Latest Updates

Blunt Cerebrovascular Injuries

Clay Cothren Burlew, MD, FACS
    • Multislice (> 64 slice) computed tomographic angiography is the routine imaging test performed to identify blunt cerebrovascular injury (BCVI).
    • With noninvasive imaging used for BCVI identification, screening criteria have recently been expanded.
    • Antithrombotic treatment almost universally prevents BCVI-related stroke.
    • Endovascular therapy for BCVI should be reserved for those patients who are markedly symptomatic from their injury or have an enlarging pseudoaneurysm on repeat imaging.

Blunt Cerebrovascular Injuries

Clay Cothren Burlew, MD, FACS
    • Multislice (> 64 slice) computed tomographic angiography is the routine imaging test performed to identify blunt cerebrovascular injury (BCVI).
    • With noninvasive imaging used for BCVI identification, screening criteria have recently been expanded.
    • Antithrombotic treatment almost universally prevents BCVI-related stroke.
    • Endovascular therapy for BCVI should be reserved for those patients who are markedly symptomatic from their injury or have an enlarging pseudoaneurysm on repeat imaging.

Factitious Disorders

James Amos, MD, Donald W. Black, MD, Michael Strong, MD, PGY-2
    • Overview of historical classification for Munchausen syndrome and how this relates to current DSM-5 criteria for factitious disorder as a somatic symptom disorder
    • Most recent comprehensive reviews of factitious disorder case reports, including discussion of common clinical presentation and comorbid psychopathology
    • Consideration of various clinician approaches when discussing a diagnosis of factitious disorder with patients   

Overview Of Schizophrenia And Other Psychotic Disorders

Donald W. Black, MD, James A Wilcox, DO, PhD
    • Psychotic disorders have been reclassified by grouping together those considered to fall within a schizophrenia spectrum.
    • Delusional disorder no longer requires the presence of nonbizarre delusions.
    • Schizophrenic subtypes (paranoid, disorganized, catatonic) were discontinued in the DSM-5. 2020 APA practice guidelines to be published.

Overview Of Schizophrenia And Other Psychotic Disorders

Donald W. Black, MD, James A Wilcox, DO, PhD
    • Psychotic disorders have been reclassified by grouping together those considered to fall within a schizophrenia spectrum.
    • Delusional disorder no longer requires the presence of nonbizarre delusions.
    • Schizophrenic subtypes (paranoid, disorganized, catatonic) were discontinued in the DSM-5. 2020 APA practice guidelines to be published.

Overview Of Schizophrenia And Other Psychotic Disorders

Donald W. Black, MD, James A Wilcox, DO, PhD
    • Psychotic disorders have been reclassified by grouping together those considered to fall within a schizophrenia spectrum.
    • Delusional disorder no longer requires the presence of nonbizarre delusions.
    • Schizophrenic subtypes (paranoid, disorganized, catatonic) were discontinued in the DSM-5. 2020 APA practice guidelines to be published.

Open Rhinoplasty

Paul Hwang, MD, Samuel J. Lin, MD, Nargiz Seyidova, MD, Ginger Xu, MD
    • Cartilage grafting helps to restore nasal architecture, provides support, refinement, contouring and visual enhancement
    • Functional preservation maintains nasal skeletal framework and reduces complex revisions by destabilisation of these structures
    • Open approach allows for the ability to have total exposure, accurately diagnose the nasal deformities and meticulously shape the cartilaginous and bony framework

Pharmacologic Differences in Children

Raymond Park, MD, Lauren Kelly Ugarte, MA, MD
    • There is increasing focus on the impact of anesthetic medication effects on the developing brain with a goal to improve patient safety.
    • Dexmedetomidine is one particular medication found to confer protection to the developing brain in the anesthesia setting and will likely have increasing clinical applications for the pediatric anesthesiologist.
    • Technology and innovative engineering have led to the development and application of tools to improve pediatric patient compliance with anesthesia-related procedures such as needleless medication delivery systems to aid in painless IV placement and the use of small electronics as distraction for mask induction.
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