Original Release Date: July 1, 2010
Expiration Date: July 1, 2013
10 AMA PRA Category 1 Credits™

OVERALL OBJECTIVES: Upon completion of this CME activity, through the use of clinical vignettes emphasizing Guidelines and Evidence-Based Medicine, the physician or healthcare provider should be able to formulate a differential, make a diagnosis and develop a plan for the prevention and/or therapeutic management of the various disorders presented.

SPECIFIC OBJECTIVES FOR EACH TOPIC
 
TOPIC 1: New or Emerging Infectious Diseases: Influenza - Upon completion of this session, according to SHEA and HICPAC position papers, and the CDC and WHO recommendations, the participant should be able to:

1. Explain the etiology and pathogenesis of these infections. 
2. Describe the clinical approach and methods of diagnosing these infections. 
3. Summarize the management of these infections including prevention.

TOPIC 2: Community Acquired Pneumonia - Upon completion of this session, the participant should be able to use the evidence based guidelines of the IDSA and ATS to:

1. Identify the microbial causes of community acquired pneumonia. 
2. Describe strategies utilized to triage patients to appropriate level of care. 
3. Describe utility of current diagnostic tests. 
4. Describe recommended treatment regimens.

TOPIC 3: Cellulitis, Necrotizing Fasciitis and Diabetic Foot Ulcers - Upon completion of this session, using the evidence-based guidelines from the IDSA, the participant should be able to:

1. Explain typical and atypical manifestations. 
2. Discuss the pathogenesis. 
3. List the principles of medical and surgical treatment. 
4. Describe the prognosis.

TOPIC 4: Acute Pharyngitis - Upon completion of this session, the participant should be able to:

1. Summarize the various etiologies to consider and develop a differential diagnosis when approaching an adult with acute pharyngitis. 
2. Identify the features and predictors that guide your diagnostic testing of acute pharyngitis. 
3. Describe the best courses of treatment and overall management.

TOPIC 5: Herpesvirus Infections - Upon completion of this session, using the recommendations and evidence-based guidelines of ACIP, and AAP, the participant should be able to:

1. List the clinically pertinent aspects of herpesvirus infections. 
2. Describe the syndromes, clinical complications and attributes of recurrent disease. 
3. Relate the proper management and use of antivirals. Viruses to be covered include:

a. Herpes simplex virus; 
b. Epstein-Barr virus; 
c. Cytomegalovirus; 
d. Varicella-zoster virus; 
e. HHV6.

TOPIC 6: Approach to the Patient with Fever and Rash - Upon completion of this session, the participant should be able to:

1. Describe the etiology of commonly seen infectious and non-infectious rashes that are associated with fever. 
2. Develop a differential diagnosis based upon the type of rash on presentation. 
3. Discuss the treatment of some common rashes such as meningococcemia, rickettsioses, syphilis, Varicella-zoster and the agents of toxic shock syndrome.

TOPIC 7: Gastroenteritis - Upon completion of this session, the participant should be able to:

1. Identify the major pathogenic mechanisms that result in diarrhea. 
2. Identify the major pathogens responsible for acute gastroenteritis. 
3. Utilize an efficient approach in the evaluation of a patient with acute gastroenteritis as the normal host and in persons with HIV or recent travel.

TOPIC 8: Helicobacter pylori Infection - Upon completion of this session, using position statements from AGA, and evidence-based guidelines from ACOG, the participant should be able to:

1. Describe the clinical manifestations of H. pylori infection. 
2. Relate the methods of diagnosing H. pylori infection. 
3. Summarize the treatment of H. pylori infection.