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This presentation will hone in on the practical overlap between psychiatry and medicine in diagnosis and treatment. The speaker will cover (1) the interview, establishing rapport, and the efficient use of time; (2) major areas of psychiatric dysfunction and how they interact with other aspects of health; (3) differential diagnosis of anxiety, psychosis, depression, mood instability, and cognitive problems; (4) behavioral risk, especially suicide; and (5) pharmacological and nonpharmacological treatments.


Fatigue is a very common presenting symptom in primary care but a small subset of patients with chronic fatigue syndrome have persistent fatigue accompanied by multisystem complaints of unrefreshed sleep, post-exertional malaise, orthostatic symptoms, and cognitive impairment. Those with widespread pain and tenderness fit an alternative diagnosis of fibromyalgia. Both are severely debilitating illnesses of uncertain cause. This lecture discusses the evolving concepts regarding CFS and its relationship to FM. Diagnosis and treatment are discussed.


This episode is a discussion of the recent summary and recommendations of an expert panel that conducted a systemic review on the published perimenopausal literature to identify, characterize and treat women in this population.


0.25 CME CREDIT

A recently-published study looked at the association between a perceived life purpose (using modified Ryff and Keyes Scales of Psychological Wellbeing) and mortality in individuals participating in the Health and Retirement Study (HRS). The results seem to indicate that a strong sense of purpose to one’s life is associated with decreased mortality. Join us as we discuss the implications of this study and how to apply it in practice to improve your patients’ health and wellbeing as well as your own.


0.25 CME CREDIT

Reading to young children is a well-established activity that can impact neuro-cognitive and emotional development in children. Since many parents use E-readers and other digital platforms to read to their kids, in this episode we will explore whether there is a difference or benefit to using a particular type of book. Join us as we discuss the recent findings on parent-toddler interactions when reading from a print book versus an E-reader.


This series of interactive cases will provide an opportunity for the learner to increase their knowledge in the management of people with type 2 diabetes on insulin therapy. The cases will illustrate expert guidelines and general strategies around use of insulin and combinations of injectables for type 2 diabetes, including a practical approach to the initiation and intensification of basal insulin. You will learn the advantages and disadvantages of combination injectable medications as well as how to use them safely and appropriately.


This talk will review the pathophysiologic mechanisms of pain and how to best address them.


0.25 CME CREDIT

Bisphosphonates help prevent fractures in elderly women with osteoporosis, but their benefit in women with osteopenia has been unclear. A recent trial showed that a yearly injection of zoledronic acid can reduce fractures in women with osteopenia.


0.25 CME CREDIT

When patients with T2DM have difficulty controlling their glucose with standard approaches, or are newly diagnosed but severely hyperglycemic, insulin is commonly used to help control their metabolism. Using long acting, once a day agents is a standard of care but in the last 15 years, the costs of insulin has skyrocketed. During this episode we will review a study examining the effects of using Neutral Protamine Hagedorn Insulin (NPH) rather than once a day insulin on A1c control and risk for hypoglycemia and discuss their findings, which suggest NPH can be used with equivalent glycemic control and with no additional risk.