Internal Medicine Alert (Vol. 38, No. 1) - January 15, 2016

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Release date: January 2016

Valid through: January 2019

Target Audience

This CME activity is intended for the internist/family physician.


  • Effect of Modified Valsalva Maneuver for Emergency Treatment of Supraventricular Tachycardia
  • Utility of Non-traditional Risk Factors
  • Pharmacology Update: Mepolizumab Injection (Nucala)
  • Carotid Occlusion Rarely Develops from Asymptomatic Carotid Artery Stenosis
  • Clinical Briefs: Good Cardiovascular News from the SGLT2 Inhibitor Class?; Spironolactone Best Add-on for Resistant Hypertension; Vitamin D: Conclusions From an NIH Conference
  • ECG Review: Early Repolarization or Something More?



  • Describe new findings in differential diagnosis and treatment of various diseases
  • Describe the advantages, disadvantages and controversies surrounding the latest advances in the diagnosis and treatment of disease
  • Identify cost-effective treatment regimens
  • Explain the advantages and disadvantages of new disease screening procedures.

Credit Available


  • Maximum of 2.0 AMA PRA Category 1 Credits
  • 2.0 AOA Category 2-B credits
  • 1.0 AAFP Credits


This activity is sponsored by AHC Media.

Accreditation Statement

AHC Media is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Credit Designation


AHC Media designates this enduring material for a maximum of 2.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 2.0 MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

The American Osteopathic Association has approved this continuing education activity for up to 2.0 AOA Category 2-B credits.

Internal Medicine Alert has been reviewed and is acceptable for up to 1.0 Prescribed credit by the American Academy of Family Physicians. AAFP accreditation begins Jan. 15, 2016. Term of approval is for one year from this date with the option of yearly renewal.

Faculty Listing


Stephen A. Brunton, MD

Adjunct Clinical Professor

University of North Carolina, Chapel Hill



James Chan, PharmD, PhD

Pharmacy Quality and

Outcomes Manager, Kaiser

Permanente, Oakland, CA


William T. Elliott, MD, FACP

Chair, Formulary Committee,

Northern California Kaiser

Permanente; Assistant Clinical

Professor of Medicine, University of California, San Francisco


Ken Grauer, MD

Professor Emeritus in Family Medicine, College of Medicine,

University of Florida


Seema Gupta, MD, MSPH

Clinical Assistant Professor, Department of Family and Community Health, Joan C. Edwards School of Medicine, Marshall University, Huntington, WV


Harold L. Karpman, MD, FACC, FACP

Clinical Professor of Medicine, UCLA School of Medicine


Louis Kuritzky, MD

Clinical Assistant Professor,

University of Florida, Gainesville


Martin S. Lipsky, MD

Chancellor, South Jordan Campus, Roseman University of Health Sciences, South Jordan, UT


Joseph E. Scherger, MD, MPH

Vice President, Primary Care, Eisenhower Medical Center; Clinical Professor, Keck School of Medicine, University of Southern California


Penny Tenzer, MD

Associate Professor and Vice Chair, Department of Family Medicine and Community Health Chief of Service, Family Medicine, University of Miami Hospital University of Miami Miller School of Medicine


Allan J. Wilke, MD, MA

Professor and Chair Program Director Department of Family Medicine Western Michigan University School of Medicine, Kalamazoo



Gerald Roberts, MD

Senior Attending Physician Long Island Jewish Medical Center NS/LIJ Health Care System New Hyde Park, NY

Financial Disclosure

Internal Medicine Alert’s editor, Stephen Brunton, MD, is a retained consultant for Abbott, AstraZeneca, Becton Dickinson, Boehringer Ingelheim, Janssen, Lilly, Novartis, Novo Nordisk, Sanofi, and Teva; he serves on the speakers’ bureau of AstraZeneca, Boehringer Ingelheim, Janssen, Lilly, Novo Nordisk, and Teva. Peer reviewer Gerald Roberts, MD; executive editor Leslie Coplin; and associate managing editor Jonathan Springston report no financial relationships relevant to this field of study.

Dr. Karpman reports no financial relationships relevant to this field of study.

Michael Crawford, MD, Professor of Medicine, Chief of Clinical Cardiology, University of California, San Francisco, reports no financial relationships relevant to this field of study.

Matthew E. Fink, MD, Louis and Gertrude Feil Professor in Clinical Neurology and Chairman, Department of Neurology, Weill Cornell Medical College; Neurologist-in-Chief, New York Presbyterian Hospital, reports no financial relationships relevant to this field of study.

Drs. Elliott and Chan report no financial relationships relevant to this field of study.

Dr. Grauer is the sole proprietor of KG-EKG Press, and publisher of an ECG pocket brain book.

Copyright 2016, AHC Media. All rights reserved.