Title: 2023 Hospital and Internal Medicine: A Clinical Update and Review of Common Problems – Day 4 (Physician)

Faculty: David A. Horowitz, M.D., Kendal Williams, M.D., M.P.H.

Release Date: 7/1/2023 Expiration Date: 7/1/2026

Day 4

Update on the Management of Stroke and Transient Ischemic Attack (Williams)

Upon completion of this session, the participant should be able to: ^{GL, COMP}

1. Assess common presentations of cerebrovascular insufficiency.
2. Prescribe the initial management of patients with a suspected acute CVA.
3. Apply cutting edge strategies and therapies for the management of hemorrhagic and thrombotic strokes.
4. Distinguish between stroke and TIA and appropriately assess the patient with TIA for early risk of stroke.
5. Formulate an effective post-stroke secondary prevention plan as per the AHA/ASA guidelines.

The Evaluation and Management of Syncope and Vertigo (Williams)

Upon completion of this session, the participant should be able to: ^{GL, COMP}

1. Appropriately evaluate patients with syncope or vertigo.
2. Formulate a diagnostic evaluation strategy of syncope or vertigo that is based on best practices and the 2017 ACC/AHA/HRS guidelines.
3. Debate the value of the various diagnostic approaches to the workup of syncope.
4. Prescribe an effective therapeutic strategy for the management of both syncope and vertigo per the 2017 ACC/AHA/HRS guidelines.

Delirium, Dementia, and Psychosis – The Diagnosis and Management of the Inpatient with Mental Status Change (Williams)

Upon completion of this session, the participant should be able to: ^{EBM, COMP}

1. Apply a diagnostic approach to the hospitalized patient with acute mental status change.
2. Discuss the differential diagnosis of psychosis in the hospitalized patient.
3. Based on a systematic review of the best evidence, formulate an evidence-based management strategy for delirium in the hospital setting.
4. Develop an evidence-based screening and treatment protocol for the prevention and management of alcohol withdrawal syndromes.

Practical Approach to Thyroid Disease: 1. Hypothyroidism/Elevated TSH 2. Patient with a Thyroid Nodule (Horowitz)

Upon completion of this session, by applying recommendations from the AAFP, AACE, ACP, ATA, USPSTF, IOM, and ACOG, the participant should be able to: ^{GL, COMP}

1. Appreciate the role of the screening TSH and what to do with the results.
2. Develop a reasonable and cost-effective approach to diagnosing the thyroid nodule.
3. Discuss the management of hypothyroidism.

Non-Surgical Approaches to the Patient with Obesity (Horowitz)

Upon completion of these sessions, using multiple research trials as well as applying recommendations from the AGA, NIH – NHLBI, ACP, AHA, ASBS, and ACS, the participant should be able to: ^{GL, COMP}

1. Review the current popular diets available and marketed to your patients.
2. Take into consideration unique needs of the obese patient in order to create a comprehensive approach to the treatment of obesity.
3. Explain the basic physiology of obesity.
4. Manage the medications available for the treatment of obesity.