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CME-Neurology Updates for Primary Care
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SLEEP DISORDERS –Diagnostic and therapeutic approach to insomnia. Clinical features, associated disorders and treatment of sleep apnea. Clinical features and treatment of narcolepsy and REM-sleep behavior disorder. Clinical features, associated disorders and treatment of restless legs syndrome. NEUROLOGIC EMERGENCIES, PART I –Spinal cord compression, Guillain-Barré Syndrome, Myasthenic Crisis. Approach to examination and diagnosis. Testing. Treatment and rehabilitation. NEUROLOGIC EMERGENCIES, PART II – Status epilepticus, coma, and subarachnoid hemorrhage. Pupillomotor function in CNIII Palsies and prognosis. Testing. Treatment using evidence-based medicine. DAY 2 - AN APPROACH TO THE DIZZY PATIENT – Common presentations of dizziness. Pathophysiology of vertigo and nystagmus. Bedside techniques to distinguish dizziness subtypes. Potentially curative treatment for benign positional vertigo. PERIPHERAL NEUROPATHY, NEUROPATHIC PAIN MANAGEMENT – Spectrum of neuropathic signs, symptoms, and causes. Bedside examination. Mechanism of neuropathic pain. Therapies. SEIZURES AND EPILEPSY – DIAGNOSIS – Major types of seizures. Epidemiologic aspects of epilepsy. Distinguish seizures from other transient neurologic events. Diagnostic investigation. SEIZURES AND EPILEPSY – MANAGEMENT – Anticonvulsant medications. When treatment with anticonvulsant medication is warranted. Recognize and treat status epilepticus. Evaluate and manage problems confronted by women with epilepsy. DAY 3 – MIGRAINE, CHRONIC DAILY HEADACHE – Five sub-types of chronic daily headaches. Pathophysiology of headache and migraine. Medication and non-pharmacologic strategies. Prevalence of medication overuse headaches. SYNCOPE – Causes and natural history of syncope. Bedside tilt and tilt table testing. Treatment strategies for orthostatic hypotension. DRUGS AND THE NERVOUS SYSTEM – Common effects of prescribed drugs on the nervous system. Common effects of illicit drugs on the nervous system. Common neurologic complications of alcoholism. Common neurologic side effects of antidopaminergic medication. MULTIPLE SCLEROSIS – Typical clinical features. Diagnostic investigations. Abortive and prophylactic therapy. Common treatable medical complications. DAY 4 - DEMENTIA – Identify mild cognitive impairment or dementia. Major syndromes associated with common causes of dementia. Therapeutic plan for dementia. Conditions that frequently mimic dementia. PARKINSON’S DISEASE – Clinical features. Important typical features and clinical features atypical for Parkinson’s disease. Long-term complications and major treatment options. Common types of tremor and therapeutic plan for essential tremor. COBALAMIN (B-12) DEFICIENCY AND OTHER NEUROLOGIC DISORDERS OF GASTROINTESTINAL DYSFUNCTION – Recent advances in B-12 deficiency, Post-Gastroplasty Neuropathy, and Copper deficiency. The changing clinical presentation of this illness. Laboratory techniques to the diagnosis.
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