Blog | Continuing Medical Education | Skin, Bones, Hearts & Private Parts

Psoriasis: Part 2 of 2 Lesser known comorbidities associated with Psoriasis

September 29, 2022 September 21, 2022

Psoriasis Psoriasis is a common chronic inflammatory disease of the skin that is increasingly being recognized as a systemic inflammatory disorder. There are many considerations a provider must take into consideration when treating patients with psoriasis including a number of previously unrecognized comorbidities. Psoriasis, particularly severe disease, …

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Psoriasis: Part 1 of 2 Myriad of Clinical Presentations of this disease

September 22, 2022 September 21, 2022

Psoriasis is a common chronic inflammatory disease of the skin that is increasingly being recognized as a systemic inflammatory disorder. According to current studies, more than 8 million Americans have psoriasis. Men and women develop psoriasis at equal rates. You can develop psoriasis at any age. A …

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2022 Women’s Health Guidelines Update, Hot Off the Press!

September 8, 2022 August 25, 2022

Women’s health evidenced-based guidelines are updated frequently by various national organizations, and it can be challenging for a busy clinician to remain current. Women’s Health Guidelines include such topics as STIs, Contraception, Cervical Cancer Screening, Breast Cancer Screening and Osteoporosis Screening. In 2021 the CDC updated their …

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Severe Hypoglycemia Treatment has Changed. Help People with Diabetes have a Safer Rescue

September 1, 2022 September 19, 2022

Hypoglycemia definitions have been updated in the past few years. The American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD), based on the international hypoglycemia study group have advised: Level 1: Glucose Alert is still a glucose of 70mg. Beta-adrenergic symptoms are …

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How To (Easily) Earn CME

August 24, 2022 August 8, 2022

If you’re a nurse practitioner (NP), Physician Assistant (PA), or Physician looking to earn continuing medical education (CME) credits, you’ve come to the right place. Skin, Bones, Hearts & Private Parts (SBHPP) is the fastest-growing, leading provider of comprehensive, evidence-based, affordable CME medical conferences. And, with all …

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Where to get your CME Credits | Skin Bones CME

When Online is the Only Way: CME Live Stream & On-demand

August 17, 2022 August 8, 2022

You need CME credits, but you have limited time and funding. Or, your learning style is better suited to a self-directed pace, in a quieter environment. Or maybe convenience is your love language, and online is, well, easiest. No matter your truth, we’ve got your back, because …

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Making the Case for In-Person CME Conferences

August 10, 2022 August 8, 2022

You need continuing medical education (CME) credits, and you’ve carved out some time on your schedule. But now what? With so many options available, what makes the most sense for your needs? At Skin, Bones, Hearts & Private Parts (SBHPP), we get it. Some of us can’t …

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Proximal 5th Metatarsal Fractures

August 4, 2022 July 29, 2022

Some of the most common fractures in the foot are to the proximal aspect of the 5th metatarsal.1 The approach to fractures in this region may be confusing and difficult to know how to manage. Depending on the exact location and fracture pattern, the prognosis and treatment …

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To schedule sex or not to schedule sex?

July 28, 2022 July 28, 2022

Why do you think the concept of scheduling sex is so taboo to some? Well, first because sex itself is taboo. So inherently anything surrounding the idea of it falls under that taboo umbrella. Most of us don’t even like to talk about sex, let alone put …

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Right, Left, Who Can Tell?

July 21, 2022 July 12, 2022

Your patient with chronic heart failure had a 12-Lead EKG done as part of the initial evaluation to your clinic. You note the heart rate (80 beats/minute), rhythm (regular), and intervals (all within normal limits except for a wide QRS complex (> 120 ms). You remember the …

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Acne: The Economic and Psychological Impact

July 14, 2022 July 12, 2022

Approximately 50 million people in the United States have acne. Acne affects about 85% of teenagers. Though there is no mortality associated with acne, there is often significant physical and psychological morbidity, such as permanent scarring, poor self-image, depression, and anxiety. The direct cost of the disease …

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Hyperglycemia – when does it become an emergency?

July 7, 2022 July 7, 2022

In the United States approximately 34 million individuals have a diagnosis of diabetes with pre-diabetes impacting an estimated 88 million more1. At an annual cost of $327 billion dollars care related to diabetes accounts for one out of every four dollars spent on health care costs within …

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Precision Medicine & Disorders of Attention

June 30, 2022 June 10, 2022

As we find ourselves migrating back to the workplace, I am frequently hearing from parents, teachers and otherwise highly-functioning adults who are reporting difficulties with focus, concentration, motivation and task completion. As clinicians, we have longstanding familiarity with the implications of Attention Deficit-Hyperactivity Disorder (ADHD), including impaired …

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Documenting skin color in medicine: are we unconsciously racially profiling?

June 23, 2022 June 24, 2022

Practicing medicine in 2022 has certainly been challenging, especially given the recent global pandemic that forever changed the way we practice medicine. In addition to the challenges related to COVID-19, another hot topic that emerged was health care equity in relation to the way we, as health …

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Hot Off the Press: 2022 Heart Failure Practice Guideline Update

June 16, 2022 June 6, 2022

Heart Failure Heart failure remains a significant cause of cardiovascular morbidity and mortality in the United States. On April 1st 2022, the American College of Cardiology/American Heart Association/Heart Failure Society of America released the “2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure” replacing the “2017 ACC/AHA/HFSA …

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Should I Try Platelet Rich Plasma Therapy for My Injury?

June 9, 2022 May 31, 2022

What is platelet-rich plasma therapy (PRP)? What is platelet-rich plasma therapy (PRP)? Is PRP utilized in orthopedics? Why have world-class athletes like Rafael Nadal, Alex Rodriguez, and Tiger Woods used the treatment? PRP is considered a regenerative medicine technique. It is also considered an “orthobiologic” (along with …

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PCOS – Polycystic Ovary Syndrome

June 2, 2022 May 25, 2022

Understanding PCOS PCOS is common (affecting up to 10% of women), complex, and more severe than ever! Recent research has linked this condition of androgen excess to many potential risks and complications, including various cancers, cardiometabolic risks, mental health challenges, and ObGyn complications. Recent research has also …

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Hyperglycemia – when does it become an emergency?

May 26, 2022 June 23, 2022

Hyperglycemia In the United States, approximately 34 million individuals have diabetes, with prediabetes impacting an estimated 88 million more1. At an annual cost of $327 billion, care related to diabetes accounts for one out of every four dollars spent on health care costs within the US2. The …

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Don’t skip a Beat When Managing Atrial Fibrillation

May 19, 2022 May 25, 2022

Atrial Fibrillation Atrial fibrillation (AF) is a common supraventricular arrhythmia that increases in prevalence with age and significantly increases the risk of embolic stroke. Therefore, healthcare providers need to know current treatment options to prevent cardiovascular sequela associated with AF. But, first, the practicing clinician must identify …

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The United States Hydrocodone Epidemic

April 28, 2022 May 25, 2022

Hydrocodone & the Opioid Epidemic Hydrocodone is an opioid pain reliever and a cough suppressant, similar to codeine. Hydrocodone blocks the receptors on nerve cells in the brain that give rise to the sensation of pain. Because it is similar to codeine (and may be seen as …

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In-Flight Medical Emergencies

April 21, 2022 May 17, 2022

Air Travel & Medical Aid With the pandemic beginning to wain in some areas, travel is on people’s minds again. While not at pre-COVID levels, air travel continues to increase as more people travel for business, pleasure, and medical tourism. Inevitably, nurse practitioners (NPs) and physician assistants …

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Depression & Mental Health

April 14, 2022 April 14, 2022

Anxious Depression I’ve often marveled at the human tendency to believe somehow that, at the stroke of midnight on New Year’s Eve, there will be some sudden and fundamental shift in the fabric of the universe. What I mean by that is – our hope and belief …

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Who, Why, Where and How – Unused Medicine

April 1, 2022 May 17, 2022

Unused Expired Medications If you’re reading this, your first thought is probably ‘why would I EVER throw away medications! I or someone in my family might need them again. It is tempting to “hoard” unused medications, but there are reasons to get rid of them. Today, I …

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Psychotropic Medication Emergencies

March 24, 2022 May 17, 2022

Serotonin Syndrome versus Neuroleptic Malignant Syndrome With an estimated 1 in 6 individuals in the US taking at least one psychotropic medication, prescribers will need to be aware of the potential side effects ranging from mild to life-threatening. The most prescribed psychotropic medications are antidepressants, followed by …

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Taking Care of Mental Health in 2022

March 17, 2022 May 17, 2022

Mental Health Challenges As 2021 ends, I find myself wondering what new clinical challenges the next year will bring. It is particularly true of mental health problems as our patients, and we face more uncertainty (and less consensus) in this pandemic era in which we find ourselves. …

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Nursemaid’s Elbow

March 10, 2022 May 17, 2022

A nursemaid’s elbow is a common name for a radial head subluxation. This injury has also been termed elbow subluxation, pulled elbow, or slipped elbow. All of these describe a sudden pull of a pronated arm leading to the displacement of the annular ligament.1 Who? How? Radial …

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Assessing and Treating Your Patients Psoriasis

February 24, 2022 May 17, 2022

Psoriasis and your Patients These days, it seems that most of us can’t avoid seeing a TV ad for a psoriasis medication when watching our favorite shows. Most of these ads seem to promise “clear to near-clear skin” using these medications. Unfortunately, this promise follows many horrible …

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Women’s Health – Excessive Bleeding

January 27, 2022 January 27, 2022

How much uterine bleeding is too much uterine bleeding? How do people know when to seek treatment? At what point is it ok to tell a medical professional there is something wrong or to ask for treatment options? What about society might dictate the course of this …

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What is a Trigger Finger??

September 15, 2022 September 7, 2022

“Trigger finger” sounds like an unusual name for a musculoskeletal condition. Contrary to popular belief, it has nothing to do with pulling a trigger. The involved finger catches or even locks in place completely. Therefore, this condition causes one or more fingers to be stuck in a …

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