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Diffuse Idiopathic Skeletal Hyperostosis

Unlimited Physician MD/DO/PA CME

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  Diffuse Idiopathic Skeletal Hyperostosis

Credits: 1.00   Post-Assessment Questions:  6

Release Date: 5 Oct 2020
Expiration Date: 10 Aug 2021
Last Reviewed: 10 Aug 2020
Estimated Time To Finish: 60 Minutes

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Activity Description

Diffuse idiopathic skeletal hyperostosis (DISH) is a systemic condition characterized by characteristic ossification patterns that can occur in the spine and peripheral entheses. DISH most commonly affects the spine and often presents as back pain and stiffness. Resnick et al. originally coined the term DISH in 1975 and is now the most commonly used term to describe this condition in the literature. The term is both inclusive and descriptive of the disorder. The ossifications are classically described as in the spine as flowing ossifications along the anterolateral aspect in at least three successive vertebral levels, or four contiguous vertebrae. Although less common, peripheral enthesopathy can occur at the shoulder, elbow, knee, or calcaneus. DISH in the spine most commonly occurs on the right side of the thoracic spinal segment. This activity reviews the etiology, presentation, evaluation, and management of diffuse idiopathic skeletal hyperostosis and reviews the role of the interprofessional team in evaluating, diagnosing, and managing the condition.

Target Audience

This activity has been designed to meet the educational needs of physicians.

Learning Objectives

At the conclusion of this activity, the learner will be better able to:

  • Summarize the criteria for DISH on plain film radiographs.
  • Describe the examination and evaluation criteria for a diagnosis of DISH, including radiographic and laboratory analysis.
  • Review the management options available for a patient with diffuse idiopathic skeletal hyperostosis.

Author(s) / Contributors Disclosure of Conflicts of Interest

Each author, editor, faculty and planning committee member have completed a disclosure form indicating that neither they nor their spouse/partner has a financial interest/arrangement or affiliation that could be perceived as a real or apparent conflict of interest related to the content of this activity.

COMMERCIAL SUPPORT: This activity has received NO commercial support.

Contributors

Hover over the contributor names to see details and disclosures of any financial relationships or relationships they or their spouse/life partner have with commercial interests related to the content of this continuing education activity.

Authors: T. David Luo
Editors: Matthew Varacallo
Editors-In-Chief: Cynthia OsterWanda Wright
Chief Medical Reviewer: Anterpreet Dua
Nurse Planner/Reviewer/Editor: Lisa Haddad
Pharmacy Planner/Reviewer/Editor: Mark Pellegrini
Physician Planner/Reviewer/Editor: Scott Dulebohn

Continuing Education Accreditation Information


This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Quillen College of Medicine, East Tennessee State University, and StatPearls, LLC. The Quillen College of Medicine, East Tennessee State University is accredited by the ACCME to provide continuing medical education for physicians.

Quillen College of Medicine, East Tennessee State University designates this activity for a maximum of 1.00 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

 

Cancellation Policy: Cancellations must be received in writing and a money-back guarantee is provided if not completely satisfied.

  • StatPearls and ETSU reserve the right to cancel any course due to unforeseen circumstances. StatPearls and ETSU will not be responsible for other expenses incurred by the participant in the unlikely event that the program is canceled.

Equal Opportunity

  • StatPearls and ETSU are Equal Opportunity / Affirmative Action / Equal Access Institutions. 

Medium or Media Used:

  • Computer Requirements:  Internet Access
  • E-mail Address

Instructions for Credit

  1. Register for the activity and create a StatPearls login.     
  2. Review the required accreditation information:  Target audience, learning objectives, and disclosure information.
  3. Complete the entire self-study activity.
  4. Complete the post-test assessments.
  5. Successfully pass the post-test with a minimum score of 100%.
  6. Complete the evaluation form.
  7. Obtain a certificate.

StatPearls and ETSU adhere to ACCME Standards regarding commercial support of continuing medical education. It is the policy of StatPearls and ETSU that the faculty and planning committee disclose real or apparent conflicts of interest relating to the topics of this educational activity, that relevant conflict(s) of interest are resolved, and also that authors and editors will disclose any unlabeled/unapproved use of drug(s) or device(s) during their presentation. Detailed disclosure will be made prior to starting the activity.

The information provided at this CME/CE activity is for continuing education purposes only and is not meant to substitute for the independent medical/clinical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition.

Media Usage Rights

The contributors and editors of StatPearls have attested that all associated media (images and video) have been legally cleared for use with this activity.  All copyrights are reserved.

  • Name: 'Brain tumor 1 012.JPG' Attribution: Contributed by Orlando De Jesus, MD

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