One of every two Caucasian women in the United States will have an osteoporotic fracture in their lifetime; one out of every 5 men in the United States will have an osteoporotic fracture in their lifetime. This activity will educate the participant on the updated guidelines to assess patients in proper diagnosis and management of osteoporosis.
The Earlier the Better: Recognition of Rheumatoid Arthritis and Ankylosing Spondylitis in the Primary Care Setting. Arthritis is a relatively common reason for presentation in the medical office. More than 21% of US adults (46.4 million) have self-reported doctor-diagnosed arthritis, with rheumatoid arthritis (RA) affecting approximately 1.3 million adults. Diagnosing RA in the early stages can be difficult and patients may have subtle to near-normal physical examination.
Bone Fragility Treatment. Since we first started using bisphosphonates like alendronate (Fosamax) to treat bone loss in women, our tendency has been to over treat younger women with milder bone loss and under treat older women who are at much higher risk of fracture, or in some cases recurrent fracture.
Putting Out the Fire: Optimal Management of Gout in the Primary Care Setting. Primary care providers are increasingly challenged to manage gout, a condition that is on the rise primarily due to the high rates of obesity among the US population. Clinicians are required to manage gout more often and the complexity of the disease is often magnified due to multiple comorbidities and/or advanced age.
Primary care providers are increasingly called upon to manage gout, a once less common disease that is becoming more prevalent and difficult to treat as our society rapidly ages. Gout is also on the rise and increasingly severe due to the increasing prevalence of obesity as well as animal fats and high fructose corn syrup in the Western diet. This presents a significant clinical challenge considering the traditionally very limited armamentarium of therapies available to clinicians practicing in the primary care setting.
Primary Care Clinicians Play an Important Role in the Early Diagnosis of Lupus. Lupus is an autoimmune inflammatory disease that can lead to significant disability and organ damage. Recognizing the early signs and symptoms of this complex condition can help primary care clinicians play a key role in early diagnosis and referral while they provide ongoing and supportive care.
Do Older Women Really Need Osteoporosis Testing Every Two Years? While many women older than 65 years are referred for bone mineral density testing every two years, a new study published in the “New England Journal of Medicine” suggests that the interval can safely be much longer.