Main Written Summaries Listing Audio-Digest Foundation: Archived Written Summaries: Family Practice: 2008 PULMONARY HYPERTENSION AND DEVICE-BASED THERAPY Audio-Digest Family Practice Volume 56, Issue 48 December 28, 2008 Pulmonary hypertension and the primary care physician – William E. Hopkins, MD Device–based therapy in prevention of sudden death and treatment of CHF – Daniel L. Lustgarten, MD, PhD Click here to read an abstracted written summary of this program. From The 34th Annual Family Medicine Review Course, Presented June 10-13, 2008, By The University Of Vermont College Of Medicine ASTHMA UPDATE Audio-Digest Family Practice Volume 56, Issue 47 December 21, 2008 Asthma concepts and diagnosis – John B. Hagan, MD Asthma guidelines – William W. Busse, MD Click here to read an abstracted written summary of this program. From The 66th Annual Course, Allergy And Clinical Immunology, Presented By University Of Minnesota Medical School OFFICE URGENCIES AND EMERGENCIES Audio-Digest Family Practice Volume 56, Issue 46 December 14, 2008 Management of psychiatric emergencies – David Naimark, MD Endocrinologic urgencies: diagnosis and management – Michael W. Lee, MD Click here to read an abstracted written summary of this program. From 25th Annual Primary Care Summer Conference: Office Urgencies And Emergencies, Presented By Scripps Clinic WOMEN AND MIGRAINE: A FOCUSED VIEW Audio-Digest Family Practice Volume 56, Issue 45 December 7, 2008 Migraine: a gynecologic overview – Philip M. Wakefield, MD Menstrual migraines – Lisa K. Mannix, MD Migraines during puberty and pregnancy – Merle L. Diamond, MD Click here to read an abstracted written summary of this program. From Headache Update 2008, Sponsored By The Diamond Headache Clinic Research And Educational Foundation, Chicago, IL OPTIMIZING HEALTH AND HEARING IN AGING PATIENTS Audio-Digest Family Practice Volume 56, Issue 44 November 28, 2008 The science of anti–aging and human performance – Ron Rothenberg, MD The aging ear – David A. Geddes, AuD, CCC–A Click here to read an abstracted written summary of this program. ISSUES FOR WOMEN Audio-Digest Family Practice Volume 56, Issue 43 November 21, 2008 Osteoporosis – Michael Bruderly, MD Chronic pelvic pain – Anita L. Nelson, MD Click here to read an abstracted written summary of this program. MIGRAINE HEADACHE: DIAGNOSIS AND TREATMENT Audio-Digest Family Practice Volume 56, Issue 42 November 14, 2008 Epidemiology of migraine; Environmental factors; Pathophysiology; Limbic influences; Migraine with aura; Migraine patients ; Treatment – Roger K. Cady, MD Click here to read an abstracted written summary of this program. From Headache Update 2008, Presented And Jointly Sponsored By Diamond Headache Clinic Research And Educational Foundation, Diamond Inpatient Headache Unit At Saint Joseph Hospital, And Rosalind Franklin University Of Medicine And Science CONTRACEPTION UPDATE Audio-Digest Family Practice Volume 56, Issue 41 November 7, 2008 Diabetic patients ; Contraception efficacy; Intrauterine devices; Medroxyprogesterone (Depo–Provera); Oral contraceptives; Transdermal systems; Vaginal ring; Condoms; Female barrier methods; Emergency contraception – Anita L. Nelson, MD Click here to read an abstracted written summary of this program. From The 35th Annual Irving M. Rasgon, MD, Family Medicine Symposium, Presented June 2008 By Kaiser Permanente MODERN EPIDEMICS OF CHILDHOOD Audio-Digest Family Practice Volume 56, Issue 40 October 28, 2008 Childhood obesity: a practical approach from a busy clinician; Impact on society; Family fitness 8–wk plan; Recommendations – Walter L. Larimore, MD Autism: early diagnosis and treatment; Markers; Treatment; Questions and answers – Stephen M. Camarata, PhD Click here to read an abstracted written summary of this program. FOOD: PROCEED WITH CAUTION Audio-Digest Family Practice Volume 56, Issue 39 October 21, 2008 Food as medicine: an anti–inflammatory diet; Questions and answers – David C. Leopold, MD Is "natural" always safe? Interactions between dietary supplements, drugs, and disease states; Interactions with pharmacotherapeutic agents; Interactions with disease states; Managing and mitigating interactions – Lawrence R. Borgsdorf, PharmD Click here to read an abstracted written summary of this program. INFECTION PREVENTION IN CHILDREN Audio-Digest Family Practice Volume 56, Issue 38 October 14, 2008 Vaccines 2008: new guidelines; Rotavirus; Meningococcal vaccine; Human papillomavirus; Tetanus, diphtheria, acellular pertussis; Questions and answer – Margaret M. McNamara, MD Germ–proof your patients: beyond antibiotics and vaccines; Hand hygiene; Nutrition; Sleep, stress, and exercise – Harley A. Rotbart, MD Click here to read an abstracted written summary of this program. A PRIMER IN PRIMARY OB-GYN Audio-Digest Family Practice Volume 56, Issue 37 October 7, 2008 Office gynecology for primary care physicians; Abnormal uterine bleeding; Chronic pelvic pain; Fibroids – Clara K. Paik, MD OB update; Immunizations; Preterm labor; Complications and future health risks – Vanessa A. Diaz, MD Click here to read an abstracted written summary of this program. OPTIONS FOR A BAD NIGHT'S SLEEP Audio-Digest Family Practice Volume 56, Issue 36 September 28, 2008 Insomnia: pathophysiology and diagnosis – Wilfred R. Pigeon, PhD Management of insomnia – Richard D. Simon, Jr, MD Click here to read an abstracted written summary of this program. From Sleep Disorders 2008, Sponsored By The Loma Linda University School Of Medicine, In Conjunction With The National Sleep Foundation And World Class CME DIZZINESS, SYNCOPE, AND PRESYNCOPE Audio-Digest Family Practice Volume 56, Issue 35 September 21, 2008 Vertigo; Meniere's disease ; Syncope; Psychiatric disorders; Neurally mediated syncope; Recommendations for echocardiography; Exertional syncope – Mary Elizabeth Roth, MD Click here to read an abstracted written summary of this program. From The American Academy Of Family Physicians’ Scientific Assembly, Presented October 2007 TOBACCO SMOKING CESSATION AND OBESITY Audio-Digest Family Practice Volume 56, Issue 34 September 14, 2008 Tobacco smoking cessation – Robert Mallin, MD Management of obesity in women: Exercise; Drugs; Surgery – Alka M. Kanaya, MD Click here to read an abstracted written summary of this program. HIV: WHERE DO WE STAND? Audio-Digest Family Practice Volume 56, Issue 33 September 7, 2008 HIV and AIDS update – Mark H. Katz, MD Neurologic and psychiatric comorbidities in HIV patients – David W. Smith, MD Click here to read an abstracted written summary of this program. CLINICAL CARDIOLOGY Audio-Digest Family Practice Volume 56, Issue 32 August 28, 2008 Risk–factor assessment for heart disease – Matthew D. Gibb, MD Bedside cardiac pearls – Peter C. Gazes, MD Click here to read an abstracted written summary of this program. CURBING INFECTIOUS DISEASE Audio-Digest Family Practice Volume 56, Issue 31 August 21, 2008 Antibiotics update: Acute bacterial rhinosinusitis and acute otitis media; Community–acquired pneumonia (CAP) and streptococcal pharyngitis; Role of macrolides in CAP; Telithromycin, doxycycline, and fluoroquinolones; Questions and answers – B. Joseph Guglielmo, PharmD More on pneumonia – Bradley A. Sharpe, MD Click here to read an abstracted written summary of this program. From The 29th Annual Advances In Infectious Diseases: New Directions In Primary Care, Sponsored By The University Of California, San Francisco, School Of Medicine TASTE AND SMELL DISORDERS Audio-Digest Family Practice Volume 56, Issue 30 August 14, 2008 Olfactory organ and taste system; Evaluation ; Causes of smell loss; Causes of taste loss; Prognosis; Treatment – Ronald Devere, MD Click here to read an abstracted written summary of this program. SLEEP CONCERNS Audio-Digest Family Practice Volume 56, Issue 29 August 7, 2008 Sleep issues in the elderly – Michael V. Vitiello, PhD Restless leg syndrome – William M. Simpson Jr, MD Click here to read an abstracted written summary of this program. GERIATRIC MEDICINE: CHANGES IN MENTAL STATUS Audio-Digest Family Practice Volume 56, Issue 28 July 28, 2008 Grief and depression management pearls – Robert Roca, MD, MPH Delirium and Alzheimer's disease – Joel D. Posner, MD Click here to read an abstracted written summary of this program. ISSUES IN THE "NOT SO GOLDEN YEARS" Audio-Digest Family Practice Volume 56, Issue 27 July 21, 2008 Advance directives: ethical issues – Daniel Pound, MD Medication problems in the elderly – William M. Simpson Jr, MD Click here to read an abstracted written summary of this program. INFECTIOUS DISEASES Audio-Digest Family Practice Volume 56, Issue 26 July 14, 2008 Sexually transmitted diseases – Sharon Adler, MD, MPH New challenges in tuberculosis –David Asmuth, MD Click here to read an abstracted written summary of this program. EYE PROBLEMS, COUGH, AND PAIN Audio-Digest Family Practice Volume 56, Issue 25 July 7, 2008 Eye problems in the elderly – Scott A. Uttley, MD Chronic cough – Pramod Kelkar, MD Acute vs chronic pain – Miles Belgrade, MD Click here to read an abstracted written summary of this program. From the 33rd annual Family Medicine Update, sponsored by the University of Minnesota Medical School, Minneapolis ISSUES OF THE HEART Audio-Digest Family Practice Volume 56, Issue 24 June 28, 2008 Atrial fibrillation – Joseph E. Marine, MD Heart failure – Brian E. Jaski, MD Revascularization surgery vs medical therapy for cardiac patients – David E. Bush, MD Click here to read an abstracted written summary of this program. AGE-OLD PROBLEMS Audio-Digest Family Practice Volume 56, Issue 23 June 21, 2008 Venous thromboembolism – David B. Pearse, MD Delirium – Bruce A. Leff, MD Vitamin–D deficiency – Uzma Jalal Haque, MD Click here to read an abstracted written summary of this program. From "Current Topics In Geriatrics," Sponsored By The Johns Hopkins University School Of Medicine, Baltimore, MD PAINFUL AND INFLAMED JOINTS Audio-Digest Family Practice Volume 56, Issue 22 June 14, 2008 Rheumatoid arthritis – Alan N. Brown, MD Spectrum of rheumatic disorders – Kenneth E. Sack, MD Click here to read an abstracted written summary of this program. PEDIATRIC CONCERNS Audio-Digest Family Practice Volume 56, Issue 21 June 7, 2008 Issues during first year of life – James R. Roberts, MD, MPH The troubling teens – Janice D. Key, MD Toxic drug exposures among adolescents – John P. Lamb, PharmD Click here to read an abstracted written summary of this program. ADVANCES IN DIABETES CARE Audio-Digest Family Practice Volume 56, Issue 20 May 28, 2008 Approach to managing type 2 diabetes – John L. Leahy, MD Drugs for treating diabetes – Pamela T. Prescott, MD Click here to read an abstracted written summary of this program. TRAVEL MEDICINE/SEPSIS Audio-Digest Family Practice Volume 56, Issue 19 May 21, 2008 Have drugs, will travel – Robert W. Derlet, MD Management of sepsis – Timothy E. Albertson, MD, PhD Click here to read an abstracted written summary of this program. From "Clinical Pharmacology 2007: Drug Therapy Management," Sponsored By The University Of California, Davis, School Of Medicine, Sacramento NEUROLOGIC PEARLS AND NUGGETS Audio-Digest Family Practice Volume 56, Issue 18 May 14, 2008 Headaches and peripheral neuropathy; Dementia, Parkinson's disease, and essential tremor; Strokes and seizures; Multiple sclerosis, syncope, and chronic fatigue; Additional thoughts on headaches; More on strokes, TIAs, and dementia – Karl E. Misulis, MD, PhD Click here to read an abstracted written summary of this program. From The Medical Masters Class, Sponsored By The North Staffordshire (England) Postgraduate Education Association BREAST-FEEDING/ULTRASONOGRAPHY Audio-Digest Family Practice Volume 56, Issue 17 May 7, 2008 Helping patients succeed with breast–feeding – Anya S. Koutras, MD Ultrasonography for diagnosing gynecologic problems – Elisabeth K. Wegner, MD Click here to read an abstracted written summary of this program. From The 33rd Annual Family Medicine Review Course, Sponsored By The University Of Vermont College Of Medicine, Burlington BITES, STINGS, AND TOXIC EXPOSURES Audio-Digest Family Practice Volume 56, Issue 16 April 28, 2008 Infections due to insect bites and animal exposures – Richard H. Glew, MD Problems related to pet bites and shellfish – Dr. Glew Spiders, stingrays, and rattlesnakes – Aaron Schneir, MD Click here to read an abstracted written summary of this program. Points of Care– dog bites– 10% become infected; common on face; dogs tend to rip and tear ..; bacterial flora include Staphylococcus aureus and Pasteurella species; cat bites– ≈33% become infected; lancinating; .. Pasteurella multocida has short incubation period ..; in patients with local inflammatory findings (redness, swelling, warmth, tenderness, pain, immobilization), consider whether orthopedic structures affected; if no resolution after 24 hr of antibiotic therapy and elevation, deep orthopedic soiling likely;.. Necrotizing soft tissue infections: systemically fatal and locally necrotizing; must be detected promptly; patient must be placed in intensive care unit (ICU) for adequate pressor and fluid support and debridement by surgeon;.. Brown recluse spiders: nocturnal; bites painless; diagnosis highly suspect outside of endemic areas (misdiagnosis common); necrotic wounds may require skin grafting ... dapsone suggested beneficial; rule out other causes; wait for wound margins to demarcate and consider skin grafting .. Black widow spiders: easy to identify (black with red hourglass shape); venom– α-latrotoxin can cause massive exocytosis of neurotransmitters; release of acetylcholine leads to pain in localized muscle groups, systemic pain, and localized or diffuse diaphoresis; release of norepinephrine causes tachycardia and hypertension; envenomations occur during various times of day; bites painful; presentation–punctate lesion surrounded by blanching of skin and erythema seen 30% of time; pain can be intermittent; pain treated with medication may return and last for few days; Dr. Glew spoke in Providence, RI, at Pets, People, and Pathogens: Be a Victor, Not a Vector, December 4, 2007, by the Rhode Island Veterinary Medical Association and Coastal Medical, Inc. Dr. Schneir in San Diego, CA, at the 50th Annual Postgraduate Symposium Family Medicine Update 2007, August 3-5, 2007, by the San Diego Academy of Family Physicians. THE DOWNSIDE OF FEELING GOOD Audio-Digest Family Practice Volume 56, Issue 15 April 21, 2008 Bipolar disorder – Elliott Richelson, MD Antipsychotic drugs, obesity, and the metabolic syndrome – Dr. Richelson Other issues in psychopharmacology – Andrea Wessell, PharmD Click here to read an abstracted written summary of this program. ONCOLOGIC CONCERNS IN WOMEN Audio-Digest Family Practice Volume 56, Issue 14 April 14, 2008 Human papillomavirus and cervical cancer – Anita L. Nelson, MD Breast lumps and masses – Armando E. Giuliano, MD Click here to read an abstracted written summary of this program. PEDIATRIC DILEMMAS Audio-Digest Family Practice Volume 56, Issue 13 April 7, 2008 Clinical problems in children and adolescents: Growth and development; Childhood deaths and sudden infant death syndrome; Colic, iron deficiency anemia, and breath–holding spells; Enuresis, acute scrotum, and intussusception; Rotavirus vaccine and idiopathic thrombocytopenic purpura; Henoch Schönlein purpura and febrile seizures; Acute life–threatening events and asthma – Shannon M. Thyne, MD Additional thoughts on childhood asthma – James R. Roberts, MD, MPH Click here to read an abstracted written summary of this program.