Learning Objectives

Disney CME Conference – Orlando, Florida

Learning Objectives

Cardiovascular

• Review cardiomyopathies and the characteristics of each
• Discuss pericarditis and the signs and symptoms of this disease
• Understand and review conduction problems and heart rhythms
• Discuss the treatments of conduction delays such as atrial fibrillation and heart blocks
• Understand Bundle Branch Blocks and what this means for a patient, including treatments and the significance
• Know tachycardia, causes and treatments
• Understand and be able to discuss the lethal arrhythmias
• Discuss the causes, risk factors, and treatments of   CHF
• Know and differentiate primary versus secondary hypertension
• Understand and be able to define the difference between pre-hypertension, hypertension, hypertensive urgency and hypertensive emergency
• Know the treatments for hypertension
• Review cardiac drugs and the pharmacology
• Understand orthostatic hypotension and the causes of this disease
• Discuss the differential diagnosis of chest pain and know how to diagnose them
• Know acute coronary syndrome
• Understand prinzmetal angina, angina, and ischemic disease
• Be able to differentiate the different causes of STEMIs
• Know the treatments of STEMIs and the contraindications to the treatments
• Discuss aneurysms and the risk factors for having an aneurysm
• Understand peripheral arterial disease, causes and treatments
• Discuss phlebitis, DVT and Virchow’s Triad
• Differentiate the multiple types of valvar heart disease
• Know the mnemonic PAPPA and the significance of this in understanding causes of chest pain
• Discuss cardiac enzymes, what they mean and the significance of them
• Be able to dissect the EKG and understand the leads and rhythms
• Discuss the EKG changes associated with a STEMI and the types of STEMI
• Understand the cardiac blood flow of the heart
• Discuss the reasons for a widened QRS including WPW
• Discuss the findings for different tachycardia and whether it is stable or unstable
• Be able to recognize all major rhythms on EKG

Pulmonary

• Identify how not to make a HORID mistake when diagnosing respiratory complaints
• Discuss reactive airway disease and the differences in presentation and treatment of asthma versus COPD
• Understand cystic fibrosis and who this affects
• Discuss infections of the lungs such as bronchitis, RSV, bronchiolitis, influenza and pertussis
• Discuss tuberculosis (TB) and know the screening tests, treatment, and risks of TB
• Review lung cancer and the different types of lung cancer
• Understand the types of pneumonia and the causes and treatments for these infections
• Review pleural effusions, pneumothorax and hemithorax
• Discuss chest radiographs
• Be able to systemically read a chest radiograph
• Know some specific and important signs seen on CXRs
• Know the CXR presentation of common pulmonary and cardiac diseases
• Review CXRs and practice reading these x-rays

Gastrointestinal / Nutrition

• Discuss and know the buzz words of Gastroenterology
• Know esophagitis, factors of this disease, symptoms, and treatments
• Define acute and chronic cholecystitis, cholelithiasis, and cholangitis and know the symptoms, treatments, and surgical options
• Discuss LFTs and what they mean
• Know the disease pancreatitis, the enzymes related to this and Ranson’s Criteria
• Discuss hepatitis and know the differentiation between the different hepatitis diseases and cirrhosis
• Know acute infections and diseases in Gastroenterology including appendicitis, mesenteric ischemia, and bowel obstruction
• Differentiate the difference between Crohn’s and ulcerative colitis
• Know acute infections and diseases in Gastroenterology including appendicitis, diverticulitis, mesenteric ischemia, and bowel obstruction
• Differentiate between Crohn’s and ulcerative colitis
• Discuss abdominal neoplasms and know the big statistics
• Define constipation and diarrhea and know the causes and treatments of these
• Discuss reasons and complications for bowel obstruction
• Be able to define and talk about rectal illnesses such as fissures, fistulas, hemorrhoids and perirectal abscesses

Musculoskeletal

• Know common fractures of the upper extremities and how to define and splint them
• Know common fractures of the lower extremities and know how to define and splint those as well
• Discuss Salter-Harris fractures in children and know the classifications
• Understand cauda equine syndrome and know the symptoms of this illness
• Discuss diseases of the hip such as avascular necrosis, hip fractures, hip dislocations, and slipped capital femoral epiphysis
• Discuss acute infectious processes of the bone including osteomyelitis and septic arthritis
• Know compartment syndrome and the significance of the P’s
• Define arthritic conditions such as rheumatoid arthritis, osteoarthritis, and gouty arthritis

Endocrine

• Discuss hypo and hyperthyroidism and know the symptoms, complications, and treatments of these diseases
• Understand diabetes and be able to discuss diabetes
• Know the symptoms, findings, complications and treatments of diabetes
• Discuss the adrenal glands and know the difference between Addison’s and Cushing’s Syndrome

Hematologic

• Understand the CBC, the make up of the CBC and the values
• Know how to work-up a septic patient
• Understand the difference between AML and CML leukemia
• Be able to discuss anemia and differentiate between microcytic, normocytic, and macrocytic anemia
• Understand the electrolytes and the symptoms and causes of sodium and potassium electrolyte abnormalities
• Discuss kidney function studies, LFTs, and pancreatic enzymes
• Know what the cardiac enzymes are and what they mean
• Understand basic microbiology in regards to urine testing

Neurological

• Discuss the five peripheral neuropathies, Bell’s Palsy, diabetic neuropathy, Guillian Barre, Myasthenia Gravis, and Lambert-Eaton
• Review headaches, differentiate between the types of headaches, symptoms, and treatments
• Know which headaches are BAD, SAH, meningitis, and Temporal Arteritis and how to differentiate these from non emergent headaches
• Discuss CVA/stroke and know the symptoms, risk factors, and treatments of stroke
• Review of concussions and the current recommendations
• Review multiple sclerosis, the work up and treatment of this disease
• Review movement disorders such as Huntington’s Disorder and Parkinson’s Disease
• Discuss seizure disorders, treatments, and potential concerns
• Review of syncope, types of syncope and when to be concerned
• Review of the cranial nerves

Infectious Diseases

• Discuss fungal infections and the characteristics of these
• Understand the fungal infections, treatments and places where these infections present
• Know meningitis, the work up, treatment, and symptoms of this disease
• Discuss and review pneumonia, types of pneumonia, causes, and treatments
• Discuss microbiology and review the types of bacteria
• Review of common antibiotics
• Discuss and parasitic diseases
• Discuss common viral infections such and cytomegalovirus, mono, herpes, HIV, and influenza and know the most common factors and treatments for these diseases
• Know risk factors for rabies

EENT

• Know the following diseases of the eye and the symptoms, causes and treatments of these diseases: blepharitis, cataracts, chalazion, conjuctivitis, glaucoma, hyphema, and retinopathy
• Discuss acute illnesses of the ENT track such as pharyngitis, laryngitis, sinusitis, and otitis media
• Know the acutely emergent causes of ENT acute emergencies and how to differentiate these from other illnesses such as peritonsillar abscesses, Ludwig’s angina, and retropharyngeal abscess’s
• Review common rashes such as rityriasis rosacea, rosacea, scabies infestation, contact and allergic dermatitis

Dermatologic

• Know the treatments of the discussed rashes
• Review the types of skin cancer and the differentiation of the types
• Discuss common infections of the skin such as molluscum, varicella, and varicella-zoster, and tinea infections

Reproductive

• Discuss infections of the reproductive tract such as bacterial vaginitis, candidiasis, and sexually transmitted diseases as gonorrhea and chlamydia
• Discuss endometriosis and polycystic ovarian syndrome and the causes, symptoms and treatments of these illnesses
• Know complications of pregnancy and the treatment of these complications such as premature rupture ofmembranes, threatened abortion and abortion, abruptio placentae, and placental previa
• Understand hypertension and diabetes in pregnancy and the potential complications of each

Genitourinary

• Define hydrocele, varicocele, and spermatocele
• Discuss testicular torsion and know the emergent nature of the illness
• Discuss renal failure, the causes, symptoms, and treatment of a patient in renal failure
• Understand polycystic kidney disease

Psychiatric Behavioral

• Know the DSM axis diagnosis and differentiation of mental disorders
• Discuss major depression and bipolar disorder and the possible treatments
• Understand the types of personality disorders and know the types of these disorders
• Review substance abuse disorders