JAAPA CME Post-Test April 2018

Beyond Skin Seep: Managing Pressure Injuries
Pressure injuries (previously called pressure ulcers) are a common finding among patients in acute, long-term, or home settings. Numerous pathophysiologic and risk mechanisms factor into the development of pressure injuries. The timely recognition of these injuries is imperative. Many treatments exist for pressure injuries but the focus of patient management should be on preventing injury-related complications. This activity address the pathophysiology of pressure injuries, the risks for their development, and strategies for managing them.

Sandifer Syndrome
Sandifer syndrome is a rare complication of gastroesophageal reflux disease that may be more common than reported. Sandifer syndrome is a rare complication of gastroesophageal reflux disease that may be more common than reported. This syndrome was first mentioned more than 50 years ago with minimal documentation in the medical literature. Because of the presentation, the patient may be referred for lengthy, expensive, and unnecessary neurologic testing. This may lead to a missed or delayed diagnosis, mismanagement, and the use of inappropriate medication. Providers should be aware of Sandifer syndrome when evaluating a child with torticollis or unusual posturing that is not associated with neuromuscular disease or injury. This activity explores the features and treatment options for a patient with Sandifer syndrome.

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