Free Internal Medicine CME

Primary care clinicians and endocrinologists play a critical role in identifying and managing metabolic dysfunction-associated steatohepatitis (MASH) before it progresses. Results from a Med-IQ survey, however, revealed that approximately half of the respondents screen only 50% or fewer of their patients with obesity or type 2 diabetes. Patients with these conditions or other risk factors, such as metabolic syndrome, dyslipidemia, or elevated liver enzymes, should be screened using noninvasive tools like FIB-4, transient elastography (FibroScan), ELF, or VCTE.

Although lifestyle modification remains the cornerstone of treatment, pharmacologic options such as GLP-1 receptor agonists, pioglitazone, and resmetirom may be appropriate based on individual risk profiles. Most patients can be effectively managed in primary care or endocrinology settings, with hepatology referral recommended for patients with a high risk of advanced fibrosis.

In this #CME #MedX, get the latest guidance on managing hypertrophic cardiomyopathy (HCM), including confirming an obstructive HCM (oHCM) diagnosis, integrating recent clinical information on cardiac myosin inhibitor treatments, and addressing patients’ concerns and questions about living with HCM.

Early identification of atypical motor patterns is crucial for timely intervention and optimizing developmental outcomes in infants. A simple yet effective method for assessing these patterns involves observing the baby during a 30-second, 4-position exam. This examination includes careful observation of the infant in the following positions:

* Supine: Note posture, spontaneous movements, and interaction with the environment.

* Horizontal Suspension: Observe head control, trunk extension, and limb movements against gravity.

* Pull to Sit: Assess head lag, trunk activation, and ability to assist with the movement.

* Prone: Evaluate head lifting, weight-bearing through the arms, and early mobility attempts. Gain valuable insights and download resources through this complimentary CME/CE course

In this accredited CME activity, meet a patient who presents with right lower extremity pain with exertion. What will your next steps be in the management of this patient? This activity will discuss modifiable cardiovascular risk factors, sex-specific markers of risk, and management of diabetes in the presence of cardiovascular disease. The activity starts with an introduction to a patient scenario, followed by a case-related question and brief answer explanations.

Guideline updates and recommendations are key patient management tools for cardiac care. This accredited educational activity is designed for primary care physicians and presents a curated series of posts and data centered on the updated AHA/ACC/HFSA guidelines for the management of heart failure. It provides a comprehensive review of the latest evidence-based recommendations, critically examines the clinical trial data behind these guidelines, and underscores the clinical significance of early initiation of guideline-directed medical therapies and timely specialist referral to optimize patient outcomes in heart failure care.

This accredited activity for primary care providers discusses optimal therapy for patients with epilepsy. Specifically, it focuses on the importance of considering referral to epilepsy centers, especially when seizures are not well controlled. This activity also aims to educate primary care providers on how surgical evaluation and treatment may help patients achieve optimal outcomes.