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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.


0.33 CME CREDIT

Shingles, or herpes zoster (HZ), is a common secondary infection. More than 95% of immunocompetent individuals aged > 50 years are seropositive for the varicella zoster virus (VZV) and are at risk of developing shingles. This podcast series will address the pathophysiology, clinical presentation, and complications of shingles, in addition to the strategies to prevent it.


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.


Screening recommendations issued by the USPSTF in the past year will be summarized and reviewed. The most significant and controversial topics will be prioritized. Within the past year, the USPSTF has issued screening recommendation statements on the following topics: cervical, prostate, and ovarian cancer; osteoporosis; CVD; atrial fibrillation; syphilis among pregnant women; adolescent idiopathic scoliosis; and vision problems among young children.


Most physicians are consumers of commercial air travel, and half of physicians have responded to a medical emergency on an airplane. Responding to a medical problem on an aircraft is one of the purest expressions of our Hippocratic Oath but provokes anxiety in many providers because of patient populations and conditions outside our normal scope of practice and the haphazard environment of an aircraft. Medical emergencies on flights are becoming more common as air travel is more accessible, people fly greater distances in larger aircrafts, and the inflight population ages. This talk will cover the pathophysiologic stress of commercial air travel, the approach to a midair patient and common inflight emergencies, interventions that can be performed in response to a medical emergency, the equipment available on the aircraft, as well as preparatory flight strategies for physicians. We will also discuss management considerations if asked to serve in other community medical emergencies such as encountering a motor vehicle accident.


Infectious diseases syndromes are common in primary care practices. However, staying current with relevant literature that may influence appropriate evaluation and treatment of patients with these syndromes can be difficult, given the volumes of applicable articles and diversity of journals publishing these reports. This session will present some common infectious disease scenarios and provide crucial literature updates. You will learn about how responding to histories of penicillin allergy may result in adverse patient outcomes, the proper timing of influenza vaccination, the influence of substance abuse on risk medication adherence and infectious diseases risk, the appropriate evaluation of patients with suspected cellulitis syndromes, and the role of preoperative urine screening.