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stroke

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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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