This patient case follows the course of a young woman who presents with a complaint of recurrent “sinus” headaches. You will review the proper diagnosis of migraine and, through a series of encounters with the patient, learn to individualize management of episodic migraine, including the use of acute pharmacologic treatment options. Please note that any data, indications, and guidelines presented in this activity are current as of the posting on 6/18/2020 and they are subject to change as new information is published.
Join primary care physician Dr. Susan Burke and headache specialist Dr. Stewart Tepper, as they review the best practices for communicating with and following patients with migraine. This discussion will include self-management and behavioral strategies for improving migraine symptoms. They will conclude the session with a discussion of three short patient case examples. Please note that any data, indications, and guidelines presented in this activity are current as of the recording on 8/31/2020 and they are subject to change as new information is published.
In the past few years, there have been major advances in the acute treatment of migraine. Multiple medications and devices have recently received FDA-approval, filling some of the unmet treatment needs for patients with migraine. Join primary care physician Dr. Susan Burke and headache specialist Dr. Stewart Tepper, as they review acute treatment strategies and compare older medications with the newer options, including CGRP antagonists, a serotonin 5-HT1F receptor antagonist, and neuromodulation devices. Please note that any data, indications, and guidelines presented in this activity are current as of the recording on 8/31/2020 and they are subject to change as new information is published.
Migraine is one of the leading causes of pain and disability worldwide, but initiation of effective treatment is often delayed by misdiagnosis and unnecessary testing. This focused session aims to improve your confidence in the clinical diagnosis of migraine. Primary care physician Dr. Susan Burke, and headache specialist Dr. Katherine Carroll, discuss the differential diagnosis of headache and review how to clinically diagnose migraine. Please note that any data, indications, and guidelines presented in this activity are current as of the recording on 7/31/2020 and they are subject to change as new information is published.
Migraine headaches are expensive: in lost work, productivity but most importantly your patients’ quality of life. As prescribers, we have a lot of options to offer. A review of the latest guidelines, best practices and common approaches to treatment will be discussed.
This session will discuss the latest evidence on concussion occurrence among high school athletes and review return-to play-guidelines and laws. It will also provide a nuanced and realistic discussion of concussion prevention.
This talk will be an overview of common neurological conditions primarily encountered in the outpatient setting. Topic covered will include headaches, dizziness, peripheral neuropathy, seizure, syncope, and tremor. The talk will include up to date information with special emphasis on diagnosis and treatment. Also included will be thoughts on when to consult with a neurologist.
Under the impetus of the Human Genome Project, a rapidly growing number of genes and mutations are becoming targets for molecular testing in patients and whole populations affected with or at risk for genetic disorders. The rapid pace of gene discovery—and the ease with which modern molecular biologic technology enables translation of these findings into clinical tests and potential gene-targeted therapies—has placed unprecedented demands on both the clinical laboratory and the clinicians who must decide if and when a particular test is appropriate and informative. Given the relatively small size of the specialty of medical genetics and the small number of trained genetic counselors in the country, much of this test ordering and interpretive burden must fall on primary care clinicians. The situation becomes even more acute and complex as we move into the era of genome-level DNA sequencing and direct-to-consumer genetic testing, with all that it can reveal about the patient’s present and future risk factors. This presentation will provide a contemporary overview of the current state of this field, with consideration of which applications can be handled adequately in primary care and which would benefit from referral to a medical genetics center. In addition, the many thorny ethical dilemmas raised by this powerful technology will be discussed.
This interactive session will review common questions that come up in primary care through a wheel game format. Faculty will cover a variety of topics including obstructive sleep apnea, thyroid disease, LGBTQ health, dizziness, adolescent health, as well as current hot topics in medicine. Please note that any data, indications, and guidelines presented in this activity are current as of the recording/release on 2/8/2020, and they are subject to change as new information is published.
This talk will comprehensively overview presenting features of dizziness in a typical primary care practice. Using history and the physical exam, the speaker will flush out the differential diagnosis from among the four major causes of dizziness. Participants will receive an in-depth look at the benign causes that can be diagnosed in the clinic and the more concerning causes that warrant urgent neurologic evaluation.
Alzheimer’s disease and Parkinson’s disease are the two most common neurodegenerative disorders, affecting over 6 million people in the U.S. Like nearly all of this class of disorders, these two conditions are due to the misfolding and accumulation of proteins in the central nervous system. This new way of viewing these conditions, as protein misfolding disorders, will be presented. We will review amyloid, tau and alpha-synuclein, the proteins that build up respectively in plaques, tangles and lewy bodies. We’ll review currently available therapies and the therapies that are being developed to more directly attack these disorders and hopefully modify the course of the disease.
Sport related concussions and repetitive brain injury are a significant medical issue that can result in cognitive, emotional, and functional disability. The presentation will focus on the current, up to date understanding of concussion mechanism, pathophysiology, diagnosis, and treatment. Office based approach to the diagnosis and monitoring of concussions along with a multi-disciplinary approach to post-concussion syndrome will be highlighted. The role of imaging, medication therapy, vestibular rehab, visual rehab, neuropsychological testing, and appropriate referral will be addressed along with return to work and school protocols.