Recognize hepatitis clinically and interpret hepatitis serologies. Select appropriate patients for new treatment options. Specific items covered include: Clinical syndromes of acute and chronic hepatitis. Serologic diagnosis. Complications of chronic hepatitis and newer treatment options. EMERGING AND MULTI-DRUG RESISTANT INFECTIONS – New and emerging infectious diseases. Prevalent multi-drug resistant infections in the community and in hospitals. Effective and appropriate treatment strategy for each infection. When specialist referral will result in an improved outcome. UPDATE IN ANTIBIOTIC THERAPY – Pharmacology and antibacterial spectrum of activity of the newer antibiotics. Use of newer agents based on sites of infection and susceptibility patterns, drug recommendation to key clinical scenarios. Side effects, adverse reactions, drug – drug interactions affiliated with each antibiotic. DAY 2 - INFECTIONS IN THE IMMUNOCOMPROMISED PATIENT – Immunocompromised patient at most risk for serious infections due to diabetes, malignancy, chemotherapy or medications such as the immunomodulators. Spectrum of infectious diseases and factors putting patients at risk in these populations. Atypical presentations of infection in these groups. Treatment and follow up of these infections for each type of at risk patient. APPROACH TO FEVER AND RASH – Etiology of commonly seen infectious and non-infectious rashes associated with fever. Differential diagnosis based upon the type of rash on presentation. Treatment of some common rashes such as meningococcemia, rickettsioses, syphilis, Varicella zoster and the agents of toxic shock syndrome. MENINGITIS: COMMONLY ASKED QUESTIONS - Normal CSF parameters. Interpret CSF. Frequently asked questions about meningitis, such as: Use of steroids; who requires a CT scan prior to lumbar puncture and the effects of prior antibiotic treatment of CSF. Approach to aseptic/viral meningitis. CHRONIC FATIGUE SYNDROME – How to diagnose CFS and how to distinguish it from chronic fatigue. History of CFS. How to manage (and how not to mismanage) a patient with CFS. DAY 3 - GASTROENTERITIS – Major pathogenic mechanisms that result in diarrhea. Major pathogens responsible for acute gastroenteritis. Evaluation of acute gastroenteritis as the normal host and in persons with HIV or recent travel. TICK BORNE ILLNESSES IN THE U.S. – Major tick vectors in the United States. Proper removal of a tick. Clinical presentation, diagnosis and treatment of the major tick borne diseases in the United States: Lyme disease, babesiosis, ehrlichiosis, and rocky-mountain spotted fever.
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