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stroke

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(PBL) Chronic Kidney Disease and End-Stage Renal Disease Diagnosis and Management

...• 3. Townsend RR. Stroke in chronic kidney disease: prevention and management. Clin J Am Soc Nephrol. 2008;3(suppl 1):S11-S16. • 4. Go AS, Chertow GM, Fan D, McCulloch CE, Hsu CY. Chronic kidney disease and the risks of death, cardiovascular events, and hospitalization [published...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx19-153-154.pdf

(PBL) Dementia and Alzheimer's Disease

...• Neuro injury (motor/sensory): negative for head injury, stroke, etc. 15 Past Medical History • PMH: controlled HTN, controlled HLD, controlled T2DM, no CAD, no ASPVD, no CKD, no CVA • PSH and Ob/GYN: G1P1 (term uncomplicated vaginal birth) • Tobacco: no • ETOH/Drug: Never! •...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx19-085-087.pdf

(PBL) Dyslipidemia: Beyond the Numbers

...African‐American Tobacco smoker Not on blood pressure medication No diabetes Mother -stroke age 71 BP 124/78 BMI 31 TChol 190 HDL 44 LDL 120 Triglycerides 140 Blood glucose 90 7 Team Questions for Case 1 1) What is his 10 year ASCVD risk? 2) What is his lifetime risk...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx19-005-007.pdf

(PBL) Osteoporosis and Osteopenia Prevention and Treatment: Allaying the Fear Factor

...years to prevent death, MI, stroke 1 in 125 were helped (prevented death) 1 in 67 were helped (prevented stroke) 1 in 100 were helped (prevented heart attack*) 97% saw no benefit 0.8% were helped by preventing death 1.5% were helped by preventing stroke 1.0% were helped by...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx19-078-080.pdf

(PBL) Osteoporosis and Osteopenia Prevention and Treatment: Building Strong Bones for Life

...years to prevent death, MI, stroke 1 in 125 were helped (prevented death) 1 in 67 were helped (prevented stroke) 1 in 100 were helped (prevented heart attack*) 97% saw no benefit 0.8% were helped by preventing death 1.5% were helped by preventing stroke 1.0% were helped by...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx18-108-109.pdf

(PVL) Atrial Fibrillation: Outpatient Management of Non-Valvular A-Fib

...- Stroke prevention (mortality/morbidity) - Alleviate symptoms (improve quality of life) 5 Calculating Risks • Risk of thromboembolism - CHADS2 or CHA2DS2-VASc • Risk factors for bleeding - HAS-BLED www.sparctool.com Risk Stratification One Stop Shopping to facilitate...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx18-043-044.pdf

2017 Agenda for the Reference Committee on Health of the Public and Science

...MD, New Physician 3 John Nguyen, MD, Minority 4 5 WHEREAS, Physical inactivity increases the relative risk of coronary artery disease, stroke, 6 hypertension, and osteoporosis by 45 percent, 60 percent, 30 percent and 59 percent, 7 respectively, and 8 9 WHEREAS, physical inactivity...

Events

https://www.aafp.org/dam/AAFP/documents/events/alf_ncsc/business/Health%20of%20the%20Public%20Science.pdf

2017 Agenda for the Reference Committee on Health of the Public and Science

...MD, New Physician 3 John Nguyen, MD, Minority 4 5 WHEREAS, Physical inactivity increases the relative risk of coronary artery disease, stroke, 6 hypertension, and osteoporosis by 45 percent, 60 percent, 30 percent and 59 percent, 7 respectively, and 8 9 WHEREAS, physical inactivity...

Events

https://www.aafp.org/dam/AAFP/documents/events/alf_ncsc/business/HoPSAgenda2017.pdf

2017 FMX Advisory Board (FAB) Contacts for Faculty List

...TIA and Stroke Diagnosis and Treatment 1. Assess patients presenting with possible signs of TIA or stroke; ordering appropriate imaging if necessary. 2. Develop collaborative care plans to assist patients in making behavioral modifications to decrease their risk of having a...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/fmx17-fab-contacts-faculty.pdf

2017 Poster Presentation Abstracts

...Diet and Incidence of Stroke: The Multi-Ethnic Study of Atherosclerosis Devesh Vashishtha, Arvin Wali, and Charlie Park University of California, San Diego Prior studies have shown a relationship between the Mediterranean diet and incidence of stroke. However, none of these...

Events

https://www.aafp.org/dam/AAFP/documents/events/nc/nc17-poster-winners.pdf

2018 AAFP FMX CME Schedule

...CME124 Stroke Rowland Room 208-210 • 1.00 CME credit • HEMATOLOGY/IMMUNE, PEDIATRICS CME207 Pediatric and Adolescent Immunization Update Temte Room 220-222 • 1.00 CME credit • NEPHROLOGIC CME177 Ask the Expert: Chronic Kidney Disease and End-Stage Renal Disease Shahady...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/fmx18-cme-schedule-onsite.pdf

2018 FMX Cardiovascular Handouts

...- Stroke prevention (mortality/morbidity) - Alleviate symptoms (improve quality of life) 5 Calculating Risks • Risk of thromboembolism - CHADS2 or CHA2DS2-VASc • Risk factors for bleeding - HAS-BLED www.sparctool.com Risk Stratification One Stop Shopping to facilitate...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx18-cardiovascular-handouts.pdf

2018 FMX CME Session Schedule By Day

...Stroke 10/10/2018 1:45PM 2:45PM Well Woman Exam: The New Well Woman Visit 10/10/2018 1:45PM 2:45PM (PBL) Well Woman Exam: The New Well Woman Visit 10/11/2018 7:00AM 8:00AM Allergic Rhinitis: I Can't Breathe! 10/11/2018 7:00AM 8:00AM Assisting Patients with Opioid Use Disorder...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/fmx18-master-schedule.pdf

2018 FMX Hematology/Immunology Handouts

...new agents in patients, with atrial fibrillation and at least one other risk factor for stroke, that do not require frequent laboratory monitoring are as effective as warfarin for prevention of stroke or systemic embolism and have comparable risks of major bleeding. 3. Develop...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx18-hematology-handouts.pdf

2018 National Conference Poster Abstracts

...Speechless: The Relationship Between Peripartum Cardiomyopathy and Stroke (Clinical Inquiry) Whay-Yih Cheng, DO Saint Louis University/Scott Air Force Base, Illinois Peripartum cardiomyopathy (PPCM) is defined as new dilated cardiomyopathy diagnosed in the final month of pregnancy...

Events

https://www.aafp.org/dam/AAFP/documents/events/nc/nc18-poster-winners.pdf

2018 Poster Abstracts

...Speechless: The Relationship Between Peripartum Cardiomyopathy and Stroke (Clinical Inquiry) Whay-Yih Cheng, DO Saint Louis University/Scott Air Force Base, Illinois Peripartum cardiomyopathy (PPCM) is defined as new dilated cardiomyopathy diagnosed in the final month of pregnancy...

Events

https://www.aafp.org/dam/AAFP/documents/events/nc/nc18-poster-abstracts.pdf

2019 CME Session Topics

Feb 27, 2019 - View the CME topics that will be discussed at the 2019 AAFP Family Medicine Experience (FMX), September 24-28, 2019, Pennsylvania Convention Center, Philadelphia, PA.

Events : Family Medicine Experience (FMX)

https://www.aafp.org/events/fmx/cme/opportunities/session-topics.html

2019 FMX Cardiovascular Handouts

...African‐American Tobacco smoker Not on blood pressure medication No diabetes Mother -stroke age 71 BP 124/78 BMI 31 TChol 190 HDL 44 LDL 120 Triglycerides 140 Blood glucose 90 7 Team Questions for Case 1 1) What is his 10 year ASCVD risk? 2) What is his lifetime risk...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx19-cardiovascular.pdf

2019 FMX Career and Life Management Handouts

...and completed his residency in neurology at the Harvard Longwood Program. He completed a National Institute of Neurological Disorders and Stroke (NINDS)-funded fellowship in experimental therapeutics of neurodegenerative disease at the University of Rochester, New York. He is a...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx19-career-life-management.pdf

2019 FMX Endocrine Handouts

...DOHC 16-valve 4- cylinder with VVT Horsepower 181 hp @ 7000 rpm Torque 151 lb-ft @ 4000 rpm Redline 7500 rpm Displacement (cc) 1998 Bore x stroke (mm) 83.5 x 91.2 Compression ratio 13 : 1 Chain-driven dual overhead cams, 4 valves per cylinder with variable intake valve timing (VVT)...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx19-endocrine.pdf

2019 FMX Geriatrics Handouts

...Stroke: Time is Brain (CME092‐093) Urinary Incontinence and Urinary Frequency (CME083‐084) 1 (PBL) Dementia and Alzheimer's Disease Brian Unwin, MD, FAAFP ACTIVITY DISCLAIMER The material presented here is being made available by the American Academy of Family...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx19-geriatrics.pdf

2019 FMX Hematology Immune Handouts

...new agents in patients, with atrial fibrillation and at least one other risk factor for stroke, that do not require frequent laboratory monitoring are as effective as warfarin for prevention of stroke or systemic embolism and have comparable risks of major bleeding. 3. Develop...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx19-hematology-immune.pdf

2019 FMX Infectious Disease Handouts

...meningitis, stroke, acute altered mental status, and auditory or ophthalmic abnormalities - Late - tabes dorsalis and general paresis 7 USPSTF • Clinicians screen for HIV infection in adolescents and adults aged 15 to 65 years. Younger adolescents and older adults who are...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx19-infectious-disease.pdf

2019 FMX Nephrologic Handouts

...• 3. Townsend RR. Stroke in chronic kidney disease: prevention and management. Clin J Am Soc Nephrol. 2008;3(suppl 1):S11-S16. • 4. Go AS, Chertow GM, Fan D, McCulloch CE, Hsu CY. Chronic kidney disease and the risks of death, cardiovascular events, and hospitalization [published...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx19-nephrologic.pdf

2019 FMX Public Health Handouts

...A. Lower systolic blood pressure B. Reduced blood hemoglobin A1c C. Increased LDL D. Increased risk of stroke 11 AHRQ 2017 Evidence Report • KQ1: What is the accuracy of depression screening instruments or screening strategies compared to a validated criterion standard in...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx19-public-health.pdf

2019 FMX Respiratory Handouts

...A. Congestive heart failure B. Thyroid disorder C. Stroke D. Atrial fibrillation E. They are ALL high risk factors 11 Risk Factors • Male • Postmenopausal women • Overweight BMI>30 • Over 40 years of age • Neck size 17 inches or greater in men; 16 inches in females • Family...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx19-respiratory.pdf

2019 FMX Women's Health Handouts

...• Hispanic women have higher overall risk of AMI and stroke Why Such a Gap? • Lack of awareness • Unrecognized signs, symptoms, and risk factors • Women underrepresented in clinical trials - Generally make up only ~20% of enrolled patients • Underuse of sex-specific...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx19-womens-health.pdf

2019 Handouts

Aug 27, 2019 - View handouts from the 2019 AAFP FMX.

Events : Family Medicine Experience (FMX)

https://www.aafp.org/events/fmx/cme/handouts.html

2019 National Conference Poster Presentations

...Facility where the students rotated at four different stations including a high-fidelity anaphylaxis case, task trainer competitions, stroke education simulations, and a suture lab. To assess and improve this program, surveys at the beginning and end of the year were completed in...

Events

https://www.aafp.org/dam/AAFP/documents/events/nc/nc19-poster-winners.pdf

AAFP Clinical Practice Guidelines: Championing Science and Evidence in Your Practice

...A. Lower systolic blood pressure B. Reduced blood hemoglobin A1c C. Increased LDL D. Increased risk of stroke 11 AHRQ 2017 Evidence Report • KQ1: What is the accuracy of depression screening instruments or screening strategies compared to a validated criterion standard in...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx19-241-242.pdf

ABFM’s Performance Improvement (former part IV)- NEW and Helpful Practical Time-Saving ...

...Recognition Programs (PRPs) • Approved PRPs include: Diabetes, Heart Disease/Stroke, and Patient Centered Medical Home (PCMH) • Individual-level certificates of recognition in Diabetes, Heart Disease/Stroke, or PCMH can be submitted for Performance Improvement credit •...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx18-278-279.pdf

Acute Coronary Syndromes

...• Rivaroxaban and DAPT lowered cardiovascular death, MI, stroke, stent thrombosis, and all‐cause mortality over 13 months • Increased bleeding risk three‐fold. 16 Anti‐angina Medical Therapy Beta Blockers • Initiated in all patients with ACS within the first 24 hours •...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx19-010-011.pdf

Adult and Elderly Hypertension

...Hypertension is the most common condition seen in primary care and leads to myocardial infarction, stroke, renal failure, and death if not detected early and treated appropriately. {JNC8} STATS: BP control in the US • About 75 million American adults (32%) have high blood...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx18-053-054.pdf

Adult and Elderly Hypertension: The Pressure's On!

...- Clinical or subclinical CV dz-excluding stroke. - CKD, GFR 20-60-excluding polycystic kidney dz. - 10-yr Framingham risk ≥15%. - Age ≥75. • DM and prior stroke excluded. • Composite endpoint: MI + ACS + stroke + HF + CV death. NEJM 2015;373:2103‐16 9 SPRINT Trial -...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx19-076-077.pdf

Adult Obesity Management: Mindful Eating for Patients with Obesity

...• Obesity • Diabetes • CAD • HBP • Stroke McGinnis, Foege 1993 McGinnis 2013 Cleveland Clinic Report at SGIM 2017 BMI and Waist Circumference • Overweight BMI = 25-29.9 • Obese BMI = 30+ • Extreme Obesity BMI = 40+ • Waist circumference >40 inches Men >35 inches Women •...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx18-082-083.pdf

Adult Obesity Management: Weight Loss Counseling Made Easy

...Diet Soda Increases Stroke Risk • Framingham Heart Study Beverage Intake Risk of Stroke and Dementia • Artificially sweetened drinks associated with an increased risk of ischemic stroke • Compared to 0 per week, Hazard Ratios were: • Ischemic Stroke: 2.96 (95% CI,...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx19-050-051.pdf

Anticoagulation Management Update

...new agents in patients, with atrial fibrillation and at least one other risk factor for stroke, that do not require frequent laboratory monitoring are as effective as warfarin for prevention of stroke or systemic embolism and have comparable risks of major bleeding. 3. Develop...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx18-130-131.pdf

Anticoagulation Management Update: Through Thick and Thin

...new agents in patients, with atrial fibrillation and at least one other risk factor for stroke, that do not require frequent laboratory monitoring are as effective as warfarin for prevention of stroke or systemic embolism and have comparable risks of major bleeding. 3. Develop...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx19-096-097.pdf

Arrhythmias and Dysrhythmias

...admission per year in the US • Significant cause of stroke • Double mortality rate 6 Management 1. Embolic stroke prophylaxis 2. Rate/Rhythm control AES Question 1 How should this patient be managed for stroke prevention? A. No additional treatment B. Aspirin C. Xa...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx18-055-056.pdf

Atrial Fibrillation: Outpatient Management of Non-valvular A-Fib

...Learning Objectives 1. Utilize current clinical practice guidelines for the management of AF, and the stroke risk score to prescribe appropriate medications. 2. Review the coagulation cascade and compare targets of medications that affect the coagulation pathway with specific...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx18-058-059.pdf

Atrial Fibrillation: The Regular Irregularity

...Learning Objectives 1. Utilize current clinical practice guidelines for the management of AF, and the stroke risk score to prescribe appropriate medications. 2. Review the coagulation cascade and compare targets of medications that affect the coagulation pathway with specific...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx19-014-015.pdf

Cardiovascular Pharmacology

...stroke and bleeding and the patient’s values and preferences. [Class I, Level C] 16 Atrial Fibrillation Risk Stratification • CHADS2 [C]HF + [H]TN + [A]ge>75 + [D]M + Prior [S]troke/TIA/DVT/PE (x2) • CHA2DS2-VASc [C]HF + [H]TN + [A]ge>75 (x2) + [D]M + Prior...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx18-062-063.pdf

Care of the Postmyocardial Infarction Patient

...Intensive treatment vs. Standard treatment •1.2% ARR all-cause mortality (NNT 83) •0.8% ARR heart failure (NNT 125) •No change in MI, ACS, stroke •More hypotension, acute kidney injury, electrolyte abnormalities SPRINT Research Group. A randomized trial of intensive versus...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx19-016-017.pdf

Chronic Kidney Disease and End-Stage Renal Disease Diagnosis and Management

...• KDIGO recommends statin in all patients with non‐dialysis CKD in all patients >50 years OR 18‐49 year old with CVD, DM, stroke, or CVD risk >10% • Statins are recommended in transplant patients Coronary Artery Disease • Increased risk for CVD in CKD • CKD patients are...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx19-155-156.pdf

Climate Change: Managing Health Impacts in Your Practice

...Individual Impact: Heat Exhaustion and Heat Stroke • Exhaustion (37-40C) Symptoms: nausea, headache, dizziness, weakness, anorexia Signs: anxiety, confusion cutaneous flushing, oliguria, tachycardia, vomiting • Stroke (40C+) Symptoms: (same) Signs: mental status changes,...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx19-243-244.pdf

Collaborative Care: Mindful Engagement with Our Work - Skills to Address Burnout, ...

...and completed his residency in neurology at the Harvard Longwood Program. He completed a National Institute of Neurological Disorders and Stroke (NINDS)-funded fellowship in experimental therapeutics of neurodegenerative disease at the University of Rochester, New York. He is a...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx19-029-030.pdf

Customizing Diabetes Intensification Based Upon Cardiovascular Risk: Diabetes ...

...- Primary end-points: CV death, nonfatal MI, nonfatal stroke • = 3-point MACE (major adverse CV events) - (if not significant, possibly consider hospitalization for ACS, urgent revascularization and other end-points.) • Patient selection should focus on high-risk...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx18-086-087.pdf

Deep Vein Thrombosis and Pulmonary Embolism Management: The Clot Thickens

...dz? A. Stroke B. Older age C. Obesity D. Heart failure E. Inflammatory bowel disease F. None of the above - all are risk factors DVT Risk Factors • Venous Stasis • Recent surgery/immobilization. • Hospitalization w/in 3 mo. • Spinal cord injury. • Paresis/paralysis (stroke, etc)....

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx19-025-026.pdf

Dementia and Alzheimer’s Disease

...Neurodegeneration is Common 1:2 women and 1:3 men will develop dementia, stroke, or parkinsonism in their lifetime Licher S, et al. J Neurol Neurosurg Psych. 2019;90:2:148‐56 5 Dementia is Common (www.alz.org) Everyone Has Ownership of DEMENTIA • Neurology Workforce...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx19-088-089.pdf

Diabetes Treatment Update 2018

...Diabetes-related complications in the US Acute myocardial infarction and stroke Overall population Population with diabetes Overall population Acute myocardial infarction Stroke 1990 1995 2000 2005 2010 10 2 4 6 8 0 150 125 25 100 75...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx18-088-089.pdf

Dizziness and Balance Disorders: Dizziness and Vertigo - A Step-WIse Approach

...• FH: Father had a stroke in his late 80s. • SH: Quit smoking 20 years ago, no ETOH Describe Dizziness • Wait for it… let the patient describe • What are the four types? - Presyncope - Vertigo - Dysequilibrium - Non-specific dizziness 6 Vertigo • A false sense of...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx18-122-123.pdf

Dizziness and Balance Disorders: You're Making Me Dizzy

...- Vestibular migraine - Stroke/TIA - Posterior fossa tumor/cerebellopontine angle tumor (rare) - Multiple sclerosis - Epileptic vertigo and dizziness (rare) AFP 2017;95:154‐62; CMAJ 2011;183:E571‐92; Front Neuro. 2017;8:177; • Cardiac - HF - Arrhythmia - Aneurysm - ASCVD...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx19-090-091.pdf

Dyslipidemia: Beyond the Numbers

...CV disease - Pravastatin (40 mg) vs placebo for 3 years - CHD mortality and non-fatal MI reduced (RR 19%); CHD mortality reduced (RR 24%) - Stroke unchanged • ALLHAT-LLT (2017) - RCT starting a statin in patients over age 65 years for primary prevention - Pravastatin 40 mg/day or...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx19-018-019.pdf

ECG Analysis (Advanced)

...• Repolarization abnormalities • Non-ischemic cardiomyopathies • Pulmonary embolism or pulmonary hypertension • Severe neurologic injury (stroke, SAH) • Lead positioning 26 y/o male with pleuritic chest pain 26 y/o male with pleuritic chest pain 56 y/o male with AKI. 27 y/o...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx19-410.pdf

ECG Workshop The Fundamentals

...ECG2: 78 y/o female with h/o TIA AES Question What is the rhythm? A. Sinus rhythm B. Atrial fibrillation C.Ectopic atrial rhythm D.Supraventricular tachycardia (SVT) ECG3: 82 y/o male with CAD AES Question What is the axis? A. Left axis deviation (LAD)...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx18-411.pdf

ECG Workshop The Fundamentals

...ECG2: 78 y/o female with h/o TIA AES Question What is the rhythm? A. Sinus rhythm B. Atrial fibrillation C.Ectopic atrial rhythm D.Supraventricular tachycardia (SVT) ECG3: 82 y/o male with CAD AES Question What is the axis? A. Left axis deviation (LAD)...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx18-412.pdf

ECG Workshop: The Fundamentals with Online Module

...ECG2: 78 y/o female with h/o TIA AES Question What is the rhythm? A. Sinus rhythm B. Atrial fibrillation C.Ectopic atrial rhythm D.Supraventricular tachycardia (SVT) ECG3: 82 y/o male with CAD AES Question What is the axis? A. Left axis deviation (LAD) B. Right axis...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx19-411-412.pdf

Effects of Intensive Glucose Lowering in Type 2 Diabetes

...women, and 35% had had a previous car- diovascular event. The primary outcome was a composite of nonfatal myocardial infarction, nonfatal stroke, or death from cardiovascular causes. The finding of higher mortality in the intensive-therapy group led to a discontinuation of intensive...

Events

https://www.aafp.org/dam/AAFP/documents/events/rps_pdw/handouts/res-63-maurer-Keeping-Clinically-Current-handout2.pdf

Electrosurgery and Cryosurgery

...• Electrosurgical feathering performed with small dermal loop held perpendicular to skin surface, brushing wound with fine strokes Blended or Cut/Coag • The cutting current and coagulation current can be blended to allow for a reasonable amount of coagulation while...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx18-413.pdf

Electrosurgery and Cryosurgery Presentation

...• Electrosurgical feathering performed with small dermal loop held perpendicular to skin surface, brushing wound with fine strokes Removing Basal Cell Carcinoma from Nose ©EMZimmerman, 10, 2003 ©EMZimmerman, 10, 2003 ©EMZimmerman, 10, 2003 Removing Basal Cell...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx19-413.pdf

Endocrine handouts

...• Obesity • Diabetes • CAD • HBP • Stroke McGinnis, Foege 1993 McGinnis 2013 Cleveland Clinic Report at SGIM 2017 BMI and Waist Circumference • Overweight BMI = 25-29.9 • Obese BMI = 30+ • Extreme Obesity BMI = 40+ • Waist circumference >40 inches Men >35 inches Women •...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx18-endocrine-handouts.pdf

FMRNA Annual Residency Nursing Workshop Packet

...(CHD) • hepatitis • stroke • cancer • asthma • diabetes • arthritis • chronic obstructive pulmonary disease (COPD) • kidney disease fmrna.org 3/18/2019 Food Insecure Children • Childhood obesity rates are higher.* • Developmental problems are higher as compared...

Events

https://www.aafp.org/dam/AAFP/documents/events/rps_pdw/res19-900-925-fmrna-annual-residency-nursing-workshop-packet-updated.pdf

FMX Clinical Procedure Workshop - Intro to Acupuncture/Manipulation Techniques for Pain...

...Stroke rehab, OA, HA, LBP, tennis elbow, menstrual cramps, carpal tunnel, fibromyalgia NIH Consensus statement on acupuncture. JAMA 280:1518-1524, 1998. Evidence Base of Acupuncture • There is sufficient evidence of acupuncture's value to expand its use into conventional...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx19-417-418.pdf

FMX Clinical Procedure Workshop - Musculoskeletal Injections: Joint and Soft Tissue ...

...FDA Alert Prescription NSAID labels revised to reflect the following information: • The risk of heart attack or stroke can occur as early as the first weeks of using an NSAID. The risk may increase with longer use of the NSAID. • The risk appears greater at higher doses. • It was...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx19-419-422.pdf

fmx-18-comm-serv-impact.pdf

...Tia Robinson, Principal, James Singleton More Community Partner Feedback! - Catherine Crowell, Executive Director, Groundwork NOLA "While the work was dirty and the day was rainy and humid, the volunteers were really engaged and inquisitive about the work. Volunteers...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/fmx-18-comm-serv-impact.pdf

Gastrointestinal handouts

...• ASA to prevent first heart attack/stroke: 1667 • Mediterranean diet to prevent first heart attack/stroke: 61 • Antibiotics to treat sinusitis: 15 • Probiotics to prevent C. difficile: 40 • Probiotics to prevent antibiotic-associated diarrhea in pediatrics: 9 • Probiotics to...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx18-gastrointestinal-handouts.pdf

Geriatrics handouts

...Stroke (CME124‐125) Geriatric Grief Reaction: Grief and Depression in the Elderly (CME126‐127) 1 (PBL) Osteoporosis and Osteopenia Prevention and Treatment: Building Strong Bones for Life Robin Creamer, DO, FAAFP ACTIVITY DISCLAIMER The material presented here is...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx18-geriatrics-handouts.pdf

Getting Paid for What You Do

...illness with potential threat to self or others, peritonitis, acute renal failure) An abrupt change in neurologic status (e.g., seizure, TIA, weakness, sensory loss) Cardiovascular imaging studies with contrast with identified risk factors Cardiac electrophysiologic tests...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx18-246-247.pdf

Give Effective Legislative Testimony (Handout)

...have any power in the legislative process, Gandy believes even relatively minor legislative results make them feel they have some political stroke through their organization. Your legislative plan shows them you are results-oriented, that this organization doesn't just exist, it...

Events

https://www.aafp.org/dam/AAFP/documents/events/alf_ncsc/alf_handouts/effective-legislative-testimony-handout.pdf

Give Effective Legislative Testimony (Handout)

...have any power in the legislative process, Gandy believes even relatively minor legislative results make them feel they have some political stroke through their organization. Your legislative plan shows them you are results-oriented, that this organization doesn't just exist, it...

Events

https://www.aafp.org/dam/AAFP/documents/events/alf_ncsc/ncsc_handouts/legislative-testimony-handout.pdf

Headache, Migraine, Tension, and Cluster: Taking the Headache Out of Migraine

...include intracranial hemorrhage, stroke, death Calcitonin Gene Related Peptide (CGRP) antibodies - Clinical trials underway - PCDB studies show benefit in ECH Neuromodulation - Sphenopalatine Ganglion Stimulation • On demand stimulator demonstrated significant acute...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx18-195-196.pdf

Health of Public Science

...billion in medical costs and avert almost one million 21 myocardial infarctions and strokes over the lifetime of adults aged 45-85, and reducing sodium 22 intake to 1200 mg daily would reduce annual stroke episodes by 32,000-66,000 and myocardial 23 infarction episodes by...

Events

https://www.aafp.org/dam/AAFP/documents/events/alf_ncsc/HealthofPublic-Science.pdf

Heart Disease in Women: The Real Heartbreak - Disparities in Womens Cardiovascular Health

...• Hispanic women have higher overall risk of AMI and stroke Why Such a Gap? • Lack of awareness • Unrecognized signs, symptoms, and risk factors • Women underrepresented in clinical trials - Generally make up only ~20% of enrolled patients • Underuse of sex-specific...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx19-285-286.pdf

HIV Pre-exposure Prophylaxis and Post-Exposure Prophylaxis in Primary Care: Stepping ...

...Stroke in women with no previous CV disease Aspirin 81mg daily 411 Myocardial infarction in patient’s with hypertension and average cholesterol Atorvastatin 10mg daily 100 HIV infection in MSM TDF/FTC 300/200mg daily 13 Mandal JS, et al. N Engl J Med. 1993;...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx18-138-139.pdf

Hyperthyroidism and Hypothyroidism: I Heat Up, I Cool Down

...(33-55%). • Neuropsych sx (conflicting data, mostly neg). • CAD (conflicting data, ? more likely <65 yo or TSH >10). • HF (esp TSH >10). • ? Stroke (conflicting data, maybe only age 18-49). • Mortality (conflicting data). • Impaired fertility (conflicting data). • NAFLD. JCEM...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx18-090-091.pdf

Hypogonadism in Men

...with - Elevated hematocrit - Untreated severe obstructive sleep apnea - Severe LUTS - Uncontrolled heart failure - Myocardial infarction or stroke in last 6mo - Thrombophilia J Clin Endocrinol Metab. May 2018; 103(5):1-30 Summary of Endocrine Society Guidelines • Recommend...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx18-092-093.pdf

Infectious Disease handouts

...Stroke in women with no previous CV disease Aspirin 81mg daily 411 Myocardial infarction in patient’s with hypertension and average cholesterol Atorvastatin 10mg daily 100 HIV infection in MSM TDF/FTC 300/200mg daily 13 Mandal JS, et al. N Engl J Med. 1993;...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx18-infectious-disease-handouts.pdf

Introduction to Acupuncture and Manipulation Techniques for Pain Management

...• Useful adjunct/acceptable alternative: Addiction, Stroke rehab, OA, HA, LBP, tennis elbow, menstrual cramps, carpal tunnel, fibromyalgia. NIH Consensus statement on acupuncture. JAMA 280:1518-1524, 1998. Evidence Based Medicine and Acupuncture • There is sufficient...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx18-417-418.pdf

Legislative Communications- Strengthening Our Voice (Handout)

...have any power in the legislative process, Gandy believes even relatively minor legislative results make them feel they have some political stroke through their organization. Your legislative plan shows them you are results-oriented, that this organization doesn't just exist, it...

Events

https://www.aafp.org/dam/AAFP/documents/events/alf_ncsc/ncsc_handouts/legislative-communications-handout.pdf

Longitudes and Latitudes: An Educational Map that Fits Tight Schedules

...• Hospital identified programs of excellence (Stroke, STEMI, etc) WHAT? Medical Knowledge Content Resources • Individual subscriptions: - American Family Physician • Institutional license: - Up-To-Date - New England Journal of Medicine • Local Intranet...

Events

https://www.aafp.org/dam/AAFP/documents/events/rps_pdw/handouts/res-03-kelley.pdf

Main Stage: Top 10: EBM Updates

...• Findings: reduces the occurrence of first, subsequent and total ischemic events: including heart attacks, strokes and related deaths, among people at high cardiovascular risk despite already being on statin therapy J Am Col Cardiol 2019; doi: /10.1016/j.jacc.2019.02.032 But...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx19-247.pdf

Medical Marijuana

...Cannabis Induced Posterior Circulation Stroke Wolff, V et al. Cannabis use, ischemic stroke, and multifocal intracranial vasoconstriction: a prospective study in 48 consecutive young patients. Stroke. Vol 42. No 6, pp. 1778-1780. 2011 Chronic Cough, bullous emphysema, and chronic...

Events

https://www.aafp.org/dam/AAFP/documents/events/nc/handouts/nc17-med-marijuana.pdf

Menopause / Hormone Replacement Therapy: ...and the HEAT GOES ON!

...Stroke 9 Venous thromboembolism 21 Urinary incontinence 876 * -Women aged 65 years and older Risks (Majority of trials - conjugated equine estrogen alone or in combination with medroxyprogesterone acetate) Estimated Event Rate Difference Associated with Combined...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx18-322-323.pdf

Microsoft PowerPoint - fmx18-051-052.pptx

...Women tend to have more complications (re- infarction, bleeding, vascular complications, stroke) in hospital, at 30-days, and at 3-years More re-hospitalization following PCI than men Circulation. 201; 126(18): 2190-2199Catheter Cardiovasc Interv. 2015; 85(3): 359-368 30...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx18-051-052.pdf

Mindful Engagement with Our Work: Skills to Address Burnout, Resilience and Wellbeing

...and completed his residency in neurology at the Harvard Longwood Program. He completed a National Institute of Neurological Disorders and Stroke (NINDS)-funded fellowship in experimental therapeutics of neurodegenerative disease at the University of Rochester, New York. He is a...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx18-252-253.pdf

Musculoskeletal Injections: Joint and Soft Tissue Injections

...• The risk of heart attack or stroke can occur as early as the first weeks of using an NSAID. The risk may increase with longer use of the NSAID. • The risk appears greater at higher doses. • It was previously thought that all NSAIDs may have a similar risk. Newer information...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx18-419-422.pdf

nc15-res-agenda2.pdf

...cost of diabetes is 174 billion per 14 year, and 15 16 WHEREAS, diabetes is associated with many complications including heart disease, 17 stroke, blindness, neuropathy, kidney disease, amputations, and periodontal disease, 18 and 19 20 WHEREAS, support of patient self-management is...

Events

https://www.aafp.org/dam/AAFP/documents/events/nc/congress/nc15-res-agenda2.pdf

nc16-res1-resolutions.pdf

...by: Alex Mroszczyh-Mcdonald, MD, Fontana, CA 3 4 WHEREAS, physical inactivity increases the relative risk of coronary artery disease, stroke, 5 hypertension, and osteoporosis by 45%, 60%, 30%, and 59% respectively, and 6 7 WHEREAS, physical inactivity is associated with an increased...

Events

https://www.aafp.org/dam/AAFP/documents/events/nc/congress/nc16-res1-resolutions.pdf

Obstructive Sleep Apnea: Diagnosis and Management

...A. Congestive heart failure B. Thyroid disorder C. Stroke D. Atrial fibrillation E. They are ALL high risk factors 11 Risk Factors • Male • Postmenopausal women • Overweight BMI>30 • Over 40 years of age • Neck size 17 inches or greater in men; 16 inches in females • Family...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx19-262-263.pdf

Osteoporosis and Osteopenia Prevention and Treatment: Allaying the Fear Factor

...years to prevent death, MI, stroke 1 in 125 were helped (prevented death) 1 in 67 were helped (prevented stroke) 1 in 100 were helped (prevented heart attack*) 97% saw no benefit 0.8% were helped by preventing death 1.5% were helped by preventing stroke 1.0% were helped by...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx19-081-082.pdf

Osteoporosis and Osteopenia Prevention and Treatment: Building Strong Bones for Life

...years to prevent death, MI, stroke 1 in 125 were helped (prevented death) 1 in 67 were helped (prevented stroke) 1 in 100 were helped (prevented heart attack*) 97% saw no benefit 0.8% were helped by preventing death 1.5% were helped by preventing stroke 1.0% were helped by...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx18-112-113.pdf

Pain handouts

...include intracranial hemorrhage, stroke, death Calcitonin Gene Related Peptide (CGRP) antibodies - Clinical trials underway - PCDB studies show benefit in ECH Neuromodulation - Sphenopalatine Ganglion Stimulation • On demand stimulator demonstrated significant acute...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx18-pain-handouts.pdf

Peripheral Artery Disease

...Benjamin et al. The American Heart Association Heart Disease and Stroke Statistics−2019 Update: A Report From the American Heart Association Circulation. 2019;139:e56-e528; US Preventive Services Task Force. Screening for Peripheral Artery Disease and Cardiovascular Disease Risk...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx19-020-021.pdf

Peripheral Vascular Disease (Screening, Diagnosis, and Management)

...Benjamin et al. The American Heart Association Heart Disease and Stroke Statistics−2018 Update: A Report From the American Heart Association Circulation. 2018;137:e67-e492; US Preventive Services Task Force. Screening for Peripheral Artery Disease and Cardiovascular Disease Risk...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx18-070-071.pdf

POEMS1

...They conclude that for adults aged 50 to 59 years there is a moderate chance of a reduction in risk of myocardial infarction and ischemic stroke after 10 years of use and, with long-term use, a reduced incidence of colorectal cancer. In contrast, there is a small risk of...

Events

https://www.aafp.org/dam/AAFP/documents/events/nc/handouts/nc17-poems.pdf

Polymyalgia Rheumatica and Myositis: Oh My Aching Muscles!

...• TIA/CVA Giant cell arteritis: physical exam • Head or scalp tenderness - Traditionally over the temples/temporal artery • Loss of visual acuity • Afferent pupillary defect • Reduced ocular motility • PE may be normal in patients with classic symptoms! 15 • TIA/CVA •...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx18-114-115.pdf

Polypharmacy in the Elderly: Too Many Pills!

...Rationale Increased risk for stroke, increased rate of cognitive decline and mortality in pts with dementia 20 Statins • 35% patients > 79 take a statin for PRIMARY prevention • Limited data for primary prevention in this population • Pts more prone to drug interactions, side...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx19-074-075.pdf

Practice Changers: Top 20 POEMs of 2018

...more hypotension (NNH = 100), more electrolyte abnormality (NNH = 125), and more acute kidney injury (NNH = 67). No difference in ACS, MI or stroke • ACC / AHA guideline advocated 130/80 for most patients based on SPRINT • AAFP and ACP: do not endorse ACC/AHA target of 130/80 and...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx19-248-249.pdf

Practice Management and Leadership handouts

...illness with potential threat to self or others, peritonitis, acute renal failure) An abrupt change in neurologic status (e.g., seizure, TIA, weakness, sensory loss) Cardiovascular imaging studies with contrast with identified risk factors Cardiac electrophysiologic tests...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx18-practice-management-leadership-handout.pdf

Probiotics and the GI Tract, What Should a Busy Clinician Know

...• ASA to prevent first heart attack/stroke: 1667 • Mediterranean diet to prevent first heart attack/stroke: 61 • Antibiotics to treat sinusitis: 15 • Probiotics to prevent C. difficile: 40 • Probiotics to prevent antibiotic-associated diarrhea in pediatrics: 9 • Probiotics to...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx18-106-107.pdf

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