Activity 7 - Osteoarthritis - Author: Anne-Marie Malfait, MD, PhD
Learning Objectives - Upon completion of this activity, participants should be able to:
- Define Osteoarthritis
- Identify epidemiology, pathogenesis and risk factors for osteoarthritis
- Describe the clinical course and prognosis for osteoarthritis
- Determine the differential diagnoses to be considered when assessing patients with joint pain
- Identify the clinical features of osteoarthritis through integration of data obtained in the history, physical examination and diagnostic studies
- Apply general principles of management to caring with persons with osteoarthritis
- Explain future directions in understanding osteoarthritis
Activity 8 - Rheumatoid Arthritis and Seronegative Inflammatory Arthropathies - Author: Gregory C. Gardner, MD, FACP
Learning Objectives - Upon completion of this activity, participants should be able to:
- Differentiate the three basic causes of joint pain, characterizing joint presentations and developing a limited differential diagnosis of joint pain
- State the epidemiology, risk factors and genetics associated with rheumatoid arthritis
- Chart the progressive nature of the disease process including the basic immunology of RA and the rationale for early aggressive therapy in rheumatoid arthritis
- Categorize the distribution of joint involvement and extra-articular manifestations for early, advancing and end-stage rheumatoid arthritis disease
- Summarize laboratory abnormalities, utility of rheumatoid factor and cyclic citrullinated antibodies and radiologic changes in rheumatoid arthritis
- Discuss specific language of clinical trials, the utility of outcome measures and the Disease Activity Score for rheumatoid arthritis
- Integrate the historical and current context of treating rheumatoid arthritis, including the side effects of medications and the schedule for monitoring for adverse events, when caring for persons with rheumatoid arthritis
Activity 9 - Systemic Lupus Erythematosus - Author: Sima Terebelo, MD, MPH
Learning Objectives - Upon completion of this activity, participants should be able to:
- Define lupus and its various presentations
- Cite the epidemiology and pathogenesis of SLE
- Recognize the clinical course of SLE
- Determine the differential diagnoses associated with SLE
- Select autoantibodies and other common laboratory tests in SLE
- Comprehend the principles of disease management
- Discuss future directions including opportunities for research
Activity 10 - Scleroderma, Myositis and Sjögren’s Syndrome - Author: Vivek Nagaraja, MBBS and Emily Myers, MD
Scleroderma
- Define scleroderma
- Describe the epidemiology and pathogenesis of scleroderma
- Describe the clinical features, differential diagnosis, clinical course, and prognosis of scleroderma
- Discuss the treatment of scleroderma
- Discuss future directions in assessing and managing immune-mediated disorders (scleroderma and idiopathic inflammatory myositis)
Idiopathic Inflammatory Myositis (IIM)
- Define idiopathic inflammatory myositis, or IIM
- Describe the epidemiology and pathogenesis of IIM
- Describe the clinical features, differential diagnosis, clinical course, and prognosis of IIM
- Discuss the treatment of IIM
- Discuss future directions in assessing and managing immune-mediated disorders (scleroderma and idiopathic inflammatory myositis)
Sjögren’s syndrome (SS)
- Define Sjögren’s syndrome (SS)
- Describe the epidemiology and pathogenesis of SS
- Describe the clinical features, differential diagnosis, clinical course, and prognosis of SS
- Discuss the treatment of SS
- Discuss future directions in assessing and managing SS
Activity 11 - Vasculitis, Arteritis and PMR - Author: Jason M. Springer, MD, MS
Learning Objectives - Upon completion of this activity, participants should be able to:
- Define vasculitis, and describe the clinical features and the spectrum of disease entities in which vasculitis is seen
- Describe the epidemiology, clinical features, differential diagnosis, treatment, and outcome for polymyalgia Rheumatica (PMR)
- Describe the epidemiology, clinical features, differential diagnosis, treatment, and outcome of giant cell arteritis (GCA)
- Describe the epidemiology, clinical features, differential diagnosis, treatment, and outcome of Granulomatosis with polyangiitis (GPA)
- Describe the epidemiology, clinical features, differential diagnosis, treatment, and outcome of polyarteritis nodosa
- Describe cutaneous vasculitis and its potential causes, diagnostic evaluation, and therapeutic principles
Activity 12 - Crystal-induced Arthropathies - Author: Puja Khanna, MD, MPH
Learning Objectives - Upon completion of this activity, participants should be able to:
- Cite the common crystal deposition disorders
- Recognize the clinical presentation, causes, relevant diagnostic tests, and management of gout
- Identify the clinical presentation; causes, relevant diagnostic tests, and management of calcium pyrophosphate dehydrate (CPPD) deposition disease
- Discuss the clinical presentation, causes, relevant diagnostic tests, and management of basic calcium phosphate (BCP) deposition disease
- State the clinical presentation, causes, relevant diagnostic tests, and management of oddball crystals
- Summarize future directions for crystal-induced arthropathies
Activity 13 - Pain Syndromes - Author: Afton L. Hassett, PsyD and Daniel J. Clauw, MD
Learning Objectives - Upon completion of this activity, participants should be able to:
- Differentiate the underlying mechanisms of pain by utilizing the history and physical exam to gather appropriate data, regardless of the specific condition causing pain
- Develop a plan for pharmacologic treatment of the individual’s pain, utilizing information about the underlying mechanisms of pain
- Identify the nonpharmacologic therapies for chronic pain that are supported by the strongest evidence
- Organize a multifaceted the approach for the treatment of chronic pain that addresses six key factors
Activity 14 - Spondylarthropathies - Author: Atul Deodhar, MD, MRCP
Learning Objectives - Upon completion of this activity, participants should be able to:
- Define Spondyloarthritis, the spectrum of conditions, and their common clinical features
- Differentiate between mechanical back pain and inflammatory back pain
- Enumerate the classification criteria for axial Spondyloarthritis, peripheral Spondyloarthritis, ankylosing spondylitis, and psoriatic arthritis
- Develop a plan for how to investigate a patient with inflammatory back pain
- Discuss the epidemiology and pathogenesis of Spondyloarthritis
- Describe the clinical course and prognosis of ankylosing spondylitis, reactive arthritis, psoriatic arthritis (PA), and inflammatory bowel disease (IBD)-associated arthritis
- Integrate in practice non-pharmacologic and pharmacologic disease management choices
Activity 15 - Infection Related Arthritis - Author: Stanley J. Naides, MD
Learning Objectives - Upon completion of this activity, participants should be able to:
- Differentiate between the different types of septic arthritis, the pathogenesis, incidence, risk factors, diagnostic features and the treatment for each type
- Cite the epidemiology and identify the clinical features and treatment of each stage of Lyme disease
- Distinguish between the post-viral arthritides and the pathogenesis, clinical features, diagnostic studies and treatment for each disease
- State the articular and non-articular manifestations of HIV that mimic rheumatic diseases
- Evaluate the articular manifestations and clinical course of Hepatitis B and C
- Apply the general principles of disease recognition and management in patients with suspected infectious arthritis
Activity 16 - Metabolic Bone Disorders - Author: Michael Maricic, MD
- Learning Objectives - Upon completion of this activity, participants should be able to:
- Recognize the risk factors for fracture in women with postmenopausal osteoporosis
- Interpret bone density reports and demonstrate how to use bone density studies for clinical decision making
- Describe the important nutritional components of bone health including calcium and Vitamin D and the consequences of deficiencies
- Formulate basic treatment plans for patients with postmenopausal osteoporosis
- Design a clinical profile for men at risk for osteoporosis and discuss a metabolic workup for men with osteoporosis
- Contrast the pathophysiology of glucocorticoid induced osteoporosis (GIOP) with postmenopausal osteoporosis and formulates treatment plans for patients on glucocorticoids therapy
- Evaluate the epidemiology, pathophysiology, clinical and radiological aspects, and a treatment plan for Paget's disease