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Fever in the Splenectomized Patient Author: Thomas
Rushton (Click HERE for
author disclosures, and HERE for
CME Committee Disclosures) To obtain CME Credit: 1) Register for CME benefits through antimicrobe.org, 2) read, reflect, and complete the online monograph “Fever in the Splenectomized Patient” and fax completed test questions and evaluation to 937-208-2621, attention “Antimicrobe CME Coordinator.” Users who are not registered to apply for CME credit must click HERE for an application and cost information. CME certificates will be sent via email within 7 days of submission. To view online chapters, you will need Internet Explorer 6, Firefox 2, Safari 2 or newer; and "Cookies" enabled in your browser. You must have access to a printer and fax machine to obtain credit.
This chapter’s estimated time of completion is 90 minutes.
Monograph release date: 7/1/2010 Monograph expiration date: 12/31/2011
Click HERE for Antimicrobe.org disclosure information, CME charges, privacy statement, and other administrative information. To view the Wright State University Privacy Statement, click HERE. CME Objectives: 1. List appropriate vaccinations required in splenectomized patients. 2. Recall the common pathogens that cause infection in the splenectomized patient. CME Questions: 1. The most common reason fro removal of the spleen is due to trauma. A leading cause of splenic dysfunction, without removal of the organ, is due to:
a.
Autoimmune hemolytic anemia 2. Encapsulated bacteria produce the most fulminant infections. Which of the following is the most common etiology of overwhelming post-splenectomy infection?
a. Streptococcus pneumoniae 3. Which of the following arms of the immune system is greatly affected by splenectomy
a. Innate 4. Which of the following finding on a peripheral blood smear strongly suggests the presence of a dysfunctional spleen?
a. RBC hemolysis 5. The most important vaccination indicated to prevent OPSI is:
a.
Pneumococcal vaccine 6. The recommended time to administer the pneumococcal vaccine is :
a. Just
prior to splenectomy 7. In which population has antibiotic prophylaxis shown the most utility?
a. Infants 8. A comprehensive approach to preventing OPSI includes which of the following:
a.
Immunoprophylaxis CME Evaluation
1. Did this monograph help you identify fever in the splenectomized criteria and understand the differential diagnosis? Yes No 2. Do you now understand that fever in the splenectomized can be caused by both infectious and non-infectious etiologies? Yes No 3. Was timely and will influence how I practice? Yes No 4. Will help me improve my patient care? Yes No 5. Was free of commercial bias? Yes No a. If no, explain:__________________________________________________ Name: ________________________________________________________________ Address: ______________________________________________________________ Address: ______________________________________________________________ City: _________________ State: _____________________ Zip: ____________ Phone Number: (____)________________ Email Address: _______________________ CME Credits Claimed________________
Wright State University (WSU) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. This educational activity is awarded a maximum of 1.5 category 1 credits toward the AMA Physician's Recognition Award. Each physician should only claim credit for time that he/she spent in the activity.
Wright State University Department of Medicine C/O CME Coordinator 128 East Apple St CHE Bldg 2nd Floor Dayton, Ohio 45409 937-208-2621 |
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