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Continuing Medical Education
School of Medicine, UAB |
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Online CME Courses
Course Catalog > Online Courses |
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Alzheimer's
Disease & Senile Dementia
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Certified for 1 AMA PRA Category
1 Credit™
Co-Sponsored
by
the
University
of
Alabama
School
of
Medicine
Division of Continuing Medical Education and
The Alabama Quality Assurance Foundation
| Release Date:
April 6, 2006 |
Expiration
Date: April 6, 2009
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| TARGET
AUDIENCE: |
| Primary
care physicians |
| OBJECTIVES: |
| Upon completion
of this CME activity, clinicians should be able to: |
- Recognize
the signs and symptoms associated with mild cognitive
impairment
- Review
the importance of the EXIT-25 test in diagnosing a patient
with vascular dementia
- Be
able to differentiate between a diagnosis of vascular
dementia and Alzheimer's dementia
- Learn
what types of therapy to administer to patients suffering
from Alzheimer's dementia
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| SOURCE: |
| FACULTY: |
William
T. O'Byrne, MD
General Internist
Albuquerque, New Mexico |
| DISCLOSURE: |
| Dr.
Rodriguez has no commercial affiliations to disclose. |
| CME
PARTICIPATION: |
| To
participate in this program for CME credit, please review
the objectives before beginning the program. Take the course,
complete the case questions and evaluation before April 6,
2009 to receive CME credit. Your certificate will then be
available online. This process should take approximately
60 minutes. |
| ACCREDITATION: |
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The University of Alabama School
of Medicine is accredited by the Accreditation Council
for Continuing Medical Education to provide continuing
medical education for physicians.
The University of Alabama School
of Medicine designates this educational activity for a
maximum of 1 AMA PRA Category 1 credit™.
Physicians should only claim credit commensurate with the
extent of their participation in the activity.
The boards of nursing in many
states, including Alabama, recognize Category 1 continuing
medical education courses as acceptable activities for
the renewal of license to practice nursing.
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| DISCLAIMER: |
| Dosages,
indications, and methods of use of any drug referred to in
this online course may reflect the clinical experience of
the authors, clinical literature, or other clinical resources.
Therefore, please see the full prescribing information before
using any product mentioned. |
| Case
1: |
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C.W. is a 68 year
old male with a past medical history significant for coronary
artery disease, type 2 diabetes mellitus, and hypertension.
The patient presents for a work-in appointment and is accompanied
by his wife, who tells you that she had to drag her husband
to see you. She says she is concerned that “his thinking
isn’t right.” She tells you that for the past
2 months he has trouble remembering the names of close
friends and business associates, and has lost his car keys
3 times in the past week. Also, he missed his weekly bridge
game twice last month, which he has never missed before.
For his
part, the patient tells you, “I forget things at
times, but it’s nothing unusual.” After taking
further history, you learn the patient is very functional
at work and at home. He exercises regularly and is meticulous
about maintaining good control of his blood glucose.
Physical
Examination:
BP: 155/82;
Pulse: 77; Respirations: 16; Temperature: 37.1 C
HEENT: Normal
Pulmonary: Clear lung fields bilaterally
CV: Regular rate and rhythm, PMI laterally displaced, no
murmur appreciated
GI: Normoactive bowel sounds; abdomen is tender to palpation
throughout
Extremities: 2+ distal pulses; trace pedal edema bilaterally
Neurologic: Pt. is alert and oriented to person and place,
and time.
Psychiatric: Pt. appears to have a normal mood and pleasant
affect.
Laboratory
data reveals:
CBC – normal
Serum chemistries – significant for serum creatinine
of 1.3 (previously 0.9).
Hemoglobin A1C: 8.1% (previously 7.5%)
You administer
the Mini Mental Status Examination (MMSE): The patient
scores 27 out of a possible 30. He could recall only 1
of 3 objects after 5 minutes, and performed serial 7’s
correctly 3 of 5 times.
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