JAAPA CME Post-Test January 2022

Diagnosing and Managing Acute Abdominal Pain in Children

Acute abdominal pain is a common complaint in children. The care of these patients is challenging for clinicians because presentation, diagnosis, and treatment are different in children than adults. This activity describes the presentation, physical examination, diagnosis, and treatment of common causes of acute abdominal pain in children and discusses emerging trends in diagnosis and treatment.

Learning Objectives

  • Recognize common causes of acute abdominal pain in children
  • Describe diagnostic approaches to acute abdominal pain in children
  • Identify the components of care for children with acute abdominal pain

Balloon Pulmonary Angioplasty for Chronic Thromboembolic Pulmonary Hypertension

Chronic thromboembolic pulmonary hypertension (CTEPH) remains significantly underdiagnosed in patients with a history of pulmonary embolism. These patients complain of persistent shortness of breath and present with hypoxemia despite proper anticoagulation. Further investigation reveals evidence of right ventricular dysfunction on echocardiogram, which progresses to right heart failure. CTEPH is associated with a significant increase in patient morbidity and mortality if left untreated. This activity offers an approach for the timely recognition of this condition, in addition to suggesting a management protocol with an emphasis on the role of interventional radiology and balloon pulmonary angioplasty.

Learning Objectives

  • Define CTEPH in accordance with the World Symposium on Pulmonary Hypertension
  • Explain the pathophysiology of CTEPH
  • Identify the processes used in the diagnosis and assessment of CTEPH
  • Describe the immediate and long-term management of CTEPH

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