JAAPA CME Post-Test April 2022
An Algorithm for Successfully Managing Anterior Shoulder Instability
The most common form of shoulder instability involves the anterior glenohumeral joint. Often it is associated with labral and bony injuries with subsequent recurrent instability. To determine optimal management, clinicians should perform a detailed history and physical examination, including appropriate diagnostic imaging to assess for concomitant humeral and glenoid bony deficiencies and other soft-tissue pathologies. Early surgical intervention may reduce risk of recurrence, particularly in young, active athletes. This activity highlights the relevant anatomy, pathoanatomy, diagnostic examination including radiologic imaging, management, and prevention of complications for anterior shoulder instability. Minimizing recurrence is key to restoring function for patients to safely return to recreational and sporting activities, and to perform activities of daily living.
- Identify appropriate imaging for a patient who presents with anterior shoulder dislocation
- Describe the anatomy, pathoanatomy, and differential diagnosis when a patient presents with a glenohumeral joint dislocation
- Evaluate and create a treatment plan for a patient who presents with anterior glenohumeral instability, providing nonoperative, operative, and rehabilitation regimes for successful return to activities
Acute Respiratory Distress Syndrome
Acute respiratory distress syndrome (ARDS) is a severe, often fatal, lung condition frequently seen in patients in the ICU. ARDS is triggered by an inciting event such as pneumonia or sepsis, which is followed by an inappropriate host inflammatory response that results in pulmonary edema and impaired gas exchange, and may progress to fibrosis. With the increased spotlight and discussion focused on ARDS during the COVID-19 pandemic, healthcare providers must be able to identify and manage symptoms based on evidence-based research.
- Identify the most common predisposing risk factors for ARDS
- Recognize the diagnosis of ARDS based on the Berlin criteria and exclusion of other causes
- Incorporate evidence-based respiratory and supportive therapies to manage patients with ARDS
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