant should be able to: COMP
- Evaluate common neurologic manifestations of psychogenic disorders.
- Distinguish among malingering, factitious disorders and conversion disorders.
- Conduct an interview of a patient with a suspected psychogenic disorder.
- Formulate a plan for management of a psychogenic illness.
Multiple Sclerosis.
Upon completion of this session, the participant should be able to: COMP,EBM
- Recognize the typical clinical features of multiple sclerosis.
- Initiate an appropriate series of diagnostic investigations.
- Formulate an approach to abortive and prophylactic therapy of multiple sclerosis using evidence-based medicine.
- Anticipate common medical complications of multiple sclerosis.
Spasticity, Ataxia, and Gait Disorders.
Upon completion of this session, the participant should be able to: COMP
- Detect the major clinical features of spasticity.
- Institute a diagnostic investigation of cervical spondylosis.
- Assess ataxia and the other major clinical features of cerebellar dysfunction.
- Evaluate different types of gait disorders.
Accreditation
This program is not yet approved for CME credit.