Multiple Small Feedings of the Mind

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MSFM: Nephrology, Cardiology, and Gastroenterology

Session #: 850-205
Presenter(s): Fernando S. Velayos, MD; Lisa L. Ellis, MD, Member; Robert S. Gibson, MD, MACP; Todd W. B. Gehr, MD
Session Length: 1 hr. 30 min.
Event: Internal Medicine 2010
Date: April 22-24, 2010

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MSFM 002
MSFM: Nephrology, Cardiology, and Gastroenterology

Clinical questions to be addressed:

Nephrology

How has the evaluation for secondary hypertension changed in recent years? What is the role of a single-screening renin/aldosterone test? Has magnetic resonance angiography replaced the captopril challenge test? How does spot metanepherines testing compare with 24-hour testing?
How should the renin level affect the choice of first-line antihypertensive medications?
At what glomerular filtration rate should the internist initiate the evaluation and management of the complications of chronic renal dysfunction?

Cardiology

In the management of congestive heart failure, do the newer beta-blockers (e.g., carvedilol or nevibulol) differ from the older beta-blockers (e.g., metoprolol or atenolol)?
What are the most recent management strategies recommended for the treatment of diastolic heart failure?
How should the C-reactive protein level be used in choosing statins? In setting LDL cholesterol level goals?

Gastroenterology

Is there new information regarding gluten test specificity or sensitivity? Should all four celiac antibodies (tissue transglutaminase, endomysial, reticulin, and gliadin) be used to make a diagnosis of celiac disease?
How should patients with celiac disease be managed long-term? How frequently should patients with celiac disease be screened for calcium, iron, and other vitamin deficiencies?
What patients are good candidates for the use of lubiprostone? Should lubiprostone be initiated in patients without a diagnosis of constipation-predominant irritable bowel syndrome?