CAPACon 2022 Course Descriptions

Cool Cases Track
Cool Cases in Women’s Reproductive Health
Anita Nelson, MD

Up to 20% of women will experience heavy menstrual bleeding (HMB) at some time in their adult lives. The causes of this condition vary by age and risk factors. To develop relevant diagnostic plans for patients presenting with classic and unusual cases of acute and chronic HMB, clinicians must be aware of the full gamut of causes and the latest information on diagnoses and treatment. After this session, PAs will be able to counsel patients on the efficacy, mechanisms of action, and safety of various therapies to treat HMB.

Dr. Anita Nelson, Professor and Chair of OB-GYN at Western University of Health Sciences, will present a variety of cases to:
  • Describe treatment options to arrest acute HMB
  • Develop differential diagnoses for HMB at different ages
  • List the “red flags” and “zebras” to consider when evaluating patients with HMB
Misses & Near Misses from the ER
D. Brady Pregerson, MD, FAAEM

Diagnostic error is one of the most important safety problems in healthcare and occurs more frequently in the emergency department than in regular in-patient hospital care. Research has found that the primary cause of these errors is knowledge-based failures - clinicians having insufficient knowledge, applying knowledge incorrectly, or just not having the most updated information.

Using cases he has encountered in his 25 years of experience, Dr. D. Brady Pregerson, an emergency medicine specialist, will:
  • Reveal the common pitfalls to an accurate diagnosis
  • Distinguish when to trust medical history or your exam over diagnostic test results
  • Show how to elevate physical exams so they are more accurate
Type 3 Diabetes? When it’s Not the Typical Type
Ji Chun, PA-C, BC-ADM

Patients presenting with hyperglycemia are often defaulted to having type 2 diabetes (DM2). Although much less common than DM2, other forms of diabetes (secondary diabetes) are present in 5-10% of diabetes patients. It is crucial for PAs to provide timely and accurate diagnosis of these cases to address the real underlying pathology and determine the appropriate treatment to prevent disease progression.

CJ, Immediate Past President of the American Society of Endocrine PAs, will provide participants with the tools to:
  • Recognize different types of diabetes
  • Describe the features suggestive of relatively uncommon types of diabetes
  • Understand how to properly diagnose different types of diabetes
Cool Cardiology Cases
Jennifer Carlquist, PA-C

Many PAs lack sufficient electrocardiogram (EKG) education to identify high-risk findings that could be life-threatening in their patients. Cardiology expert, Jennifer Carlquist, PA-C, will engage participants in this session to review various cases of high-risk EKG findings. The goal is to make sure PAs are able to cast a wide net to ensure that they do not miss signs of potentially life-threatening conditions.  

Participants in this session will learn to:
  • Identify the 4 EKG findings associated with a pulmonary embolism
  • Detect Wolff-Parkinson-White Syndrome
  • Take the next steps when the EKG shows non-specific ST-T wave changes
Can’t Miss Cases in the ER
Joe Gilboy, PA-C

In addition to having a strong understanding of a condition’s characteristic symptoms, it is important for PAs to understand the atypical presentations of serious conditions that may present to them in a family practice clinic, urgent care, or emergency room. Missing these cases can result in catastrophic outcomes. PA Gilboy seeks to prepare participants to have a high index of suspicion and work up these atypical presentations effectively.

PAs that attend this session will learn how to:
  • Recognize atypical presentations of various acute processes
  • Appropriately workup patients with atypical presentations
  • Order the appropriate labs and imaging for various conditions
A Case that’ll Make You Sweat
John Beuerle, MD

Rare neurologic conditions can sometimes present with symptoms that are seen in more common conditions. Therefore, clinicians must maintain a broad differential diagnosis and be aware of conditions that are often misdiagnosed during a patient’s initial clinical presentation. Dr. John Beuerle, EMS Medical Director for Monterey County, will keep the audience on the edge of their seat with an interesting case discussion.

Participants in this session will learn to:
  • Develop a differential diagnosis for patients with acute neurologic deficits
  • Recognize physical exam findings that are helpful in the localization of neurologic lesions
  • Describe the appropriate work-up, treatment, and medical consultations for specific neurologic conditions in the emergency department
Ulceration and Behcet’s Disease
Katrina Duarte, MSPAP, PA-C

Behcet's Disease is considered a rare disease in the United States. One of the reasons that it continues to be undiagnosed is due to misdiagnosis and the stigma associated with genital lesions. By educating clinicians on the diagnostic criteria for Behcet's Disease, PA Duarte hopes that practices will be able to diagnose this condition sooner and in turn, lessen the suffering that Behcet's patients experience.

After attending this session, participants will be able to:
  • Identify differentials for genital and oral ulceration
  • Recognize the key signs and symptoms of Behcet’s Disease
  • Begin treatment for Behcet’s Disease at a primary care level
Cases in Dermatology: Working Through Differential Diagnoses
Raja Sivamani, MD, MS, AP

Skin visits are among the most common concerns in outpatient clinics. However, the assessment of dermatological conditions can be challenging and frequently require an extensive differential diagnosis. There is often a knowledge and treatment gap when assessing dermatological conditions. Dr. Sivamani, Adjunct Associate Professor of Clinical Dermatology at UC Davis, seeks to address that gap by discussing cases in the context of a differential diagnosis.

PAs that attend this session will be able to:
  • Describe the significance of clinical features on the skin that narrow a differential diagnosis
  • Recognize when a referral to dermatology or a dermatologist is necessary
  • Develop differential diagnoses for neoplastic, inflammatory, or infectious dermatological conditions