Presentation and Management of Pediatric Acute-Onset Neuropsychiatric Syndrome (PANS)

ONLINE CME COURSE

Internet Enduring Material Sponsored by the Stanford University School of Medicine. Presented by the Departments of Pediatrics and Psychiatry and Behavioral Health at the Stanford University School of Medicine.

Course Description

This CME activity provides a practical approach to the recognition and management of Pediatric Acute-Onset Neuropsychiatric Syndrome, also referred to as PANS. PANS is relatively newly understood, under-identified, and therefore under-treated in clinical practice. In PANS, “medical” infectious and inflammatory diseases present with severe, often debilitating “mental” psychiatric and neurological symptoms. When the connections between infection, inflammation and PANS symptoms are not suspected and identified, the opportunity for clinical treatment may be missed or delayed.  During this course, typical presentations will be illustrated with case scenarios. Different aspects of evaluation will be demonstrated, including physical examination for neurological soft signs. Treatment algorithms will also be demonstrated, and the role of family education, multidisciplinary coordination and need for school accommodations will be discussed.

Intended Audience

This course is designed to meet the educational needs of physicians from a wide variety of specialties including primary care, family practice, pediatrics, neurology, psychiatry, and other specialties such as pediatric emergency care, adolescent medicine, pediatric neurology, pediatric otolaryngology, pediatric allergy/immunology, pediatric rheumatology, pediatric hospitalist, pediatric urology and pediatric sleep medicine.

Dates, Duration and Fee

  • Release Date: December 20, 2018
  • Expiration Date: December 20, 2020
  • Estimated Time to Complete:  1.75 hours
  • CME Credits Offered: 1.75
  • Registration Fee: FREE

To Obtain CME Credits

  • Review the information below and complete the entire activity.
  • Complete the CME Post-test, CME Assessment Survey, and CME Activity Completion Statement at the end of the activity.
  • You must receive a score of 75% or higher on the post-test in order to receive a certificate. You will have two attempts to answer each multiple-choice question (or one attempt for questions with only two options) to pass the post-test.
  • Once you attest to completing the entire online activity and have scored 75% or higher on the post-test, your certificate will be generated automatically and will be available on your Dashboard page.
  • Physicians will be awarded AMA PRA Category 1 Credits™. All other participants will receive a Certificate of Participation.

Learning Objectives

At the conclusion of this activity, participants should be able to:

  • Recognize the signs and symptoms of PANS in patients.
  • Administer the appropriate first line treatments to PANS patients.
  • Effectively refer PANS patients to specialist care and coordinate care with these healthcare providers.
  • Educate and counsel PANS patients and their families on care at home and at school.

TABLE OF CONTENTS

Introduction

Test Your Knowledge

What is PANS?

Meet Darius: Patient Case

Review of Systems: Patient Case

Neuropsychiatric Review of Systems: Patient Case

Physical Exam: Patient Case

Lab Evaluation: Patient Case

First-Line Treatment and Care: Patient Case

Course Wrap-Up

Resources and References

Help!

Disclosures

The following planner adn speaker has indicated that she has no relationships with industry to disclose relative to the content of this activity:

Margo Thienemann, MD
Clinical Professor of Psychiatry and Behavioral Sciences - Child and Adolescent Psychiatry
Co-Director, Stanford Pediatric Acute-Onset Neuropsychiatric Syndrome (PANS) Clinic
Stanford University School of Medicine
Course Director
Speaker

Technical Design and Development

Hardware/Software Requirements

  • Computer with Internet connection
  • Current version of Chrome, Firefox or Safari browser. You must have javascript enabled.

Accreditation and Designation of Credits

The Stanford University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Stanford University School of Medicine designates this enduring material for a maximum of 1.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The American Nurses Credentialing Center (ANCC) accepts AMA PRA Category 1 Credit TM from organizations accredited by the ACCME. Please check with your state’s credentialing board for their requirements.

Commercial Support Acknowledgement

Stanford University School of Medicine has received and has used undesignated program funding from Pfizer, Inc. to facilitate the development of innovative CME activities designed to enhance physician competence and performance and to implement advanced technology. A portion of this funding supports this activity.

 

Cultural and Linguistic Competency

California Assembly Bill 1195 requires continuing medical education activities with patient care components to include curriculum in the subjects of cultural and linguistic competency. It is the intent of the bill, which went into effect July 1, 2006, to encourage physicians and surgeons, CME providers in the State of California and the Accreditation Council for Continuing Medical Education to meet the cultural and linguistic concerns of a diverse patient population through appropriate professional development. The planners and speakers of this CME activity have been encouraged to address cultural issues relevant to their topic area. The Stanford University School of Medicine Multicultural Health Portal also contains many useful cultural and linguistic competency tools including culture guides, language access information and pertinent state and federal laws.

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CONTACT INFORMATION

If you are having problems, contact the CME Online support team at CMEonline@stanford.edu and we will follow-up with you to resolve your issue.

Bibliography

Clinical Evaluation of Youth with Pediatric Acute-Onset Neuropsychiatric Syndrome (PANS): Recommendations from the 2013 PANS Consensus Conference https://www.liebertpub.com/doi/10.1089/cap.2014.0084

Clinical Management of Pediatric Acute-Onset Neuropsychiatric Syndrome: Part I—Psychiatric and Behavioral Interventions https://www.liebertpub.com/doi/10.1089/cap.2016.0145

Clinical Management of Pediatric Acute-Onset Neuropsychiatric Syndrome: Part II—Use of Immunomodulatory Therapies https://www.liebertpub.com/doi/10.1089/cap.2016.0148

For a complete list, please view the References/Bibliography page in the Course.

©2018 Stanford University School of Medicine

Course Details

  • Ongoing registration for this self-paced course is available until: December 20, 2020
  • Estimated Time to Complete: 1.75 hours
  • CME Credits Offered: 1.75
  • Registration Fee: FREE

Contact Information

If you are having problems, contact the CME Online support team at CMEonline@stanford.edu and we will follow-up with you to resolve your issue.

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