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1. Explain the importance of early diagnosis in strep pharyngitis and the consequences of a late diagnosis or non-treatment in the pediatric population.
2. List the causes and latest therapy for esophageal varices.
3. Summarize the prevalence, transmission, testing and current treatment options for Hepatitis C.
4. Describe the lifestyle modifications and medications for Gastroesophageal Reflux Disease (GERD).
5. List the lab tests used to diagnose Non-Alcoholic Fatty Liver Disease (NAFLD) from other similar GI presentations.
6. Define the long term sequelae of IBD and the current recommendations for treatment.
7. Identify the importance of differentiating the 2 types of acute pancreatitis and the current pharmacologic therapies recommended as treatment.
8. Describe the role of pain management in chronic pancreatitis.
9. Differentiate treatment therapies between Ulcerative Colitis and Crohn’s Disease.
10. Utilize the newest therapies for gastroparesis.
11. Explain the lab tests needed to differentiate the various GI diseases.

Oropharyngeal Disorders

• Tonsils
  • Tonsillar problems in children
• Strep
  • Consequences of untreated strep
• Angioedema
  • Medication interactions

Esophagus

• Achalasia
• Thrush
  • Impact on the GI system
• Esophageal Varices
• Swallowing Disorders
  • Odynophagia
  • Globus
  • Oropharyngeal dysphagia
  • Esophageal dysphagia

Hepatitis C

• Transmission/Risk
• Differentiating serologic versus viral testing
• Current and future treatment options

Gastroesophageal Reflux Disease (GERD)

• Current therapies and OTC therapies
• Medicating vs not medicating
• Complications related to persistent reflux

Irritable Bowel Syndrome

• Manning Criteria
• Red flags and warning signs
• Complex treatment plan strategies

Non-Alcoholic Fatty Liver Disease (NAFLD)

• Clinical and laboratory features
• Who is at risk?
• Lab test results
• Diagnosis and treatment
• Approaches to care

Small Intestines

• Celiac Disease
• Design a treatment plan

Pancreatic Disorders

• Acute
• Chronic
• Treatment for minor to severe presentations
• Long term management

Constipation & Diarrhea

• What patients are at risk?
• Treatments

Inflammatory Bowel Disease

• Ulcerative colitis symptoms
• Crohn’s disease symptoms
• Difference in treating these two disorders
• Treatment modalities
• Collagenous colitis

Diverticular Disease

• Treatment
• Medical and dietary strategies

Colon Cancer

• Importance of early diagnosis and proper screening
• Duke Staging
• Once cancer is present, how it stages
• 5 year prognosis
• Colonoscopy
• How, what and why to tell patients

Gastroparesis

• Complications and long term problems
• Current therapies

Understanding the Lab Test Results

• Liver Function Test
• Easily read labs tests and interpret them
• GGT
• GGT and ETOH use
• Bilirubin
• Lab test results don’t match the patient’s clinical appearance?

Hemochromatosis

• Who is at risk?
• What organs does it affect

Patricia Ryan began her career in orthopedics 26 years ago working as a medical secretary in New York City. Working throughout RN school at the practice, she stayed in orthopedics for seven years. After moving to Kansas City and working on the med/surg, orthopedic floor for 10 years, she continued her educational path and achieved a Bachelors and Master's Degree from University of Missouri, Kansas City. Shortly afterwards, the family moved to Belfast, Maine and she worked for the only hospitalist group in town. Breaking out of the hospital, Patty opened up her own "house call" NP practice prior to moving to California.

Coming full circle, Patty has returned to orthopedics, now as a nurse practitioner. She performs pre-op examinations, office visits and post-operative care. Her clinical skills include intra-articular injections as well as casting procedures. Patty has also initiated the "Own the Bone" program for the treatment of osteoporosis as a major step in primary prevention of hip fractures, especially for women.

Patty has taught high school students who were interested in working in the healthcare field and is on the faculty at the University of Phoenix. She has worked as a hospitalist, ER provider, an outpatient provider in a multi-disciplinary clinic and now restarted her "house call" practice in Palm Springs, California. Patty also achieved the Educator of the Year award for her work with the American Heart Association in 2013.

Speaker Disclosures:

Financial: Patricia Ryan has an employment relationship with Primary Critical Care Medical Group. She receives a speaking honorarium from PESI, Inc.

Non-financial: Patricia Ryan is a member of the California Nurse Practitioner Association and the American Academy of Nurse Practitioners.

For U.S. and Canadian customers, a CE test is available for $9.99 USD per participant. International CE rates may vary; please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion may be emailed, faxed or mailed to participants completing the post-test/evaluation and paying the CE fee.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

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Registered Dietitians & Dietetic Technicians

PESI, Inc., PE001, is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR) from July 1, 2019 through June 30, 2022. Registered dietitians (RDs) and dietetic technicians, registered (DTRs) will receive 6.0 continuing professional education units (CPEUs) for completion of this program/materials. Continuing Professional Education Provider Accreditation does not constitute endorsement by CDR of a provider, program, or materials. This self-study program/material is designated as LEVEL 2.

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Nurses/Nurse Practitioners/Clinical Nurse Specialists - Credit Expired: 10/23/2017
No CE available for this board.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 6.0 self-study contact hours.

You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses: PESI, Inc. is an approved provider by the Florida Board of Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.

Iowa Nurses: PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 6.3 self-study contact hours.

Copies of the evaluation may be sent to the IBON. You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Occupational Therapists & Occupational Therapy Assistant: PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number 50-399. This self-study course qualifies for 6.3 continuing education credits.

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Physical Therapists & Physical Therapist Assistants
This self-study course consists of 6.25 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.

California Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 6.25 continuing competency hours.

Illinois Physical Therapists & Physical Therapist Assistants: PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 6.0 CE credit hours.

New York Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 7.6 contact hours.

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Other Professions
This self-study activity qualifies for 6.25 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

Nurses, Gastroenterology Nurses, Registered Dietitians & Dietetic Technicians, Physician Assistants, Occupational Therapists, Physical Therapist and other Healthcare Professionals