SCHOOL OF NURSING COLUMBIA UNIVERSITY
SYLLABUS
M8546 - DIAGNOSIS AND MANAGEMENT OF ILLNESS IN
FAMILIES II Fall 2001
Credit: 4 Hours: 4 Class, per week
PREREQUISITE: M8557, M8558, M6100, M6121, M8625 or M8693 and M8795 or
M8625, M8545, M8102
COREQUISITE: M8559, M8567 or M8850, M6920 or M6728, M8290, M8560
COURSE LEVEL: Third semester for FNP majors.
TEACHING FACULTY: FNP Faculty
DESCRIPTION: Utilizing a systems approach, the diagnosis and management of problems encountered in Primary Care are studied. Among the selected systems for study are neurological, dermatological, musculoskeletal, ophthalmological, psychological, and immunological. Upon completion of this course, the student will apply a systematic approach to the diagnosis and management of selected health problems.
OBJECTIVES: At the completion of the course, the student will be able to:
1. Analyze historical, physical and laboratory findings to develop a differential diagnosis.
2. Design a plan of care that considers the biophysical and psychosocial needs of patient.
3. Evaluate the individualized plan of care and make changes when necessary.
4. Integrate knowledge of current research findings into clinical practice.
5. Explain the rationale for treatment.
6. Articulate the role of the FNP in illness management.
METHODOLOGY: The 4-credit didactic course is taught by lecture-discussion. It is designed to be taken in association with a clinical practicum.

DIAGNOSIS AND MANAGEMENT OF ILLNESS IN FAMILIES II
EVALUATION: Diagnostic Differential Sheets
Journal Review
Mid-Term 30%
5%
15%
Final Exam 40%
Class Participation 10%
Grading System
Lecture Course Grades
Grade
A+
Score
Range
97-100
Quality
Points
4.3
A
A-
94-96
90-93
4.0
3.7
B+
B
B-
C+
87-89
84-86
80-83
77-79
3.3
3.0
2.7
2.3
C
C-
F
74-76
70-73
< 70
2.0
1.7
0.0
Class Attendance is Mandatory
A total of 5 diagnostic differential sheets are required as a group assignment on the designated topic dates.
Make-up examinations will be available only in extreme situations.
Late papers will be accepted only in extreme situations and only at the discretion of the course coordinator. One letter grade will be subtracted for each day the paper is late.
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DIAGNOSIS AND MANAGEMENT OF ILLNESS IN FAMILIES II
REFERENCES
Required Text:
Buttaro, T.M., et al. (1999). Primary Care: A Collaborative Practice. New York: Mosby.
Dershewitz, R. (1999). Ambulatory Pediatrics Care. Philadelphia: J.B. Lippincott.
Gorrd, A., et al. (2000). Primary Care Medicine. 5 th Edition, Philadelphia: J.B. Lippincott.
Hoekelman, R.A., et al. (1997). Primary Pediatric Care., 3 rd edition. St. Louis: Mosby.
Recommended Text:
Drazen, L. & Bennett, J.C. (2000). Cecil, Textbook of Medicine. 21 st Ed. Philadelphia.
W.B. Saunders Co.
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DIAGNOSIS AND MANAGEMENT OF ILLNESS IN FAMILIES II
TOPICAL OUTLINE
WEEK DATE TOPIC
1 9/5 Introduction / Charting / Legal
2
3
4
9/12
9/19
9/26
Suturing
Breast Disease
Dental / Eye*
5
6
10/3
10/10
FUO / Fatigue*
Neurology
7
8
9
10
11
12
13
14
10/17
10/24
10/31
11/14
11/21
11/28
12/5
12/12
MIDTERM / Hepatitis
Dermatology*
CV, Coagulopathy*
HIV
HOLIDAY - NO CLASS
Orthopaedics*
Alternative Therapies
CUMULATIVE FINAL
15 12/13 CUMULATIVE FINAL EXAM
*Diagnostic Differential Sheets due
INSTRUCTO
R
EKH
EC
MC
AP / MC
MC / NN
AD / CO
HS / MG
MC
EC / MC
LZ
SB / MC
JA
MC / EKH
EKH
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DIAGNOSIS AND MANAGEMENT OF ILLNESS IN FAMILIES II
DIAGNOSIS AND MANAGEMENT II (M8546)
Clinical Practice Journal Review
Each student is required to review and present to the class one clinically oriented professional article. A one-page article review form and the article are to be presented to the faculty one week prior to the scheduled presentation. The article review form is enclosed.
It is essential that the article chosen reflect current clinical treatment.
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DIAGNOSIS AND MANAGEMENT OF ILLNESS IN FAMILIES II
COLUMBIA UNIVERSITY SCHOOL OF NURSING
DIAGNOSIS AND MANAGEMENT II (M8546)
Journal Review Form
Name:
Date:
Title:
Author:
Journal Citation:
Article Topic (Treatment under review):
Research Review:
Was the article peer reviewed? Yes:
Synopsis of the clinically significant components:
No:
Author’s Treatment Recommendations:
How does this treatment differ from current treatment protocols?
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DIAGNOSIS AND MANAGEMENT OF ILLNESS IN FAMILIES II
Class #1 - INTRODUCTION / CHARTING
LICENSURE / JOBS
Handouts
Recommended
Starr, D. (2000). When a lawyer calls for information. Clinical Advisor, 3(3), 111.
Starr, D. (1999). Testifying in court. Clinical Advisor, 2(4), 76.
Starr, D. (1999). Referrals and consultations. Clinical Advisor, 2(7/8), 80.
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DIAGNOSIS AND MANAGEMENT OF ILLNESS IN FAMILIES II
Class # 2 - SUTURING
Handouts
Required Articles
Burns, T. (March 1, 2001). Using tissue adhesive for wound repair: A practical guide to
Dermabond. American Family Physician, 61(5), 1383-1388.
Durham, C. (2001). Laceration assessment and management. Patient Care Nurse
Practitioner, 4(6), 17-23.
Wang, Q. (May 15, 2001). Fingertip injuries. American Family Physicians, 63,
1961-1966.
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DIAGNOSIS AND MANAGEMENT OF ILLNESS IN FAMILIES II
Class # 3 - BREAST DISEASE
Required Readings
Apankatu, L. (August1, 2000). Breast cancer diagnosis and screening. American Family
Physician, 62(3), 596-606.
Buttaro, T.M., et al. Primary Care
Breast Disorders Chapter 162 pp 635-643
Dershewitz, R., Ambulatory Pediatric Care
Chapter 111 Gynecomastia pp. 516-517
Moreland, J. & Coombs, J. (April 1, 2000) Promoting and supporting breast feeding.
American Family Physician, 61(7), 2093-2104.
Morrow, M. (April 15, 2000). The evaluation of common breast problems. American
Family Physician, 61(8), 2371-2385.
Pena, K. & Rosenfeld, J. (May1, 2001). Evaluation and treatment of galactorrhea.
American Family Physician, 63, 1763-1775.
Recommended
Schnabel, C. (September, 1998). Breast Cancer: What the history can tell you about risk - and what you can tell your patient. Consultant, 2083-2097.
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DIAGNOSIS AND MANAGEMENT OF ILLNESS IN FAMILIES II
Class #4 - DENTAL DISEASE / EYE DISEASE
Oral
Required Readings:
Dershewitz, R., Ambulatory Pediatric Care
Chapter 107 Dentistry for the Pediatrician pp. 492-497
Hoekelman, R.A., Primary Pediatric Care
Chapter 119 Dental pp. 898-900
Articles:
Required Reading:
Oral
Lawson, W. (April 1998). White Oral Lesions: How to distinguish the benign from the deadly. Consultant. 38: 913-926.
Lawson, W. (May 1998). Pigmented oral lesion: Clues to identifying the potentially malignant. Consultant. 1253-1261.
Lawson, W. (July 1998). Erythematous Oral Lesions: How to treat, when to leave alone.
Consultant. 38: 1749-1769.
McBride, David. (July 1, 2000). Management of aphthous ulcers. American Family
Physician, 62(1), 149-160.
Pankhurst, C. (June, 2001). Oropharyngeal candidiasis. Clinical Evidence, 5: 939-952.
Sanchez, O.M., et al. (January 1, 2000). Anticipatory guidance in infant oral health:
Rationale and recommendations. American Family Physician, 61(1), 115-124.
Worrall, G. (June, 20001). Herpes labialis. Clinical Evidence, 5, 1169-1174.
Recommended
Flores, M.T., et al. Guidelines for the evaluation and management of traumatic dental injuries. Dental Traumatology, 17(3), 97-102.
Flores, M.T., et al. Guidelines for the evaluation and management of traumatic dental injuries. Dental Traumatology, 17(2), 1-4.
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DIAGNOSIS AND MANAGEMENT OF ILLNESS IN FAMILIES II
Class # 4 - OPHTHALMOLOGY
Required Readings
Baker, N. (June, 2001). Ocular Herpes Simplex. Clinical Evidence, 5, 449-458.
Buttaro, T.M. Primary Care
Evaluation and Management of Eye Disorders, Part 6
Evaluation and Management of Ear Disorders, Part 7 pp. 212-228 pp. 230-243
Evaluation and Management of Oropharynx Disorders, Part 9 pp. 263-280
Carter, S. (June, 1998). Eyelid disorders: Diagnosis and Management. American Family
Physician.
Chung, C. (June, 2001). Bacterial Conjunctivitis. Clinical Evidence, 5, 437-441.
Dreshewitz, R., Ambulatory Pediatric Care
Chapter 115 Visual Disturbances
Chapter 116 Ophthalmia
Chapter 118
Chapter 120
Chapter 121
Noenatorum
Conjunctivitis
Styes/Chelazia
Chapter 122
Chapter 123,
124
Strabiasmus
Amblyopia
Eye Trauma pp. 529-535 pp. 535-538 pp. 542-546 pp. 549-552 pp. 552-554 pp. 554-558 pp. 557-562
Fong, D. (May 15, 2000). Age-related macular degeneration: Update for primary care.
American Family Physician, 61(10), 3035-3042.
Hoekelman, R.A., Primary Pediatric Care
Chapter 163 The Red Eye pp. 1094-1099
Matos, K., et al. (June, 2001). Acute anterior uveitis. Clinical Evidence, 5, 421-424.
Mills, Monte. (September 1, 1999). The eye in childhood. American Family Physician,
907-919.
O’Brien, C. & Diamond, J. (June, 2001). Glaucoma. Clinical Evidence, 5, 443-447.
Small, R.G. Ophthamology in Primary Care: Is the condition harmless - or a threat to vision? Consultant. 38: (9) 2149-2156.
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DIAGNOSIS AND MANAGEMENT OF ILLNESS IN FAMILIES II
Recommended
Gulick, R. (2000). When to switch and what to switch to: Strategic use of antiretroviral therapy. The AIDS Reader, 10(3), 156-161.
Klaus, B. & Grodesky, M. (1999). Cervical Dysplasia in Women with HIV. The Nurse
Practitioner, 24(8), 79-85.
Morden, N. & Berke, E. (October 15, 2000). Topical Fluoroquinolones for eye and ear.
American Family Physician, 62(8), 1870-1876.
Munsiff. (2000). Treatment of tuberculosis in patients taking antiretrovirals. The AIDS
Reader, 10(2), 102-108.
Opportunistic infections in HIV. (June, 2001). Clinical Update, 5, 535-553.
Volmink, J. (June, 2001). Mother to child transmission of HIV. Clinical Update, 5,
528-534.
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DIAGNOSIS AND MANAGEMENT OF ILLNESS IN FAMILIES II
Class # 5 - FUO WITH OR RASH FATIGUE SYNDROMES
Required Readings
Bower, J. R. & Powell, K (April 15, 2001) Unexplained fever in infants and young children: When is it serious? Consultant, 41(5), 653-656.
Bower, J.R. & Powell, K. (April 2001) Unexplained fever in infants and young chidren:
How to manage. Consultant, 41(5), 712-715.
Dershewitz, R., Ambulatorv Pediatric Care
Chapter 154 Lymphadenopathy
Chapter 206
Chapter 207
Chapter 215
Chapter 220
Chapter 232
Fever
FUO
Fatigue
Antibiotics
Lyme Disease
Hoekelman, R.A, Primary Pediatric Care
Chapter 131, 192
Chapter 25, 132 Fever
Fatigue and Weakness
Chapter 152 Lymphadenopathy pp. 680-682 pp. 881-883 pp. 883-886 pp. 913-916 pp. 932-937
pp. 989-992 pp. 953-958, 1244-1246 pp. 298-302, 959-966 pp. 1054-1057
Chapter 228 Lyme Disease
Chapter 251 Reye Syndrome
Chapter 252 Rheumatic Fever
Chapter 253 Rocky Mountain Spotted Fever pp. 1415-1418 pp. 1543-1547 pp. 1548-1552 pp. 1553-1555
Markling, S.J. (August 1999) Rashes and fever. Consultant, 2273-2295.
McKinnon, H.D. & Howard, T. (August 15, 2000) Evaluating the febrile patient with a rash. American Family Physician, 62(4), 804-816.
Millea, P. J. (October 1, 2000) Treating Fibromyalgia. American Family Physician, 62(7),
1575-1587.
Required Alternate Readings:
Buttaro, T.M. Primary Care
Chapter 224 Lymphomas
Chapter 232
Chapter 233
Chapter 236
Chapter 237
Fatigue
Fever
FUO WITH OR RASH FATIGUE SYNDROMES (continued) pp. 955-960
Scleroderma pp. 989-992
Systemic Lupus Erythematosus pp. 992-1002 pp. 1002-1004 pp. 1005-1007
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DIAGNOSIS AND MANAGEMENT OF ILLNESS IN FAMILIES II
Recommended
Buchwald, D. (1996) Fibromyalgia and chronic fatigue syndrome: Similarities and differences. Rheumatic Disease Clinics of North America, 22(2), 219-243.
Okifuji, A, (1997) A standardized manual tender point survey. Development and determination of a threshold point for the identification of positive tender points in fibromyalgia syndrome. J. Rheumatology, 24; 377-383.
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DIAGNOSIS AND MANAGEMENT OF ILLNESS IN FAMILIES II
Class # 6 - NEUROLOGY
Required Readings
Dershewitz, R., Ambulatory Pediatric Care
Chapter 183
Chapter 186
Chapter 187
Chapter 189
Seizures and Epilepsy Headache
Headache
Sleep Disturbance in Young
Children
Bell's Palsy - Abnormal s/s
Hoekelman, R., Primary Pediatric Care
Chapter 132
Chapter 136
Chapter 154
Chapter 155
Chapter 170
Fever
Headache
Nervousness
Nonconvulsive Periodic Disorders
Syncope
Goroll, A.H., Primary Care Medicine
Unit 11
Chapter 165
Chapter 166
Chapter 167
Chapter 168
Chapter 169
Chapter 170
Chapter 171
Chapter 172
Chapter 173
Chapter 174
Chapter 175
Chapter 176
Neurologic Problems
Headache
Dizziness
Focal Neurologic Complaints
Tremor
Dementia
Seizure
TIA/Carotid Bruit
MS
Alzheimers
Parkinson's Disease
Bell's Palsy
Tic Douloureux pp.
794-801,
805 pp.
809-813 pp.
813-819 pp.
822-829 pp.
959-966 pp.
985-990 pp. 1060
pp.
1061-1063 pp.
1129-1132 pp.
821-829 pp.
829-835 pp.
835-842 pp.
842-844 pp.
844-851 pp.
851-857 pp.
857-862 pp.
862-865 pp.
865-870
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DIAGNOSIS AND MANAGEMENT OF ILLNESS IN FAMILIES II pp.
871-875 pp.
875-877 pp.
877-879
Benbadis, S. et.al. (July, 2001) Advances in the treatment of epilepsy. American Family
Physician, 64, 91-106.
Charles, D., et.al. (March 15, 1999) Classification of tremor and update on treatment.
American Family Physician.
Clinch, C. R. (February 15, 2001) Evaluation of acute headaches in adults. American
Family Physician, 63(4), 685-692.
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DIAGNOSIS AND MANAGEMENT OF ILLNESS IN FAMILIES II
NEUROLOGY (continued)
Dashe, J.F. (2000) Acute stroke evaluation and treatment. Clinical Advisor, 3(1), 40-53.
Ford, H. & Boggild, M. (June 2001) Multiple sclerosis. Clinical Evidence, 5, 894-905.
Logemann, C. & Rankin, L. (January 1, 2000) Newer intranasal migraine medications.
American Family Physician, 61(1), 180-186.
McAbee, G. & Wark, J. (September 1, 2000) A practical approach to uncomplicated seizures in children. American Family Physician, 62(5), 1109-1116.
Moore, P & Clarke, C. (June 2001) Parkinson's disease. Clinical Evidence, 5, 906-915.
Morey, S. (October 15, 2000) Guidelines on migraine: Part 2. General principles of drug therapy. American Family Physician, 62(8), 1915-1917.
Ruchenstein, M (2001) The dizzy patient: How you can help. Consultant, 41(1), 29-34.
Ryan, M. & Penix. L. (November 1999) Preventing strokes in patients with transient ischemic attacks. American Family Physician, 60, 2329-2341.
Salinas, R. (June 2001) Bell's Palsy. Clinical Evidence, 5, 865-868.
Tips from other journals. (April 1, 2001) Maximizing facial recovery in patients with Bell's palsy. American Family Physician
Recommended
Bahra, A. & Goadsby, P. (June 2001) Chronic tension-type headache. Clinical
Evidence, 5, 869-875.
Gorelick, P. (March 24/31, 1999) Prevention of first stroke. JAMA. 281(12),1112-1120.
Mathisen, G. (2001) Brain abscess: Questions physicians often ask. Consultant, 41(1),
125-132.
McCue, J. (1999) More than a severe headache. Clinical Advisor, 2(6), 57-60.
Morey, S. (June 15, 2001) AHA recommendations for the management of intracranial aneurysms. American Family Physician, 63(12), 2465-2466.
Taylor, B. (2000) Evaluating and managing syncope. Clinician Reviews, 10(11), 55-64.
Young, R. (April 15, 1999) Update on Parkinson's disease. American Family Physician.
NEUROLOGY (continued)
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DIAGNOSIS AND MANAGEMENT OF ILLNESS IN FAMILIES II
Zakrzewska, J. (June 2001) Trigeminal neuralgia. Clinical Evidence, 5, 916-923.
Hart. R. (May 1999) Stroke: Part I. A clinical update on prevention. American Family
Physician.
The Neurosensory System
Handouts
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DIAGNOSIS AND MANAGEMENT OF ILLNESS IN FAMILIES II
Class # 7 - Hepatitis
Readings to be handed out in class.
Benson, L. et.al. (2000) Advances in the management of Hepatitic C: Combination
Antiretroviral therapy with Interferon Alfa-2B and Ribavirin. American Academy of
Nurse Practitioners, 12(9), 374-379.
Colyar, M. (March 2001) Liver enzyme testing. Advance for Nurse Practitioners, 31.
Johnson, D. E. (April 15, 1999) Special considerations in interpreting liver function tests.
American Family Physician, 59,(8)
Recommendations for prevention and control of Hepatitis C virus (HCV) infection and
HCV-related chronic disease. (October, 1998) US Department of Health and Human
Services, Morbidity and Mortality Report, 47,RR-19
Spauling, A (1999) Hepatitis B and C and HIV in prison populations. The AIDS
Reader, 9(7), 481-491.
Handouts
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DIAGNOSIS AND MANAGEMENT OF ILLNESS IN FAMILIES II
Class # 8 - DERMATOLOGY
Required Readings
Dershewitz, R., Ambulatory Pediatric Care
Section 11 All Chapters Dermatologic Problems, pp. 392-449
Goldstein, B.G. & Goldstein, A. (April 1, 2001) Diagnosis and management of malignant melanoma. American Family Physician, 63(7), 1359-1374.
Hoekelman, R., Primary Pediatric Care
Chapter 161 Rash pp. 1083-1089
Chapter 179 Acne pp. 1165-1169
Bacterial Skin Infections pp. 112, 962, 968
Chapter 196
Chapter 197
Contact Dermatitis pp. 1081, 1088, 1260-1261
Contagious Exanthematous Diseases pp. 1262-1266
Chapter 200
Chapter 202
Chapter 186
Diaper Rash pp. 1277-1280
Drug Eruptions pp. 1290-1293
Eczema Latopic Dermatitis pp. 1086, 1089, 1196, 1199
Chapter 214
Chapter 222
Chapter 197
Herpes Infections pp. 1344-1346
Insect Bites and Infestations pp. 1374-1375
Roseola pp. 1262-1263, 1556-1558
Seborrheic Dermatitis pp. 1559-1563 Chapter 255
Johnson, B.A. & Nunley, J. (October 15, 2000) Use of systemic agents in the treatment of acne vulgaris. American Family Physican, 62(8), 1823-1838.
Johnson, B.A. & Nunley, J. (May 2000) Treatment of seborrheic dermatitis. American
Family Physician, 61(9), 2703-2704.
Pardasani, A., et.al. (February 1, 2000) Treatment of psoriasis: An algorithm-based approach fro primary care physicians. American Family Physician, 61(3), 725-736.
Rothe, M. & Grant-Kleis, J (April 1998) Dermatologic emergencies: Part 5. Drug induced
Steven-Johnson Syndrome and Toxic Epidermal Necrolysis. Consultant, 889-895.
Russel, J.J. (Jaunuary 15, 2000) Topical Therapy for Acne. American Family Physician,
63(2), 357-366.
Severson, J. (2000) Taking an aim at shingles pain. Clinical Advisor, 3(10), 32-38.
Sylvia, H. et.al., (July 15, 2001) Differential diagnosis of annular lesions. American
Family Physician, 64(2), 289-296.
DERMATOLOGY (continued)
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Stankus, S.J. et.al. (April 15, 2000) Management of Herpes Zoster (Shingles) and Post
Herpetic Neuralgia. American Family Physician, 61(8), 2437-2448.
Warner, M. & Comisa, C. (March 1998) Common types of skin eczema: Therapeutic nuts and boolts. Consultant, 620-641.
Recommended
Arndt, K, et.al. (May 1999) The promises and limits of cosmetic dermatology. Patient
Care for Nurse Practitioners. 15-31.
Charman, C. (June 2001) Atopic Eczema. Clinical Evidence, 5, 1133-1145.
Edman, R. & Wolfe, J.T. (November 2000) Prevention and early detection of malignant melanoma. American Family Physician, 62(10), 2277-2286.
Elmer, K, et.al. (May 1999) Cutaneous T-cell lymphoma presenting as benign dermatoses. American Family Physician, 59(10), 2809-2813.
Emmert, D. (March 15, 2000) Treatment of common cutaneous herpes simplex virus infections. American Family Physician, 61(6), 1697-1708.
Rodgers, P. & Bassler, M. (February 15, 2001) Treating onychomycosis. American family Physician, 63(4), 663-678.
Yaphe, J. & Lancaster, T. (June 2001) Postherpetic neuralgia. Clinical Evidence, 5,
554-562.
Handouts
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DIAGNOSIS AND MANAGEMENT OF ILLNESS IN FAMILIES II
Class # 9 - CARDIOLOGY / ANTI-COAGULANT THERAPY
Required Readings:
Review required readings for the adult.
Brady, W. J., et al. (July, 2001). Acute myocardial infarction: Keys to diagnosis when the presentation is atypical. Consultant, 1153-1156.
Bouknight, D. et.al. (June 1, 2000) Current management of mitral valve prolapse.
American Family Physician, 61(11), 3343-3354.
Buttaro, T.M., et al. Primary Care
Chapter 118
Chapter 119
Chapter 121
Chapter 122
Chapter 123
Chapter 126
Chapter 128
Chapter 129
Chapter 222
Stress Test pp. 366-369
Cardiac Arrhythmias 376-377
Chest Pain 396-397
Endocarditis 407-408
Heart Failure 415-429
Pedal Edema451-452
DVT 457-459
Valvular Heart Disas 462-473
Blood Coagulation Disorders 941-949
Clinical update. Oral anticoagulation therapy. Clinician Reviews, 7(5), 233-235.
Cohen, D. & Townsend, R.R. (July, 2001). How to manage complex hypertension.
Emergency Medicine, 20-29.
Dershewitz, R., Ambulatory Pediatric Care
Fitmaurice, D. (June 2001) Thromboembolism. Clinical Evidence, 5, 158-168.
Havranek, E. Primary prevention of CHD. Nine ways to reduce risk. American Family
Physician 6(59), 1455-1462.
Hoekelman, R.A., Chapter 8 appendixes Preoperative Assessment Values for 105-106
1827
Chapter8 Preoperative Assessment pp. 98-108
Hoyt, R. et.al. (April 15, 2001) Reducing readmissions for congestive heart failure.
American Family Physician, 63(8), 1593-1600.
McPherson, M.L. (May 1997) Anticoagulant therapy: What to consider in practical management. Advance for Nurse Practitioners, 33-38.
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Morey, S.S. (February 1, 2000) ACC/AHA guidelines for ambulatory ECG. American
Family Physician, 61(3).
Papademetrious, V. (June 6, 2001). Selection of antihypertensive therapy for patients with hypertensive renal disease. JAMA 21(285), 2774-2776.
Obarzanek, E., et al. (June 15, 2001). Non-drug approaches to hypertension. Patient
Care, 20-41.
Richardson, B. (July, 2001). Recent changes in the cardiac life support guidelines.
Emergency Medicine, 30-39.
Shamsham, F. and Mitchell, J. (March 1, 2000) Essentials of the diagnosis of heart failure. American Family Physician, 61(5), 1319-1328.
Shipton, B. (June 1, 2001) Valvular Heart Disease: Review and update. American
Family Physician, 63(11), 2201-2208.
Showkata, S. H. & Movahed, A. (July 15,2000) Update on therapy in congestive heart failure. American Family Physician, 62(1), 409-416.
Zanger, D. et.al. (2000) Contemporary management of angina: Part II. Medical
Management of chronic stable angina. American Family Physician.
Recommended
Darrow, M.D. (January 15, 1999) Ordering and understanding the exercise stress test.
American Family Physician.
Geissel, B. (2000) Management of bacterial endocarditis. American Family Physician,
61(6), 1725-1739.
Marinella, M (February 1998) Electrocardiographic manifestations and differential diagnosis of acute pericarditis. American Family Physician.
Ramahi, T.M. (2000) Beta Blocker therapy for chronic heart failure. American Family
Physician, 62(10), 2267-2274.
Simon-Weinstein, M (1999) Cardiac Rehabilitation: Non-pharmacologic treatment for congestive heart failure. Journal of the American Academy of Nurse Practitioners, 11(7),
293-296.
Handouts
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Class # 10 - HIV
Required Readings
Buttaro, T.M. Primary Care
Chapter 238
Chapter 239 pp 1008-1018 pp 1019-1022
Dershewitz, R., Ambulatory Pediatric Care
Chapter 73 AIDS in Children
Hoekelman, R.A., Primary Pediatric Care
Chapter 180 AIDS/HIV pp. 349-360 pp. 1170-1178
Mylonakis, E. et.al. (February 1, 2001) Plasma viral load testing in the management of
HIV infection. American Family Physician, 63(3), 483-498.
1999 USPHS/IDSA Guidelines for the prevention of opportunistic infections in persons infected with HIV: Part I. Prevention of exposure. American Family Physician, 61(1).
1999 USPHS/IDSA Guidelines for the prevention of opportunistic infections in persons infected with HIV: Part II. Prevention of the first episode of disease. American Family
Physician, 61(2).
1999 USPHS/IDSA Guidelines for the prevention of opportunistic infections in persons infected with HIV: Part III. Prevention of disease recurrence. American Family
Physician, 61(3).
Volberding, P. (2000) When and where to start: Guidelines for the initiation of antiretroviral therapy. The AIDS Reader, 10(3), 150-155.
CDC Algorithm on HIV / Aids work up and treatment recommendations.
Handouts
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Class # 11 - NO CLASS / THANKSGIVING HOLIDAY
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DIAGNOSIS AND MANAGEMENT OF ILLNESS IN FAMILIES II
Class # 12 - ORTHOPEDICS / MS
Required Readings
Adkins, S. & Figler, R. (April 1, 2000) Hip pain in athletes. American Family Physician,
61(7), 2109-2118.
Bertlin, R. (1998) Herniated discs: Diagnosis and management. Journal of the American
Academy of Nurse Practitioners, 10(12),447-550.
Chumbley, E.M., et.al. (February 1, 2000) Evaluation of overuse elbow injuries.
American Family Physician, 61(3), 691-700.
Dershewitz, R., Ambulatory Pediatric Care
Chapter 157 Musculoskeletal and Traumatic Problems
Chapter 158 Limping Child
Chapter 159 Juvenile Rheumatoid Arthritis
Chapter 161 Torticollis
Chapter 162 Scoliosis
Chapter 163 Soft Tissue Injuries
Chapter 164 Fractures
Chapter 165 Upper Extremity Injuries
Chapter 166 Knee Injuries
Chapter 167 Foot Injuries
Chapter 168 Burns
Chapter 169 Lacerations/Abrasions
Chapter 174 Back Pain pp. 690-696 pp. 696-700 pp. 700-706 pp. 706-710 pp. 710-716 pp. 716-719 pp. 719-724 pp. 724-729 pp. 729-733 pp. 733-734 pp. 734-737 pp. 737-741 pp. 753-757
Grenspan, S. et.al. (May 1, 2000) Biphosphonates: Safety and efficacy in the treatment and prevention of osteporosis. American Family Physician, 61(9), 2731-2736.
Hoekelman, R., Primary Care Pediatrics
Chapter 114 Back Pain
Chapter 128 Extremity Pain
Chapter 149 Joint Pain
Chapter 150 Limp
Chapter 205 Fractures and Dislocations
Chapter 224 Juvenile Arthritis
Chapter 239 Osteomyelitis
1468-1471 pp. 877-879 pp. 940-945 pp. 1045-1048 pp. 1049-1051 pp. 1304-1307 pp. 1382-1389 pp. 944-945 /
Johnson, M. (April 15, 2000) Acute knee effusion: A systemic approach to diagnosis.
American Family Physician, 61(8), 2391-2400.
ORTHOPEDICS / MS (continued)
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Leet, A. & Skaggs, D. (February 15, 2000) Evaluation of the acutely limping child.
American Family Physician, 61(4), 1011-1018.
Manek, N. & Lane, N. (March 15, 2000) Osteoarthritis: Current concepts in diagnosis and management. American Family Physician, 61(6), 1795-1804.
Patel. A. & Ogle, A. (March 15, 2000) Diagnosis and management of acute low back pain. American Family Physician, 61(6),1779-1790.
Reamy, B. et.al. (July 1, 2001) Adolescent idiopathic scoliosis: Review and current concepts. American Family Physician, 64(1), 111-116.
South-Paul, J. (March 1, 2001) Osteoporosis: Part I. Evaluation and Assessment.
American Family Physician, 63(5), 897-908.
South-Paul, J (march 15, 2001) Osteoporosis: Part II. Nonpharmacologic and pharmacologic treatment. American Family Physician, 63(6), 1121-1128.
Swagerty, D.L., & Hellinger, D. (July 15, 2001) Radiographic assessment of osteoarthritis. American Family Physician, 64(2), 279-286.
Tandeter, H. (December 1, 1999) Acute knee injuries: Use of decision rules for selective radiograph ordering. American Family Physician, 60(11), 2599-2608.
Woodward, T & Best, T. (May 15, 2000) The painful shoulder: Part I. Clinical evaluation.
American Family Physician, 61(10), 3079-3088.
Woodward, T & Best, T. (June 1, 2000) The painful shoulder: Part II. Acute and chronic disorders. American Family Physician, 61(11), 3291-3300.
Young, C., et.al. (February 1, 2001) Treatment of plantar fasciitis. American Family
Physician, 63(3), 467-482.
Recommended
Carek, P, et.al. (June 15, 2001) Diagnosis and management of osteomyelitis. American
Family Physician, 63(12), 2413-2420.
Galus, M. (September 1, 2000) Idiopathic and secondary osteoporosis: Safeguarding at-risk men and women. Consultant, 1889-1898.
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ORTHOPEDICS / MS (continued)
Paluska, S. A. & McKeag, D.B. (January 15, 2000) Knee braces and their clinical recommendations for their use. American Family Physician, 63(2), 411-424.
Schmitt, M. (May 1999) Part I. Evaluation of the elbow. Patient Care for the Nurse
Practitioner, 32-41.
Tips from other journals. (June 15, 2000) Physical therapy and exercise for osteoarthritis of the knee. American Family Physician.
Alternate Required Readings:
Buttaro, T. M.
Chapter 182 Gout 182
Chapter 183 Hand and Wrist Pain
Chapter 184 Hip Pain
Chapter 186 Knee Pain
Chapter 187 Low Back Pain
Chapter 188 Myofascial Pain Syndrome
Chapter 189 Neck Pain
Chapter 190 Osteoarthritis
Chapter 191 Osteomyelitis
Chapter 192 Osteoporosis
Chapter 194 Shoulder Pain
Chapter Sprains, Strains and Fractures
Handouts pp. 732-737 pp. 737-741 pp. 744-749 pp. 750-754 pp. 755-758 pp. 759-760 pp. 761-765 pp. 766-768 pp. 769-773 pp. 733-780 pp. 784-790 pp. 790-793
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Class # 13 - ALTERNATIVE THERAPY
Required Readings:
Handout.
Benjamin, S. (July 1999) Glucosamine for arthritis: Hope or hype? Patient Care for the
Nurse Practitioner, 11-13.
Berke, Ethan & Morden, N (July 15, 2000) Medical Management of obesity. American
Family Physician, 62(2), 419-426.
Cupp, M.J. (March 1, 1999) Herbal remedies. Adverse effects and drug interactions.
American Family Physician, 59(5), 1239-1244.
Lyznicki, J, et.al. (June 1, 2001) Obesity: Assessment and management in primary care.
American Family Physician, 63(11), 2185-2196.
Moran, R. (February 15, 1999) Evaluation and treatment of childhood obesity. American
Family Physician, 59(4), 861-868.
Morelli, V. & Zoorob, R. (September 15, 2000) Alternative therapies: Part II. Congestive heart failure and hypercholesterolemia. America Family Physician, 62(5), 1325-1332.
Morelli, V & Zoorob, R.J. (September 1, 2000) Alternative therapies: Part I. Depression, diabetes, obesity. American Family Physician, 62(4), 1051-1060.
Palmieri, R.L. (February 1999) Using TENS for pain management. Patient Care for the
Nurse Practitioner, 43-45.
Pearce, K., et.al. (September 15, 2000) Update on vitamin supplements for the prevention of coronary disease and stroke. American Family Physician, 62(5),
1359-1366.
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Class #14 - CUMULATIVE FINAL EXAMINATION
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