INTERNAL MEDICINE FOR PRIMARY CARE: ORTHOPEDICS/PAIN MANAGEMENT/RHEUMATOLOGY/SPORTS MEDICINE

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INTERNAL MEDICINE FOR PRIMARY CARE: ORTHOPEDICS/PAIN MANAGEMENT/RHEUMATOLOGY/SPORTS MEDICINE St. Maarten, Sint Maarten The Westin St. Maarten Dawn Beach Resort & Spa February 11 14, 2016

Thursday, February 11th: 7:30 am 8:00 am Registration and Hot Breakfast 8:00 am 10:00 am Orthopedics Diagnosis and Treatment of Shoulder Injuries Rotator cuff syndrome; impingement, frozen shoulder; subacromail bursitis; bicipital tendonitis; A-C joint disease 10:00 am 10:10 am Coffee Break 10:10 am 11:10 am Sports Medicine Concussion in Sports: Recognition, Office Evaluation and Management for Primary Care Those 18 years of age and younger are particularly vulnerable to concussion, its severity and consequences. This topic will cover the current definition, signs and symptoms, their significance and an office-based approach to mild traumatic brain injury that can accompany participation in youth sports. The presentation will include up-todate return to sport guidelines and decision making and provide concussion management tools for the primary care physician. 11:10 am 12:10 pm Sports Medicine Nutritional Considerations for the Young Athlete The Female Athlete Triad The growing popularity of organized youth sports is well documented. Young women are now participating in organized sports at historic levels. However, many active young women are often either misinformed on the proper dietary habits necessary for optimal health or willingly undermine their performance in the short term and adversely impact their health in the long term through destructive eating and exercise behaviors. The Female Athlete Triad is an increasingly recognized disorder in which aberrant eating behaviors coupled with excessive exercise leads to early bone demineralization at a crucial developmental period. The basis of this disorder will be discussed, its pathophysiology, early recognition and approaches to management will be presented from a primary care perspective. 12:10 pm Session Adjourns

Friday, February 12th: 7:30 am 8:00 am Hot Breakfast 8:00 am 10:00 am Orthopedics Diagnosis and Treatment of Knee Injuries ACL, meniscus, MRI; common sports injuries; osteoarthritis and hyaluronan; bursitis: prepatellar, pesanserine; baker s cyst; joint injection/x-ray interpretation; pediatrics 10:00 am 10:10 am Coffee Break 10:10 am 11:10 am Sports Medicine Commonly Missed Orthopedic Injuries in Children and Adolescents The immature skeleton of the pediatric and adolescent athlete make it particularly vulnerable to a variety of acute and chroinc injuries not seen in the adult population. Recognition of these injuries is critical in the care of the injured young athlete. Objectives of this session include providing physicians with an enhanced differential diagnosis of common and commonly missed musculoskeletal injuries specific to youth and recognition of which injuries can be treated by the primary care physician vs those requiring orthopedic referral. 11:10 am 12:10 pm Rheumatology Evaluating the Patient with Joint Pain Differentiating between inflammatory and non-inflammatory joint pain; the utility of joint aspiration with interpretation of synovial fluid analysis; differential diagnosis of joint pain 12:10 pm Session Adjourns

Saturday, February 13th: 7:30 am 8:00 am Hot Breakfast 8:00 am 9:00 am Pain Management Non-Opioid Pharmacologic Options in Pain Management NSAID s, acetaminophen, topicals, injections, antidepressants, anticonvulsants, medical marajuana 9:00 am 10:00 am Pain Management Opioid Pharmacologic Options in Pain Management Overall safety and efficacy, selecting and monitoring patients, pain contracts, regulatory issues 10:00 am 10:10 am Coffee Break 10:10 am 11:10 am Rheumatology Update in Pharmacology for Arthritis Review risks and benefits of traditional NSAIDs and cox-2 inhibitors; DMARDs for RA and analgesics (narcotics and tramadol) 11:10 am 12:10 pm Rheumatology Crystal Disease: Gout and Pseudogout Properly diagnosing and treating crystal diseases such as gout and pseudogout 12:10 pm Session Adjourns

Sunday, February 14th: 7:30 am 8:00 am Continental Breakfast 8:00 am 9:00 am Pain Management Interventional Pain Management Options Procedures, pain clinics, nerve blocks, shots, epidural options, and urine drug testing for primary care practitioners 9:00 am 10:00 am Pain Management Case Presentations-Pain Management 10:00 am Conference Adjourns Target Audience This program is targeted to office-based primary care providers and other health professionals with updates in primary care medicine Learning Objectives Upon completion of this program, participants should be better able to: Describe the anatomy and function of the shoulder and knee joints Describe how and when to utilize joint aspiration and injection for the shoulder and knee joints Discuss signs, symptoms, significance and approach to mild traumatic brain injury as a consequence of athletic endeavors List the current recommendations, controversies and medicolegal considerations surrounding treating the adolescent athlete Differentiate between inflammatory and non-inflammatory joint pain and the differential diagnosis of each category Describe medications, manual therapies, injections as well as psychological and other approaches to pain management Nursing Purpose Statement To provide updates in primary care medicine to office based providers

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