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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

What's Included With FMX On Demand

Feb 27, 2019 - FMX On Demand is your online library of the most popular FMX sessions. Earn a year's worth of credit!

Events : Family Medicine Experience (FMX)

https://www.aafp.org/events/fmx/cme/opportunities/on-demand/packages.html

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

Tracks

Feb 27, 2019 - Attend one of the seven tracks being offered at the 2019 AAFP Family Medicine Experience (FMX), September 24-28, Pennsylvania Convention Center, Philadelphia, PA.

Events : Family Medicine Experience (FMX)

https://www.aafp.org/events/fmx/cme/opportunities/tracks.html

Stroke

...Stroke Kate Rowland, MD, MS, FAAFP ACTIVITY DISCLAIMER The material presented here is being made available by the American Academy of Family Physicians for educational purposes only. Please note that medical information is constantly changing; the information contained in this...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx18-124-125.pdf

Stroke: Time is Brain

...Stroke: Time is Brain Brian Shahan, MD ACTIVITY DISCLAIMER The material presented here is being made available by the American Academy of Family Physicians for educational purposes only. Please note that medical information is constantly changing; the information contained in this...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx19-092-093.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

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

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

Ten Steps for Writing a Good Clinical Review Article (Workshop)

...(AF) is a serious supraventricular arrhythmia which adversely affects cardiac function and places patients at significant risk for stroke. It is the most common arrhythmia seen in primary care, and its prevalence increases with age. AF is a complex condition in its presentation,...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx18-260.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

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

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

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

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

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

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

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 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

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

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

Public Health handouts

...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-public-health-handouts.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

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

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

Recent AAFP Clinical Practice Guidelines on Hypertension and Atrial Fibrillation: ...

...Secondary Outcomes • Stroke - Intensive 0.32 % per year - Standard care 0.53 % per year - Hazard ratio 0.59 (0.39-0.89) • NNT over duration of study 91 22 JNC 8 • Did NOT take evidence from specific subpopulations (e.g. DM) and apply it to the general adult population...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx18-294-295.pdf

Resident Nominee, AFMRD Board of Directors

...STROKE COMMITTEE YUMA, AZ MEMBER 2018-Present Participated in a team of healthcare professionals established to continually implement a high standard of stroke care at YRMC, which has since been recognized by the AHA/ASA for the Stroke Silver Plus Quality Achievement Award...

Events

https://www.aafp.org/dam/AAFP/documents/events/nc/congress/nc19-res-afmrd.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

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

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

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

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

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

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

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

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

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

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

Venous Thromboembolism Management: VTE and PE - The Clot Thickens

...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...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx18-072-073.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

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

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

Women's Health handouts

...2) cardiovascular disease and stroke 3) prevention, screening, and early detection of cancers 4) unintended injury, 5) anxiety, depression, substance abuse, and suicidal intent, 6) intimate partner violence, assault, and homicide, 7) lower respiratory disease, 8)...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx18-women-health-handouts.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

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

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

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

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

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

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