San Antonio, TX CME Conference

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San Antonio, TX
CME Conference

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San Antonio, TX CME Conference Session Descriptions

Day One

Terri Nagy
MPAS, PA-C

So Many Rashes, So Little Time!

Daily in our practices, we care for patient after patient complaining of a ‘rash’. Differentials seem endless and determining cause – sometimes impossible. In addition, with today’s managed care, providers have less and less time to spend with each patient, which makes diagnosing a ‘rash’ even that much more daunting. This session will present a systematic approach to the patient with a ‘rash’ which will result in a narrower list of differentials. Dermatology is certainly a visual specialty and therefore photographs will be utilized to display the various common presentations. This session will build a foundation for the sessions to follow.

Don’t You, Forget About Me! The AutoImmune Conundrum

We are fortunate to live in this time in medical history. There have been numerous advances in medicine which have greatly impacted the quality of life and survival in our patients. However, when it comes to autoimmune disorders, we as practitioners can still experience frustration over improving the lives of our patients. This session will discuss common dermatologic autoimmune disorders, the clinical presentations and current advancements being made in regard to treatment options.

Dermatology Near Misses: Look-A-Likes and Zebras

As providers, one of the things that should keep us awake at night is our fear of missing that subtle change on an EKG, a consolidation on a CXR or a melanoma. This session will build on our first discussion and consider diagnoses which have similar presentations. At the conclusion, the audience will better be able to differentiate one disease state from another and discuss challenges in current treatment options. We will also take a look at some of the zebras in dermatology that one certainly does not want to miss.

Only Skin Deep: A Cutaneous Look at Current Events

In 1967, the Surgeon General William H. Stewart was heard saying, “It’s time to close the books on infectious diseases, declare the war on pestilence won…” Yet daily, our news feeds tell us a completely different story as we read headline after headline regarding new and re-emerging infectious diseases, many of which have a cutaneous presentation. This session will educate participants on these various diseases and assist them in recognizing these diagnoses at initial presentation to aid in more accurate and immediate diagnosis and treatment.

Pediatric Dermatology – A Primary Care Approach

Acne and warts and molluscum, oh my! Anyone who sees kids feels the frustration of treating these diagnoses. Not only are the treatments not perfect, but sometimes we end up with a frustrated, crying child and an even more frustrated parent. We’ll take a look at some of the common dermatological diagnoses seen in kids, rethink what we know and discuss some novel approaches to treatment.


Day Two

Orthopedics

Frank Caruso
MPS, PA-C

Pearls in the Musculoskeletal Examination

Did you know the average human body contains enough bones to make an entire human skeleton? Learn to conduct a thorough musculoskeletal physical exam and identify common musculoskeletal diseases and conditions of adult and pediatric patient populations. Don’t miss this “humerus” presentation.

Musculoskeletal Disorders and Conditions of the Adults

Orthopedic practitioners, all the cool kids are doing it! Learn the clinical manifestations and natural history of common musculoskeletal pediatric conditions due to inherited, metabolic, traumatic, and inflammatory conditions and causes utilizing evidence-based medicine. Understand the physiology, pathologic, and sociologic issues relevant to the treatment of musculoskeletal conditions that are unique to childhood, with emphasis on the impact of those conditions on normal development utilizing evidence-based medicine.

Geriatric Foot Care

Protect your patients from developing UFS: Ugly Foot Syndrome! Learn how to examine the Geriatric Foot and understand how to diagnose and treat common disorders and conditions of the Geriatric Foot utilizing evidence-based medicine.

Pearls in Injection Therapies for Musculoskeletal Disorders

Learn how to STICK THEM without STICKING YOURSELF! Understand when, how, why and when not to utilize injection therapies to either diagnose or treat musculoskeletal disorders and conditions utilizing evidence-based medicine.


Day Three

Cardiology/Emergency Medicine

Leslie Davis
PhD, RN, ANP-BC, FAANP, FPCNA, FAHA

Pearls for Cardiac History & Physical Exam

When caring for adults with acute or chronic cardiovascular conditions, clinicians are tasked with completing a focused history and physical exam with each encounter. Cardiac auscultation is an essential component of the physical exam.  This presentation describes specific cardiovascular history questions and exam techniques for assessing adult patients. The history includes an assessment of the present illness, relevant past medical, surgical, and social history. Physical exam techniques such as inspection, palpation, percussion, and auscultation will be demonstrated. Pearls for auscultating heart sounds (S1, S2, murmurs, rubs, and gallops) will be shared, including what to do if heart sounds are difficult to hear.  Discussion about implications for abnormal assessment findings will be included.

Treating Hypertension: What May Change Your Practice in 2019

The talk will discuss the latest guidelines for treating hypertension (HTN) in adults. Emphasis will be on treatment goals for treating adults, pros and cons of lower targets for systolic blood pressure, and new strategies to improve blood pressure control in those with HTN.

Managing Patients with Heart Failure: Focus on Reduced Ejection Fraction

The talk will discuss the latest guidelines for treating adults with heart failure with an emphasis on patients with reduced ejection fraction. Focus will be on how to optimize guideline directed medical therapy in these complex patients. Strategies will be provided for ways to overcome barriers to medication titration.

12 Lead EKG Interpretation: Using A Systematic Approach

Didactic content and case studies will be used to increase participants’ knowledge and skills for interpreting 12 Lead ECGs in adult patients. During the session participants will practice hands-on activities to increase their confidence in applying a systematic approach to interpretation.

12 Lead EKG Interpretation: Looking for CAD

This session will utilize a systematic approach to assess for coronary artery disease on the 12 lead EKG, including acute ischemia, acute injury, and infarction. Practice cases will be used to apply knowledge gained. Resources will be shared with participants to use in the practice setting. 


Day Four

Women’s Health

Aleece Fosnight SpeakerAleece Fosnight
PA-C, CSC, CSE

Wonder Woman

In this two-part series, we will be discussing women’s health challenges, access to care, and treatment/prevention across a woman’s life span. Part One will include brief pediatric gynecological concerns, the reproductive time-line, contraceptive options, fertility/infertility, benign breast disease, STI update, HPV, and well-woman exams for women under 45. In Part Two, we will tackle MENOPAUSE – the good, the bad, and the ugly – and many more topics including beefing up your bones, hormone replacement therapy, mental health, and cardiac concerns.

Power of the Pelvis

Remember the saying…I laughed so hard I peed! Well, ladies and gentlemen, as true of a saying as this, peeing in your pants can be embarrassing, socially isolating, and depressing. Not only will we discuss incontinence during this lecture, we will hone in on all the gynecological concerns women with pelvis’ face including pelvic pain, genitourinary syndrome of menopause (GSM), pelvic organ prolapse, and challenging vulvovaginitis.

Sex Trivia: Ready to Test Your Knowledge?

Ready to test your skills on women’s sexual health trivia? The audience will be asked to participate by assembling into teams to answer questions on topics ranging from anorgasmia, sexually transmitted infections, hypoactive sexual desire disorder, dyspareunia, and BDSM/Kink. Each question will encompass a clinical case presentation and follow with a discussion on diagnosis, lab/imaging testing, and treatment plan of care. Bring your brain from some friendly competition with prizes awarded to the winning team! You don’t want to miss this!

What’s Normal Anyway? AUB

With the majority of women experiencing abnormal uterine bleeding (AUB) at some point in their life, this topic will discuss the importance of understanding the normal menstrual cycle and when bleeding goes wrong. This lecture will look at common causes of AUB through use of the PALM-COEIN classification system – polyp, adenomyosis, leiomyoma, malignancy/hyperplasia, coagulopathy, ovulatory dysfunction, endometrial, iatrogenic, and not yet classified. There will be a clinical presentations including diagnostic work-up and treatment strategies for review and discussion.

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