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The Canadian Journal of CME
2003 Back Issues

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January 2003

CME Workshop
Ankle Troubles: Commonly Missed Sports Injuries in the Achilles Tendon
By Ivy Cheng, MD, FRCP, Dip. Sports Medicine

Follow two cases, a 29-year-old female and a 75-year-old female, with Dr. Cheng, as she reveals the appropriate physical exam and management of Achilles tendon.


Feature 1
Helicobacter pylori: The View from 2002
By Alvin Newman, MD, FRCPC, FACP, FACG

Dr. Newman reviews where the medical community stood in 2002 and the changes regarding the role of H. pylori in various human diseases.


Feature 2
Incontinence: The Silent Scourge of the Young and Old
By Sender Herschorn, BSc, MDCM, FRCSC

Patients no longer have to suffer in silence. Dr. Herschorn takes a look at treatment options for an illness that affects men and women of all ages.


Feature 3
Ending the Worry Over Anxiety Disorders
By Sagar V. Parikh, MD, FRCPC

Despite it being the most common psychiatric affliction, anxiety disorder can be complicated to treat. From medication to psychotherapy, doctors face many options, but which ones are the most effective?


Feature 4
Approaching the Patient with Headache
By Jonathon Gladstone, BSc, MD; and John Edmeads, MD, FRCPC

When patients complain of headaches, getting their history is an essential part of the physical examination. What else should doctors be looking for?


Feature 5
Five-Minute Neurologic Exam: A Primer on the NIH Stroke Scale
By David J. Gladstone, BSc, MD; Jonathon Gladstone, BSc, MD; and Sandra E. Black, MD, FRCPC

What exactly is the National Institutes of Health Stroke Scale and how can it be used to perform a rapid assessment for acute stroke?


Feature 6
Finding the Right Clues: Hereditary Bleeding Disorders
By Mary-Frances Scully, MD, MRCPI, FRCP

With the use of a case study and diagnostic photos, Dr. Scully examines this relatively common disorder. She reviews its management and treatment and describes the appropriate candidates for screening.

Editorial, Making CME even better!
By Dave Davis, MD, CCFP, FCCP


University Briefs

Office Tips
Presented by Vernon Curran, PhD and Memorial University of Newfoundland
• Preventing Torticollis and Plagiocephaly


You Asked About
Presented by Presented by Barry Goldlist, MD from the University of Toronto
• Should Elderly Patients Drive?


Up Close:
A Look at Dermatological Diagnosis
Presented by Catherine McCuaig, MD, FRCPC and l’Université de Montréal


CME Credit Quiz


Upcoming


Calendar
Upcoming events at the University of Toronto

CME Workshop
Is this just a Headache?
By Werner J. Becker, MD, FRCPC

Headache is the most common reason for a medical visit, yet the many different classifications of headache may present a real diagnostic dilemma for physicians.
Dr. Becker outlines some types and how they can be recognised.


Feature 1
Renal Regulation: The Keys To Preventing Chronic Renal Failure
By Gil Kaplan, MD; and Braden J. Manns, MD, MSc, FRCPC

A look at some principles and practices that can optimise the care of patients with chronic renal failure, an affliction that is becoming more and more prevalent.


Feature 2
Baby Safe: Which Drugs Are Safe During Pregnancy?
By Paul Gibson, MD, FRCPC

Dr. Gibson advises that while physicians should be wary of the under-treatment of pregnant women, it is essential to know the dos and don’ts of prescribing medication to this population.


Feature 3
Off-Task and Fidgety: An Update on ADHD
By Diane Morrison, MD, FRCPC

ADHD can make life difficult for school age children and their caregivers, but there are treatment options. Dr. Morrison reviews the effects of the two main therapies for this disorder.


Feature 4
Is it a Bipolar Disorder?
By Rajamannar Ramasubbu, MD, MRCPsych, FRCPC, MSc

“Bipolar” has become a frequently used term in popular culture to refer to mood changes, but Dr. Ramasubbu takes a closer look at the medical foundations of bipolar disorder, its types, warning signs, and management.


Feature 5
Saving Sight: Stopping the Progression of Macular Degeneration
By John T Huang, MD, FRCSC, DABOph; Farrah Rhemtulla, BSc; and Peter T. Huang, MD, FRCSC, DABOph

An overview of macular degeneration, its causes, preventive measures, management, and treatment.



Feature 6
Myofascial Dysfunction and Pelvic Pain
By John Jarrell, MD, MSc, FRCSC; and Magali Robert, MD, FRCSC

An estimated 20% of the population over 18 years of age will suffer from chronic muscular pain in their lifetime. Proper diganosis and treatment have become imperative. Dr. Jarrell and Dr. Robert provide some refresher points on this topic.


Editorial, Log on to higher learning
By By John Toews, MD, FRCPC, FACP; and Jocelyn Lockyer, PhD


University Briefs

Office Tips
Presented by Vernon Curran, PhD and Memorial University of Newfoundland
• Senior Steps To Better Living


You Asked About
The Dwindles and Failure To Thrive
Presented by Presented by Barry Goldlist, MD from the University of Toronto

Up Close: A Look at Dermatological Diagnosis
Presented by Catherine McCuaig, MD, FRCPC and l’Université de Montréal


CME Credit Quiz


Upcoming


Calendar
Upcoming events at the University of Calgary

CME Workshop
When to Worry: Cervical Abnormalities
By Dianne Miller, MD, FRCSC

Dr. Miller looks at the latest trends in cervical cancer screening and describes some common abnormalities.

Feature 1
A Bleeding Ulcer: What can the GP Do?
By Robert Enns, MD, FRCP

How can gastrointestinal ulcers be assessed and what are the treatment options? Dr. Enns answers these questions and more.

Feature 2
Matters of the Heart: Coronary Artery Disease in Women
By Steven K. Wong, MD, FRCPC

This article presents recent data on the diagnosis of CAD, as well as emerging data on the effect of alcohol consumption on cardiac risk and the controversies surrounding hormone replacement therapy.

Feature 3
Screening for Colorectal Cancer: What Works and What Doesn’t?
By Alan Weiss, MD, ABIM, FRCPC

Colorectal cancer is the second leading cause of cancer mortality in Canada. Learn which screening tests are the most effective in its diagnosis and who is most at risk.

Feature 4
Living With Lupus: Helping Your Patient With Systemic Lupus Erythematosus
By Hussein M. Halaby, MBBS, ABIM, FRC; and John M. Esdaile, MD, PMPH, FRCPC

Find out what is most important in the treatment of lupus, an illness diagnosed three times more often today than it was 40 years ago.


Feature 5
Tried and True: Hypertension Guidelines
By David Wood, MD; Mann Chandavimol, MD, FRCPC; and
Andrew Ignaszewski, MD, FRCPC, FACC

Almost one quarter of the adult Canadian population has high blood pressure, but only 16% are receiving appropriate treatment. Dr. Wood, Dr. Chandavimol and Dr. Ignaszewski discuss current treatment options.


Feature 6
Top 10 Issues in Rheumatoid Arthritis
By John Wade, MD; and John R. Watterson, MD

Common clinical findings, differential diagnoses, treatment options, and more. Dr. Wade and Dr. Watterson outline the main issues in rheumatoid arthritis.


Feature 7
The GP’s Guide to Dealing with Female Urinary Incontinence
By David Wilkie, MD, DObst, RCOG, FRCSC

Urinary incontinence (UI) is a common problem for women and its prevalence increases with age. Learn how to diagnose UI to determine the best treatment options.


Feature 8
Growing Older, Getting Stronger: Preventive Health in Geriatrics
By Roger Y.M. Wong, MD, FRCPC

Dr. Wong examines the role of vaccinations, the ways to prevent complications of hypertension, and other preventive measures for health maintenance among older adults.


Feature 9
Keeping the Brain Healthy
By Stephen J. Kiraly, MD, FRCPC

Find out why brain health is so important and what the Healthy Brain Program has to offer in terms of understanding the brain as an organ of the body.


Editorial, Decision support: One important facet of technology enabled learning.
By Kendall Ho, MD, FRCPC


University Briefs

Office Tips
Presented by Vernon Curran, PhD and Memorial University of Newfoundland
A Question of Herbs
Doctors are people too!

You Asked About
Prescribing Drugs to the Elderly
Presented by Barry Goldlist, MD from the University of Toronto


Up Close: A Look at Dermatological Diagnosis
Presented by Catherine McCuaig, MD, FRCPC and l’Université de Montréal


CME Credit Quiz

Upcoming


Calendar
Upcoming events at the University of British Columbia

CME Workshop
Responding to Questions about HRT
By Werner J. Becker, MD, FRCPC

Dr. Burnett discusses the risks and benefits of, as well as alternatives to, hormone replacement therapy.


Feature 1
What’s New in Contraception?
By Denise Black, MD, FRCSC

Dr. Black reviews the latest birth control technologies available to women today.


Feature 2
Is Your Patient Bleeding Too Much?: What to do about DUB
By Emmanuel Caulley, MD, MB ChB, FRCS(C)

Dysfunctional uterine bleeding is abnormal uterine bleeding with no specific cause. Dr. Caulley discusses how to make a firm diagnosis, and the various treatment options.


Feature 3
Taking it to Heart: Cases in Heart Disease
By Andrew MacDiarmid, MD, FRCPC

Women present differently than men in cases of coronary artery disease (CAD). Dr. MacDiarmid evaluates the differences and similarities in diagnosing and treating CAD in men and women.


Feature 4
Getting to the Bottom of the Diabetic Foot
By John Embil, MD, FRCPC

Foot ulcers, which can lead to serious complications, are a very common occurrence in diabetics. Learn how to properly investigate and treat the diabetic foot.


Feature 5
Diabetes: Staying Two Steps Ahead
By Shagufta Khan, MD; and Liam J. Murphy, MD

Diabetes is on the rise and approximately half of all people with the condition are unaware of it. Dr. Khan and Dr. Murphy discuss screening, early diagnosis, and prevention.

Feature 6
The Truth about Male Sexual Dysfunction
By Michael C. Stephensen, MD, CCFP

The contributing factors and implications of male sexual dysfunction are discussed. Dr. Stephensen teaches the GP how to effectively approach patients seeking treatment.

Annual Focus on Superbugs

Cleaning House: How to Prevent Office Infections
By John Embil, MD, FRCPC; Brenda Dyck, BScN, CIC; Judy McLeod, RN, CIC; Karen Okekson, RN, CIC; and Debbie Ormiston, HRT, CIC

Scratching out the Problem: Scabies
By Judy McLeoad, RN, CIC; John Embil, MD, FRCPC; Pierre Plourde, MD, FRCPC; and Nancy Gate, RN

What’s the Itch About? Facts of Lice
By Judy McLeoad, RN, CIC; John Embil, MD, FRCPC; Pierre Plourde, MD, FRCPC; and Nancy Gate, RN

Editorial, Transforming knowledge Into Action
By Brent Kvern, MD, CCFP

University Briefs

Cases in Endocrinology
Boans, Moans, and Groans: Primary Hyperparathyroidism
By M. Usman Chaudhry, MD

Primary hyperparathyroidism is the most common cause of hypercalcemia in the outpatient population. Dr. Chaudhry discusses its diagnosis and treatment.


Up Close: A Look at Dermatologic Diagnosis
Presented by Catherine McCuaig, MD, FRCPC and l’Université de Montréal


CME Credit Quiz


Upcoming


Calendar
Upcoming events at the University of Calgary

CME Workshop
Gotta Go, Gotta Go, Gotta Go: What to Do About the Overactive Bladder
By Marshall Godwin, MD, BMedSc, MSc, FCFP

Dr. Godwin discusses the diagnosis and treatment of the overactive bladder and reviews patient case scenarios involving both women and men.

Feature 1
Picking the Perfect Pill: How to Effectively Choose an Oral Contraceptive
By Susan Chamberlain, MD, FRCSC

With over 20 different contraceptive pills to choose from, Dr. Chamberlain explains how to select an appropriate formulation for each patient, and how to manage side effects that may occur.

Feature 2
What to Do About Insulin Resistance in PCOS
By R. Hugh Gorwill, MD, FRCSC

Dr. Gorwill reviews treatment options for insulin resistance in polycystic ovary syndrome (PCOS) and takes an in-depth look at the use of metformin.

Feature 3
What’s Old is New: Update on Sexually Transmitted Infections
By Gerald Evans, MD, FRCPC

Genital tract infections are a frequent cause of visits to primary-care physicians.
Dr. Evans focuses on recent changes and advances in the treatment of STIs.

Feature 4
Skin Deep: Managing Cutaneous Infections
By Kathryn N. Suh, MD, FRCPC

Skin infections are common outpatient problems. Learn how to recognize and treat those that are most prevalent.

Feature 5
H. Pylori and Dyspepsia
Jacob Louw, MB, ChB, FCP(SA), FRCPC, Med PhD

What is the role of H. pylori in dyspepsia? Dr. Louw explains the link between the bacteria and the affliction, as well as the must-know treatment strategies for dyspepsia.

Feature 6
Manipulating Hormones: Androgen Supression in Prostate Cancer Patients
By D. Robert Siemens, MD, FRCSC

Dr. Siemens answers the unanswered questions on androgen suppression in prostate cancer, the most commonly diagnosed cancer in Canadian men.

Feature 6
How Not to Miss the Mole that Kills
By Ralph George, MD, FRCSC

Learn who is most at risk for melanoma and what to do about a suspicious lesion.

Editorial, Keeping up the pace
By Lewis Tomalty, PhD, FCCM

University Briefs

Up Close: A Look at Dermatological Diagnoses
Presented by Catherine McCuaig, MD, FRCPC and l’Université de Montréal

You Asked About: SARS
Presented by Infectious Disease specialist, John Embil, MD, FRCPC

CME Credit Quiz

Upcoming

Calendar
Upcoming events at Queen’s University

CME Workshop
Breaking Down the Barrier in Hypertension: How to Control Blood Pressure
By Denis Drouin, MD

Dr. Drouin discusses the barriers in controlling hypertension, whether blood pressure measured by physicians is reliable, and whether patients are able to measure their blood pressure at home.


Feature 1
Down Again: Strategies for Treating Refractory Depression
By Guylain Bouchard, MD, MSc, FRCPC; and Nicole Thibodeau, MD, FRCPC

Dr. Bouchard and Dr. Thibodeau demonstrate the seriousness of depression, the neurobiological concepts of the disease, and effective pharmacotherapy strategies for refractory depression.


Feature 2
Two of a Kind? Treating Both Rhinitis and Asthma
By Jacques Hébert, MD

Dr. Hébert investigates how rhinitis and asthma are linked, which treatments improve symptoms in both, and recent studies on upper and lower respiratory tract infections.


Feature 3
Road to Recovery: Key Factors for Elderly Stroke Patients
By Élisabeth Gagnon, MD; and Michel Dugas, MD, FRCPC

Dr. Dugas and Dr. Gagnon discuss the benefits of stroke rehabilitation units, how to identify rehabilitation outcome predictors, and whether age affects rehabilitation.


Feature 4
Shouldering the Pain: Tools for Evaluating and Treating a Painful Shoulder
Pierre Frémont, MD, PhD, Dip Med Sport (CASM); and François Desmeules, BSc, PT

Dr. Frémont and Dr. Desmeules describe the most common shoulder disorders, the clinical implications of recent research, and strategies for physical evaluation.


Feature 5
Alleviating the Pain: Palliative Care of Spinal Cord Compressions
By Léo Cantin, MD, FRCPS

Dr. Cantin explains what causes spinal cord compressions, the typical symptoms involved, how to examine a spinal cord compression, and the most effective treatments.


Feature 6
When It Hurts to Go: UTIs and Children
By Marie-Claire Roy, MD, FRCPC

Dr. Roy discusses how to diagnose urinary tract infections (UTIs) in children, how to treat and manage UTIs, and the precipitating factors of the infection.


Editorial
By Lucien Latulippe, MD, FRCPC


University Briefs


Up Close: A Look at Dermatological Diagnoses
Presented by Catherine McCuaig, MD, FRCPC and l’Université de Montréal


You Asked About:
• Is it atrophic vaginitis or lichen sclerosus?
• Monitoring INRs in Patients on Warfarin
• CVAs and Triptans


Cases in Endocrinology
Presented by M. Usman Chaudhry, MD, Dalhousie University


CME Credit Quiz


Upcoming


Calendar
Upcoming events at Université Laval

CME Workshop
Meningitis and Encephalitis On the Brain
By Michael R. Achong, MB, BSc, FRCPC

Follow this comprehensive set of questions and answers on various
communicable diseases and get insight into what signs to look for and the most effective treatment options.


Feature 1
Bringing Up GERD in Children
By Rabin Persad, MB, BS, FRCPC; and Robert Issenman, MD, FRCPC

Gastroesophageal reflux disease (GERD) has become one of the most common conditions referred to the pediatric gastroenterologist. Find out when to treat and what medications are available.


Feature 2
When is it ADD in Adults?
By Nick Kates, MB, BS, FRCPC

While it is often referred to as a child’s affliction, attention deficit disorder (ADD) is one of the more common psychiatric disorders in adults. But, how can an ADD diagnosis be confirmed in adults and why is it often missed?


Feature 3
Coughing Up the Facts on TB
By Andrew M. Morris, MD, MSc, FRCPC

In Canada, there are approximately 1,500 cases of tuberculosis (TB) per year, resulting in 100 deaths. How can active cases be diagnosed and when is quarantine necessary?


Feature 4
Androgens: Putting Sex Drive Back into Gear
By John A. Lamont, MD, MSc, FRCSC

Joanne, 37, is married and has had no sexual desire for over two years. How can physicians help women like Joanne deal with and overcome this very sensitive problem?


Feature 5
What About the Queasy Teen?
By Robert Issenman, MD, FRCPC; and Rabin Persad, MB, BS, FRCPC

If teenagers present with complaints, such as nausea and abdominal pain, or just feeling unwell in a vague way, how can you tell if it’s gastroparesis? What degree of investigation is necessary for such a diagnosis and how are the symptoms treated?


Feature 6
Palliative Care: More Than Just Cancer
By Elizabeth J. Latimer, MD, CCFP, FCFP

Not all palliative care patients suffer from cancer. Each has his/her own unique symptoms and any therapy must revolve around symptom control, physical care, and supportive care of patients and their families.


Feature 7
How Do I Spot Anemia in Kids?
By Isaac Odame, MB, ChB, MRCP, FRCPath, FRCPCH

How is anemia diagnosed in children and when is it necessary to refer?


Editorial
By Michael L. Marrin, MD, FRCPC


University Briefs


Up Close: A Look at Dermatological Diagnoses
Presented by Catherine McCuaig, MD, FRCPC; and Benjamin Barankin, MD


You Asked About:
• What can I do about limb pain in children?
• What is the correlation between computers and eye strain?


CME Credit Quiz


Upcoming


Calendar
Upcoming events at McMaster University

CME Workshop
Aching for Relief: Pain All Over
By Joanne Homik, MD, MSc, FRCPC

When confronted with a patient whose symptoms are diffuse, it helps to keep in mind there are broad categories of symptom presentations that may guide you in your history-taking.


Feature 1
Diabetes and Exercise: Good Health, One Step at a Time
By Rhonda C. Bell, PhD; and Catrine Tudor-Locke, PhD

The importance of regular physical activity for people with Type 2 diabetes cannot be overstated. The amount of physical activity performed is inversely related to the risk of coronary heart disease.


Feature 2
Stop That Essential Tremor!
By W.R. Wayne Martin, MD, FRCPC

Tremor can occur as a symptom in a variety of common and rare disorders, but also occurs as a normal physiologic process, and need not indicate a significant underlying disease process.


Feature 3
Methadone: What is its Role in Cancer Pain Management?
By Anna Wreath Taube, MD, CCFP, FCFP

Methadone is a synthetic opioid receptor agonist developed over 50 years ago. Over the last decade, interest in methadone’s usefulness in cancer pain management has steadily risen.


Feature 4
Hepatitis C: What’s New?
By A. Mark Joffe, MD, FRCPC

Hepatitis C virus is a common chronic viral infection, and is one of the most important causes of liver disease in Canada and worldwide.


Feature 5
Pain and Dosing: Strike the Balance
By Helen Hays, MD; CCFP, FCFP; and Mary Ann Woodroffe, BScN

If teenagers present with complaints, such as nausea and abdominal pain, or just feeling unwell in a vague way, how can you tell if it’s gastroparesis? What degree of investigation is necessary for such a diagnosis and how are the symptoms treated?


Feature 6
Clot Stoppers: Making the Most of Therapy
By Mike McDonald, BSc, MD; and Robert Welsh, MD, FRCPC, FACC

By targeting various steps in the clotting cascade, there is great potential for improving overall outcomes in both the setting of acute ischemic syndromes, and in the long-term secondary prevention of ischemic cardiac events.


Feature 7
Alzheimer’s: What More Can We Do?
By Peter N. McCracken, MD, FRCPC; and Angela Juby, MbChB, LRCP, LRCS, LRCPS, Dip Geriatrics

Further evaluation and management of patients in middle and more advanced stages of dementia still constitute an enormous challenge to both primary care physicians and specialists.


Feature 8
What to Do for Painful Knee
By Cecilia P. Chung, MD; and Anthony S. Russell, MB, BCh, FRCP

Knee pain is a very common problem. In most cases, a good history and a careful physical exam are the keystone for diagnosis and further treatment.


Feature 9
Spotlight on Fibrates
By T. K. Lee, MSc (Exp. Medicine), MB, BS, MRCP(UK), ABIM, FRCPC

Fibric acid derivatives (fibrates) have been used to treat dyslipidemia since 1962, when clofibrate was first used. Certain fibrates are currently available in Canada.


Editorial
By Paul Davis, MB, ChB, FRCP(C), FRCP(UK)


Ask the Experts


University Briefs


Up Close: A Look at Dermatological Diagnoses
Presented by Catherine McCuaig, MD, FRCPC; and Benjamin Barankin, MD


You Asked About:
• What can I do about limb pain in children?
• What is the correlation between computers and eye strain?


Cases in Endocrinology
A Curable Cause of Hypertension
Presented by M. Usman Chaudhry, MD, FACE
CME Credit Quiz


Upcoming


Calendar
Upcoming events at the University of Saskatchewan

CME Workshop
Taking on Type 2 Diabetes
By Hasnain M. Khandwala, MD

Insulin resistance is characterized by an inefficient cellular response to endogenous or exogenous insulin. Taking this into consideration can open up new options in treating patients with Type 2 diabetes.


Feature 1
Microalbuminuria: So What’s a Little Protein?
By Judith T. Klassen, BSc, MD, FRCPC

One of the early markers of not only diabetic nephropathy, but also vascular disease in people with diabetes, is the presence of microalbuminuria. Take a look at how the family physician is ideally positioned to modify treatment.


Feature 2
The Ins and Outs of Office Spirometry
By David Todd, MD, FRCPC; and Darcy D. Marciniuk, MD, FRCPC, FCCP

Spirometry can be easily and affordably performed in the office setting, although a variety of issues, including equipment maintenance, performance of expiratory manoeuvres, and accurate interpretation must be appreciated.


Feature 3
Thromboembolic Disease:Taking Things to Heart
By Patrick Duffy, MD, FRCPC, and Julie Stakiw, MD

Thrombotic disorders of the arterial and venous system are the most frequent cause of death in North America. Venous thromboembolic disease has an annual incidence greater than 1 in 1,000.


Feature 4
The Lowdown on Dyslipidemias
By Thomas W. Wilson, MD, MSc, FRCPC

When testing patients for hypertension it is most likely to be the lipid profile that shows “abnormal” results. Why?


Feature 5
ADHD Drugs: Mixing and Matching
By Peter C. Matthews, MB, BS, FRCPC, MRCPsych, DPM (Eng) DCH (Eng)

In attention deficit hyperactivity disorder, drugs have been used more
frequently and in increasing combination to achieve maximal therapeutic benefit, in an attempt to reduce or eliminate problem behaviours.


Feature 6
Focus on Polycystic Ovarian Syndrome
By Hasnain M. Khandwala, MD

PCOS is characterized by menstrual irregularities, and symptoms of
hyperandrogenemia. How can the family physician diagnose and treat this disease?


Feature 7
Cervical Cancer Prevention Gets Equipped
By Anne Frances Doig, MD, CCFP, FCFP


Feature 8
A New Look at Ovulation
By Donna R. Chizen, MD, FRCSC


Feature 9
Clearing the Air on Nasal Polyps.
By Gordon Franke, MD, FRCS(C)


Feature 10
An Earful on Treatment: Otitis Externa
By Gordon Franke, MD, FRCS(C)


Feature 11
Acute Otitis Media: Roots and Tulips
By James W. Cross, MD

Editorial
By Penny M. Davis, DCH, DObstRCOG

University Briefs

DermCase — New!

Ask the Experts

PhotoClinic — New!
Presented by Benjamin Barankin, MD

You Asked About:
• What can I do about limb pain in children?
• What is the correlation between computers and eye strain?

Cases in Internal Medicine — New!
Presented by M. Usman Chaudhry, MD, FACE


CME Credit Quiz

Upcoming

Calendar
Upcoming events at the University of Saskatchewan

November 2003

CME Workshop
Case Studies: Tidbits on Infections in the ED
By Sam G. Campbell, MB BCh, CCFP(EM)

This short article offers a few case-based pearls related to infectious
syndromes that one may encounter in the emergency department.


Feature 1
When Diagnoses Fail: New Insights, Old Thinking
By Pat Croskerry, MD, PhD

Diagnostic errors are not uncommon in the emergency department.
The rate has been estimated at 1% to 12% of all admitted patients,
but the overall rate is certainly higher, as most patients are diagnosed
and discharged.


Feature 2
Migraine in the ED: Where do I Start?
By Mary-Lynn Watson, MD, CCFP(EM)

Headache accounts for approximately 1.4% of visits to emergency
departments in Canada.


Feature 3
Atopic Dermatitis: Going Skin Deep
By Scott Murray, MD, FRCP(C), BSc

Atopic dermatitis is very common, with a tendency for itching and
inflammation of the skin. It almost always begins early in life (usually in
the first few years), and tends to be a continuing problem throughout life.


Feature 4
Set on Soothing Psoriasis
By A. H. Murray, MD, FRCP(C)

It is estimated that about 26,000 new cases of psoriasis arise in Canada every year. Psoriasis affects about 700,000 Canadians (about 2% of the population).

Feature 5
Zooming in on Red Eye
By Briar Sexton, MD

A patient presenting with an acutely red eye is a familiar challenge for
family physicians. “Red eye” can be caused by a variety of things,
including infection, inflammation, and injury.


Feature 6
Eye Spy: Diabetic Retinopathy
By Arif Samad, MD, FRCSC, FACS

Diabetes mellitus is a chronic disorder resulting in hyperglycemia from the body’s inability to produce or sufficiently utilize insulin. Hyperglycemia can result in compromised function in the eyes, kidneys, nervous system, heart, and blood vessels, leading to disability and death.


Feature 7
First Episode Psychosis: What Are the Signs?
By Heather Milliken, MDCM, FRCPC

Psychoses are disorders affecting the brain, in which there is a distortion/loss of contact with reality. Psychoses affect a person’s ability to think, feel, perceive, and act.


Feature 8
An Update on Pediatric Immunizations
By Joanne M. Langley, MD

In recent years, four new vaccines have been licensed in Canada that are now recommended by the National Advisory Committee on Immunization (Health Canada), and the Canadian Pediatric Society.


Feature 9
PDAs: The Whole World in Your Hands.
By Stewart Cameron, MD, FCFP

The ability to deliver the information you need, when and where you need it, explains part of the appeal of handheld computers.


Editorial
By Douglas Sinclair, MD, CCFP(EM), FRCPC

University Briefs

DermCase — New!

Ask the Experts

PhotoClinic — New!
Presented by Benjamin Barankin, MD

You Asked About:
• Are all PPIs created equal?
• Use of Estring® for hot flashes
• HBV and followup testings

Cases in Endocrinology — New!
Presented by M. Usman Chaudhry, MD, FACE

CME Credit Quiz

Upcoming

Calendar
Upcoming events at the University of Saskatchewan

CME Workshop
Office Knee Injections Step By Step
By Prem Sequeira, MD,CCFP

Corticosteroid injections can give dramatic and long-lasting relief for patients with all forms of arthropathy, including osteoarthritis (the most common form treated in general practice).

Feature 1
What’s the Deal with NSAIDs?
By Majed M. Khraishi, MB, BCh, FRCPC

Pharmacologic therapy remains the mainstay of management of both inflammatory and non-inflammatory arthritis. Nonsteroidal anti-inflammatory drugs (NSAIDs) are used to relieve pain and reduce inflammation.


Feature 2
How do I Know it’s IBS?
By Ford Bursey, MD, FRCPC, FACP

Some population based epidemiologic studies on irritable bowel syndrome suggest a high prevalence of symptoms with up to 25% of women and 20% of men affected.


Feature 3
What to Do about Obstructive Urosepsis
By Gavin Duffy, MD, FRCSC

One of the earliest signs of sepsis may be an increased ventilatory rate with resultant respiratory alkalosis. The classic presentation of fever and chills followed by hypotension may be seen in as little as 30% of patients.


Feature 4
Strain Spotting: Repetitive Strain Injuries
Paul Woolfrey, MD, FRCPC

Repetitive strain injury is a common term often used to describe a broad range of disorders implying overuse. In the past two decades, work-related disorders associated with repeat trauma have increased significantly.


Feature 5
Breast Cancer Screening: How Important Is It?
By Cathy Popadiuk, MD, FRCS(C)

Breast cancer screening in the form of mammography and palpatory breast examination has come under intense scrutiny due to new reports which suggest no benefit to these decade long tenets.


Feature 6
Endometrial Biopsy: When and How?
By Lydia Hatcher, MD, CCFP, FCFP

An endometrial biopsy (EB) is a way to sample the lining of the uterus. EB is very useful in the office assessment of abnormal uterine bleeding.

Feature 7
Vulvar Discomfort: An Approach for the GP
By Lesa Dawson, MD, FRCSC

Most women will, at some time in their lives, complain of vulvar pain, itching, irritation, or discomfort. These common symptoms can be caused by a multitude of diagnoses, making the topic a difficult one for family physicians.

Feature 8
Putting Insomnia to Bed
By John Angel, MD, FRCPC

Insomnia is one of the most common sleep complaints. Insomnia indicates trouble initiating or maintaining sleep, and may be transient or persistent. Up to one in four Canadians will report sleep problems at some point during their lives.

Feature 9
Focusing on TLC in Palliative Care
By William Eaton, MD, CCFP, FCFP

As patient and family move toward the end-of-life stage, it is important to focus on symptom control, communication, and family support.

Editorial
By Ean Parsons, MD, CCFP, FCFP, Dip Sport Med

University Briefs

DermCase — New!

Ask the Experts

PhotoClinic — New!
Presented by Benjamin Barankin, MD

You Asked About:
• Fertility drugs and ovarian/breast cancer
• Allopurinol and acute gout
• Hypoglycemia Unawarenes

Cases in Endocrinology — New!
Presented by M. Usman Chaudhry, MD, FACE


Upcoming


Calendar
Upcoming events at Memorial University of Newfoundland