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An 84-year-old woman is brought to the emergency department (ED) because of a 2-day history of nausea and intractable vomiting. On arrival, the patient appears somnolent but is arousable to verbal stimulation. She has lost more than 20 pounds of weight over the past few months, which she attributes to poor appetite. She has not passed any stool or flatus for more than 3 days. She has a history of hypertension and hypercholesterolemia. Medications include lisinopril (10 mg daily) and hydrochlorothiazide (25 mg daily).
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Credit Designation Statement: The American Geriatrics Society designates this enduring continuing medical educational activity for a maximum of 0.25 AMA PRA Category 1 Credits™.
Release Date: 06/09/2021
Expiration Date: 02/01/2024
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As an ACCME accredited provider of Continuing Medical Education, the American Geriatrics Society must ensure balance, independence, objectivity and scientific rigor in all of our educational activities. We have implemented a process wherein everyone who is in a position to control the content of an education activity has disclosed to us all financial relationships with ineligible company within the prior 24 months. Ineligible companies are those whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. AGS then reviews the disclosure information to determine which financial relationships are relevant and mitigates relevant financial relationships with ineligible companies to prevent commercial bias in the content.
The following members of the advisory panel had no relevant financial relationships with ineligible companies to disclose:
Ruben Azocar, MD
George Drach, MD
Sandhya Lagoo-Deenadayalan, MD, PhD
Andrew Lee, MD
Mike Malone MD
Myron Miller, MD
Arvind Nana, MD
Tom Robinson, MD
Victoria Tang MD, MAS
The following members of the advisory panel have reported relevant financial relationships with ineligible companies that have been mitigated through peer review of planning decisions by persons without relevant financial relationships and recusal from any aspect of planning and content related to the financial relationship:
Kevin Biese MD, MAT is a paid consultant for Call 9 Telemedicine Medical Advisor and Bristol Meyers Sqibb/Pfizer
Daniel Mendelson, MS, MD is a paid consultant for Point Click Care Touchscreen
The following members of the writing panel had no relevant financial relationships with ineligible companies to disclose:
Tomas Griebling, MD
Joseph Hejkal, MD
Melissa Hornor, MD
Jason Johanning, MD
Sushila Murthy, MD, MPH
Tony Rosen, MD, MPH
Kate Schenning, MD, MPH
The following members of the writing panel have reported relevant financial relationships with ineligible companies that have been mitigated through peer review of content by persons without relevant financial relationships:
Charles Brown, MD is a paid consultant for and receives grants from Medtronic
Badrinath Konety, MD, MBA is a paid consultant for NxThera, and Bristol Myers Squibb, Opko and receives grant funding from Photocure, Genentech, and Genomic Health
The following reviewers had no relevant financial relationships with ineligible companies to disclose:
Shamsuddin Akhtar, MD
Patrick Kortebein, MD
Joseph LoCicero, MD
This CME activity is supported by a grant from the John A. Hartford Foundation.
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