The Canadian Journal of CME - 2005 Back Issues

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The Canadian Journal of CME 2005 Back Issues 2001 • 2002 • 2003 • 2004 • 2005 • 2006 • 2007 • 2008 • 2009 • 2010 • 2011 • 2012 Jan • Feb • Mar • Apr • May • Jun • Jul • Aug • Sept • Oct • Nov • Dec
	January 2005 Photo Clinic DermCase Consultant’s Corner 1. Adult ADHD—does it exist? 2. Metformin for PCOS? 3. What’s best for managing ACL tears? 4. Dealing with tinea versicolor 5. Are allergy and mood connected? 6. Is it lymphoma? 7. Is B12 brain food? 8. Following ADPKD 9. Asthma—too young to diagnose? 10. How do you treat dyspepsia? 11. Mitigating monster migraines 12. Can BTX-A harm? Feature 1 What to Know First: Thinking about Depression David Zitner, MD, FCFP; Allan Abbass, MD, FRCPC; and Diana Ginn, LLB Depression continues to be the fastest rising diagnosis in Canada.This article describes the most important things to consider before you diagnose and treat, with a special focus on legal risk. Feature 2 5 Cards to Play for Major Depression: Brief Psychotherapy Options Allan Abbass, MD, FRCPC Dr. Abbass illuminates brief psychotherapy tools you can implement within your practice as alternative therapies for patients suffering from depression. Feature 3 Risky Business: Evaluating Stroke Symptoms Mary-Lynn Watson, MD, CCFP(EM) When assessing patients with stroke symptoms, what should you watch for? Dr. Watson answers. Feature 4 9 Steps to Assessing Chronic Pain Genevieve M. Campbell, MD, CCFP, Addictionist-ASAM Dr. Campbell offers a step-by-step guide to assessing chronic pain in this discussion of where to start easing the pain of patients presenting with chronic symptoms. Editorial Douglas Sinclair, MD, CCFP(EM), FRCPC Update Richard W. Norman, MD, FRCSC Screening Pointers: COPD The ABCs of BPH Quick Queries Joanne M. Langley, MD, MSc; and Robert Strang, MD Coming Soon to an Office Near You: Pandemic Influenza Clinical Approach Neil Finkle, MD, FRCPC Getting Started: Elevated Serum Creatinine Time out Howard A. Winston, MD, CCFP, FCFP, Dip. Sport Med. (CASM) Caring for the Injured Ankle Braces Workshop Kevin R. Forward, MD, FRCPC Lyme Disease: Dispelling the Myth Bug of the Month John Embil, MD, FRCPC; andCCharles N. Bernstein, MD, FRCPC Harnessing Helicobacter pylori Cases In...COPD Andrew McIvor, MD, FRCPC Judith’s Journey

	February 2005 Feature 1 Analyzing Anxiety: A Look into GAD Margaret Churcher, MD, BSc (Hons), CCFP Dr. Churcher offers an in-depth analysis of generalized anxiety disorder, discussing its prevalence, methods of diagnosis and possible ways of approaching treatment. Feature 2 A GP’s Checklist: Gross Hematuria John F.S., MD, FRCPC; Philip D. Acott, MD, FRCPC Dr. Crocker and Dr. Acott specify the different disease profiles that should be considered when diagnosing gross hematuria. Feature 3 The Lowdown on Bipolar Disorder Angela Penney, MD, FRCPC Dr. Penney provides a detailed look into bipolar disorder, offering interesting statistics and important information on diagnosis and treatment. Feature 4 Malaria: The Tropical Traveller Departs Heather Onyett, MD, FRCP(C), MPH, DTM&H What are the signs and symptoms of malaria? How can malaria be prevented? What antimalarial drugs are recommended? Dr. Onyett answers these and many other questions pertaining to this life-threatening disease. Feature 5 An Introduction to the PAAB Editorial Ford Bursey, MD, FRCPC, FCAP Update A Primer on Parkinson’s Alan Goodridge, MD, FRCP Quick Queries Michael O’Reilly, MD, FACC, FRCPC Heart Matters: Primary Prevention of Atherosclerosis Clinical Approach Charles Samuels, MD, CCFP, DABSM Bedtime Blues: Managing Insomnia Time out Howard A. Winston, MD, CCFP, FCFP, Dip. Sport Med. (CASM) The Pain is “Back” Again! Workshop Mark R. Borgaonkar, MD, MSc, FRCPC Stopping the Burn: Bleeding Peptic Ulcer Disease Bug of the Month John Embil, MD, FRCPC Treating Traveller’s Diarrhea Cases In...Anorexia-Cachexia Susan MacDonald, BScN, MD, CCFP, FCFP Weighing in on the Syndrome Photo Clinic “What are these pesky papules?” DermCase 1. Worrying About White Patches 2. “This rash won’t clear!” 3. “My lesion is bleeding!” 4. “Doc, stop these spreading spots!” Consultant’s Corner 1. Kids with croup 2. Patching up corneal abrasions 3. Diabetes and albuminuria 4. Optimum opiate treatment 5. HRT and hot flashes 6. Can obese children be treated with orlistat? 7. Discussing living wills 8. Antipsychotics and antidepressants 9. Is memantine beneficial for dementia? 10. What’s the best food allergy drug?

	March 2005 Feature 1 Migraine Misery: Pounding Out the Pain Lucian Sitwell, MD, FRCPC How do I approach migraine diagnosis? What are the barriers to diagnosis? How should I treat migraine? Dr. Sitwell answers these and many other questions in this in-depth article about migraine management. Feature 2 Dealing with Dementia William Dalziel, MD, FRCPC Dr. Dalziel provides a thorough discussion of the screening, diagnosis and treatment of dementia. Feature 3 Natural Choices: A Guide to Herbal and Non-herbal Medicines James A. Owen, PhD With the rising popularity of herbal medicines and non-herbal nutritional supplements in North America, Dr. Owen cautions their use. He offers detailed guidelines and contraindications for physicians to follow when dealing with herbal and non-herbal medicines. Feature 4 Malaria: The Tropical Traveller Departs Nicole Denis, RN, ET, MScN Since simply dressing a wound will not promote proper healing, Ms. Denis discusses the proper course of wound care for different types of skin and pressure ulcers. Editorial Richard Handfield-Jones, MD, CCFP, FCFP Update Douglas R. Bishop, MD, FRCPC Health Smarts: Overcoming Obesity Quick Queries Carolyn R. Faught, MD, FRCPC Anemia: Ironing Out the Details Clinical Approach Shawn Aaron, MD, MSc, FRCPC An Overview of COPD Management Time out Howard A. Winston, MD, CCFP, FCFP, Dip. Sport Med. (CASM) Female Athlete Triad: Riddled with Irony Workshop Doug Smith, MD, FRCPC Joint Relief: Exploring Inflammatory Polyarthritis Bug of the Month John Embil, MD, FRCPC Tropical Trouble: Norwalk Virus Revealed Cases In...NSAID Use Jacob Karsh, MDCM, FRCPC Helping Howard Cases In...CHEF Joel M. Niznick, MD, FRCPC Caring for Cliff Photo Clinic “Help my haloed moles!” DermCase 1. “Heal my hand!” 2. A Papule Eruption! 3. “What’s on my abdomen?” 4. “What’s happened to my ear?” Consultant’s Corner 1. Referring floaters 2. Sports and spondylolysis 3. Discussing antidepressant therapy 4. Pondering prostate cancer treatment 5. Can ultrasounds identify hernias? 6. Down syndrome screening 7. OCPs and the postpartum patient 8. Teens and SSRIs 9. What’s the significance of syphilis serology testing? 10. TSH and the elderly

	April 2005 Feature 1 Understanding High-Energy Pelvic Fractures David J.G. Stephen, MD, FRCS(C) Dr. Stephen provides an in-depth discussion on high-energy pelvic fractures, including useful information on type, incidence and treatment. Feature 2 Taking A Shot at Travel Immunizations Martha Fulford, MD, MA, FRCPC and Jay S. Keystone, MD, MSc (CTM), FRCPC Wondering about the appropriate immunizations for travellers? Dr. Fulford and Dr. Keystone outline key information regarding vaccine-preventable diseases, antimalarial medications and traveller’s diarrhea prevention and management. Feature 3 What’s New in Diabetes? A Look at the Canadian Diabetes Association Guidelines Anne B. Kenshole, MD, MB BS, MRCS, LRCP, FACP, FRCPC Want to know the details discussed in the recent Canadian Diabetes Association Guidelines? Dr. Kenshole outlines the most important information in the 2004 Guidelines, offering her own insight along the way. Feature 4 The GAC and Ontario’s Medical Schools: Guideline Adoption and Collaboration Dave Davis; Ileana Ciurea; Jessica Rogers; Yale Drazin; Laurie Perrier; Lewis Tomalty; and Jatinder Takhar Discover the barriers existing in clinical information transfer in this thorough examination of the Guidelines Advisory Committee of Ontario and the province’s medical schools. Editorial Dave Davis, MD, CCFP, FCFP(hon) Update Simon Kingsley, MD, CCFP, EM A Breakdown on Falls in the Elderly Quick Queries James Mahoney, MD, FRCS(C) Getting A Grip on Common Hand Disorders Clinical Approach Barbara Liu, MD, FRCPC Medication and the Older Patient: What’s the Limit? Time out Howard A. Winston, MD, CCFP, FCFP, Dip. Sport Med. (CASM) A Constructive Approach to Carpenter’s Golfer’s Elbow Bug of the Month Marcello Venditti, BSc, MSc and John Embil, MD, FRCPC Chirping About Avian Influenza Cases In...Dementia Bruce J. Wright, MD, CCFP, FCFP Diagnosing Beatrice Photo Clinic “Why do I have goose-like flesh?” DermCase 1. “Get rid of these growths!” 2. A Problem with Plaques 3. A Nuisance on the Knee 4. “Doc, what’s on my back?” Consultant’s Corner 1. Selecting an antidepressant 2. A multiparity dilemma 3. Do BMI charts apply to everyone? 4. Danger in the Dominican 5. OCPs and VTE 6. What’s the best treatment for postoperative joint pain? 7. Flu versus physician 8. Does diabetes impact perioperative cardiac risk? 9. Kids and pneumococcal vaccine 10. TSH and the elderly

	May 2005 Feature 1 Atypical Antipsychotics As Poison in Overdose Joel Lamoure, BSc Phm, FASCP and Haydn Bush, PhD, MB, BS, MRCP(UK), FRCP(C) Atypical antipsychotics are widely accepted for their improved safety and efficiency. However, Mr. Lamoure and Dr. Bush warn about the potential dangers of overdose with atypical antipsychotics and offer tips on possible drug-control safety Feature 2 Reaching Out: Changing Service Models for Youth Sandra Fisman, MB, BCh, FRCP(C); David Bogaert, RN; Julie Jeanson, RN; Barbara Warnock, RPN/PNA/CYW and Jennifer Wilson, RN, CPMHN(C) Dr. Fisman and her co-authors discuss the Adolescent Outreach program—a community-based care program that offers less traditional treatment interventions in child and adolescent mental health care. Feature 3 Ten Socratic Questions for Dialectical Behaviour Therapy Avraham Santopinto, BA hons, BScN, MScN, RegN What is dialectical behaviour therapy? Mr. Santopinto answers this question as he discusses this complex outpatient psychotherapy and offers ten philosophical questions to ponder. Feature 4 Psychiatric Rehabilitation: The Challenges of Goal Setting Abraham Rudnick, MD, PhD As psychiatric rehabilitation aims to improve the functioning of patients with psychiatric disabilities, Dr. Rudnick discusses the importance of patient goal setting in the rehabilitation process. Feature 5 Dementia:Targeting Noncognitive Symptoms Abu Firoz, MD, CCFP Dr. Firoz discusses the behavioural and psychologic symptoms of dementia and offers insight into the diagnoses, management and treatment of this prevalent illness. Feature 6 Clinical Learning: The Future Is Now Robert B. Litchfield, MD, FRCSC Dr. Litchfield introduces the Kelman Centre for Advanced Learning—a highly advanced, interventional skills training facility for medical students. Editorial Jatinder Takhar, MD, FRCP(C); Jason Eadie, BSc, MB and Kathy Dantzer Update Wai P. Ng, MD, PhD, FRCSC Lumbar Disc Replacement: When Is It An Option? Quick Queries John Jordan, MD, MCISc, CCFP, FCFP Prescribing NSAIDs In 2005 Workshop Maryanne Rockx, MD and Andrew Krahn, MD, FRCPC Synopsis on Syncope Time out Howard A. Winston, MD, CCFP, FCFP, Dip. Sport Med. (CASM) Plantar Fasciitis: The Agony of “D’Feet” Bug of the Month Andrew Czarnecki, BSc and John Embil, MD, FRCPC Taking the Sting Out of West Nile Virus Cases In...Poison Ivy Doug Klein, MD, CCFP, MSc Relieving Ivan’s Itch Photo Clinic “Fix my finger!” DermCase 1. Tattoo Trouble! 2. Easing the Itch 3. “Why’s my face all patchy?” 4. “My hair’s falling out!” Consultant’s Corner 1. Hot flash health 2. Tapeworm rumours 3. Genital warts and the GP 4. What’s best for treating depression? 5. Caring for Crohn’s disease 6. Hair loss help 7. How should thyroid nodules be investigated? 8. Puzzled over protein 9. Wondering about warts, corns and calluses 10. What’s causing this elevated CPK?

	June 2005 Feature 1 Hypotension: A “Shocking” Scenario Julian Marsden, MD, CCFP(EM), FCFP Join Dr. Marsden as he reviews the details of shock management and treatment in this in-depth look at hypotension. Feature 2 Colorectal Cancer: Isn’t Everybody Getting Screened? Marty Fishman, MD, FRCPC Colorectal cancer is the second leading cause of cancer mortality. In his thorough examination of the disease, Dr. Fishman reviews who’s at risk, what the appropriate tests are and who should be screened. Feature 3 Male Sexual Dysfunction: Suffering in Silence Oliver Robinow, BSc, MD, FRCP(C) Since sexual problems are common in men aged 40 to 90, Dr. Robinow stresses the importance of the family doctor knowing the common problems associated with male sexual dysfunction, differentiating between these problems and effectively treating them. Editorial Kendall Ho, MD, FRCPC Update Randi McCabe, PhD, CPsych Breaking Barriers: Confronting Social Phobia Workshop Christina I. Poon, MD, MSc, FRCSC Overcoming the Overactive Bladder Time out Howard A. Winston, MD, CCFP, FCFP, Dip. Sport Med. (CASM) The “Kneed” for Assistance Photo Clinic An Enlarging Lesion Clinical Approach Wai P. Ng, MD, PhD, FRCSC An Enlarging Lesion Spinal Surgical Referrals: The Rule of Ones DermCase 1. “What’s on my feet?” 2. A Papule Problem 3. A Piercing Growth 4. “Doc, heal this nodule!” 5. A Recurring Rash Consultant’s Corner 1. Treating Graves’ disease 2. BPD and BD—What’s the difference? 3. “Why can’t my kid sleep?” 4. Asking about antihypertensive therapy 5. Who will benefit from montelukast? 6. Too old for a PSA test? 7. SSRIs and sex 8. Does early vitamin use lead to food allergies? 9. Cholesterol treatment choices 10. Adult ADHD

	July 2005 Feature 1 Vertigo: A Dizzying Diagnosis Beth Lange, MB, ChB, MD, FRCSC Do you know the conditions commonly associated with vertigo? Join Dr. Lange as she differentiates between the types of vertigo and explains how to care for the dizzy patient. Feature 2 Osteoarthritis: What are the Options? Bruce Wright, MD, CCFP, FCFP Osteoarthritis is so common that the average family doctor can become overwhelmed by the number of people in their practice with this condition. Dr. Wright explores the prevalence of osteoarthritis and its subsequent pharmacologic and non-pharmalogic treatment options. Feature 3 Investigating IBD Chad Williams, MD and Remo Panaccione, MD, FRCPC How should suspected IBD be evaluated? What can trigger an IBD flare? What are the treatment options? Have these and other questions answered by Dr. Wiliams and Dr. Panaccione in this thorough discussion of irritable bowel disease. Feature 4 A, B or C? The Secrets to a Successful Quiz Barrie McCombs, MD, FCFP Make your quiz count! Dr. McCombs advises on how to accurately complete and submit your CME credit quiz so that you can receive your score. Editorial Bruce Wright, MD, CCFP, FCFP Update Carolyn P. Pim, MD, FRCPC Breast Cancer: To Screen or Not to Screen? Bug of the Month John M. Conly, MD, FRCPC and John Embil, MD, FRCPC Exposing Methicillin-Resistant Staphylococcus aureus Time out Howard A. Winston, MD, CCFP, FCFP, Dip. Sport Med. (CASM) “Wristy” Business Photo Clinic “I can’t walk anymore!” Clinical Approach John T. Huang, MD, FRCSC and Peter T. Huang, MD, FRCSC Taking a Look at Common Eye Infections Case In… Christopher Penney, MD, ABIM, FACR, FRCPC Rheumatoid Arthritis: Soothing Steve’s Pain Quick Queries Todd J. Anderson, MD, FRCP(C) Asking about Atherosclerosis DermCase 1. A Meddlesome Mole 2. “What’s on my child’s body?” 3. A Case of Cold Feet 4. A Patchy Problem Consultant’s Corner 1. Scar reduction secrets 2. Osteoporosis overview 3. Treating the lost libido 4. PPIs—Any dangers? 5. A new case of anorexia 6. Vaginal ring advisement 7. Depressive disorders and chronic pain— What’s the link? 8. Athlete’s foot assistance

	August 2005 Feature 1 Migraine: More Than A Headache Cory Toth, BSc, MD, FRCP(C) Join Dr. Toth as he discusses the nature of migraine as a neurologic disorder rather than a headache disorder. Feature 2 HIV & Metabolism: What Are the Complications? Patrick Couture, MD, FRCP(C), PhD How does lypodystrophy affect HIV-infected adults? What about dyslipidemia and insulin resistance? What is the risk of cardiovascular disease? Dr. Couture answers these and many other questions associated with metabolic complications in HIV patients. Feature 3 Type 2 Diabetes: The Whys and Hows of Prevention André Nadeau, MD Type 2 diabetes is an epidemic, with the number of those affected increasing 72% between the years 2003 and 2025. Dr. Nadeau addresses this growing disease through an in-depth discussion on prevention and treatment. Editorial Lucien Latulippe, MD, FRCPC Time out Howard A. Winston, MD, CCFP, FCFP, Dip. Sport Med. (CASM) The Kinetic “Chain of Events” Photo Clinic “My skin’s all blotchy!” Clinical Approach Hélène Senay, MD, FRCP(C) C. difficile and Diarrhea: What You Need to Know Case In… Luc Poirier, BPharm, MSc Hypertension: Lowering Barbara’s BP Workshop Stuart Sanders, MB, ChB, BSc (hons), FRCP(C) Depression in the Elderly: When Treatment Fails Derm Case 1. “Mommy, what are these spots?” 2. Rash Worries 3. An Anal Issue 4. “Doc, my eyelid hurts” Consultant’s Corner 1. Advising on adult ADHD 2. Dealing with CRPS 3. Disc replacement update 4. The travelling child— what do you recommend? 5. Looking for Lyme disease 6. Is SARS making a comeback? 7. Understanding umbilical hernias 8. Subclinical hyperthyroidism help

	September 2005 Feature 1 Meningitis: Investigating the Infection Andrew Walkty, MD and John M. Embil, MD, FRCPC Meningitis occurs in the US with an annual incidence of approximately three cases per 100,000 persons, with overall mortality ranging from 15% to 21%. Join Dr. Walkty and Dr. Embil in this important discussion on treatment and prevention of the deadly disease. Feature 2 A Gut Feeling: Viral GI Infections Pierre J. Plourde, MD, FRCPC In 1972, a virus was discovered in fecal specimens collected in Norwalk, Ohio, and was subsequently named “Norwalk Virus.” Dr. Plourde outlines the symptoms, modes of transmission and methods of prevention in this in-depth discussion of the illness. Feature 3 Taking a Bite out of Food Poisoning Marcus Blouw, BSc and John M. Embil, MD, FRCPC How do we get food poisoning? What are the clinical presentations of food poisoning? How is it managed? Have these and many other questions answered by Dr. Embil and Mr. Blouw as they explore the details concerning food-borne illness. Editorial Gisèle Bourgeois-Law, MD, FRCPC Time out Howard A. Winston, MD, CCFP, FCFP, Dip. Sport Med. (CASM) Don’t Miss the “Point” of Mallet Finger Photo Clinic Wai P. Ng, MD, PhD, FRCSC A Bad Bodycheck Clinical Approach George Louridas, MB, BCh, FCS(SA), MMed(Surg), FACS TIAs: A New Approach Case In… Barbara A. MacKalski, MD, FRCPC and Donald R. Duerksen, MD, FRCPC Celiac Disease: Easing Angie’s Abdominal Pain Workshop Douglas Everett Hobson, BSc, MD, FRCP(C) Restless Legs Syndrome: A Sleepless Situation Update Maria Melanson, MD Multiple Sclerosis: A Summary Quick Queries Sanjay K. Murthy, BSc, MD and Laura E. Targownik, MD, MSHS Burning Questions about GERD Derm Case 1. Rosacea Treatment Trouble 2. “Why’s my arm so rough?” 3. Pruritic Purple Papules! 4. “What’s on my tummy?” 5. Nailing the Problem 6. “Soothe my itchy arm, doc!” Consultant’s Corner 1. Contagious cosmetics? 2. Steroid combo clarification 3. Antidepressant use in pregnancy 4. Myochrysine in RA—what’s the limit? 5. Obesity in childhood 6. ASA and stroke 7. Metformin and glyburide—a safe combination? 8. Teen athletes and ECGs 9. Acne advice 10. Any evidence for a DRE?

	October 2005 Feature 1 ADAM: Dealing with the Decline Donald W. Morrish, MD, PhD, FRCPC Testosterone deficiency affects about 20% of men by age 60 and 40% by age 80. Find out what’s to blame for this increase and how it affects mood and sexual function in Dr. Morrish’s in-depth discussion of andropause. Feature 2 Menopause: Fixing the Flash David C. Cumming, MBChB, FRCOG, FRCSC and Ceinwen E. Cumming, PhD Which botanicals treat hot flashes? Is systemic estrogen safe? Get these and other questions answered in this thorough look at the effects of menopause. Feature 3 ED: Remedies for Relief Richard Ward, MD, CCFP For those who wonder how the three available medications for ED differ and how they should be prescribed, Dr. Ward explains their differences and their similarities, as well as how to handle treatment failure.. Feature 4 CHIRP Program Highlights John M. Embil, MD, FRCPC and Pierre Plourde, MD, FRCPC Did you miss the Community and Hospital Infections in Real Practice academic program? Find out what you missed, as Dr. Embil and Dr. Plourde highlight some of the major issues presented. Editorial Doug Klein, MD, CCFP, MSc Time out Howard A. Winston, MD, CCFP, FCFP, Dip. Sport Med. (CASM) Scared to Death of Exercise—Part I Photo Clinic Benjamin Barankin, MD Clinical Approach Doug Klein, MD, CCFP, MSc Diabetes: On the Case Case In… Murray Baron, MD Scleroderma: Beyond Corrine’s Skin Workshop Loree Larratt, MD, FRCPC) CLL: Calling Out a Common Leukemia Bug of the Month John M. Embil, MD, FRCPC and Andrew Czarnecki, BSc How Mad is Mad? Creutzfeld-Jacob Disease Quick Queries Hamilton Hall, MD, FRCSC Pondering the Painful Pain Derm Case 1. A Pigmented Problem 2. “Why am I so spotty?” 3. Backyard Burn 4. “My chin’s breaking out!” 5. Armpit Woes Consultant’s Corner 1. Epinephrine and allergies 2. Anticonvulsant consultation 3. The role of lamotrigine 4. Duration of desmopressin for PNE 5. Vitalux® advice 6. Counting platelets 7. Testing for HIV 8. Targeting BP 9. What’s a stitch? 10. Lichen sclerosus relief

	November 2005 Feature 1 Fibromyalgia: Myth or Reality? Richard Catchlove, MB, BS, FFARACS, MSc Dr. Catchlove addresses this question as he takes into account the psychologic aspects of the disease. He discusses how the interaction of psyche and soma may be responsible for the illness. Feature 2 Viral-Induced Asthma: Sorting through the Studies Malcolm R. Sears, MB, FRACP, FRCPC What do the studies say? Join Dr. Sears as he discusses three recent studies examining the usefulness of leukotriene receptor antagonists in viral-associated wheezing. Editorial Greg Peachey, MD, FRCPC Time out Howard A. Winston, MD, CCFP, FCFP, Dip. Sport Med. (CASM) Scared to Death of Exercise—Part II: Photo Clinic M. Usman Chaudhry, MD, FACE, FRCPC An Uncommon Disease Clinical Approach Gilles Lauzon, MD, PhD, FRCPC and Muba Taher, MD, FRCPC Skin Cancer: A Lesson in Lesions Case In… Verinder Sharma, MB, BS, FRCP(C) Postpartum Depression: Comforting Kate Workshop David C. Todd, MD, FRCP(C) and P. Gerard Cox, MB, FRCP(C) Breathing Light on COPD Bug of the Month Ian McIntyre, BSc, MSc and John M. Embil, MD, FRCPC Blastocystis hominis: To Treat or Not to Treat? That is the Question Update Alan Vernec, MD, Dip. Sport Med Knees and Shoulders: A Focused Joint Exam Derm Case 1. “Doc, my baby’s all spotty!” 2. A Mediterranean Matter 3. “Mommy, what’s wrong with my head?” 4. Armed with Lesions 5. “It’s spreading!” Consultant’s Corner 1. Bumpy lid referral 2. How long will the epidural last? 3. Smokers seeking birth control 4. Teeing off with CTS 5. Big prostate problems 6. Antipsychotics for nausea? 7. Workup for work-out-induced amenorrhea 8. Should hypertensives be on lipid-lowering drugs? 9. Ovarian cancer concerns 10. Stopping and starting statins

	December 2005 Feature 1 Diabetic Foot: A Step-by-Step Approach As foot complications account for 20% of all diabetes-related admissions in the North American population and are a major cause of morbidity and mortality, Dr. Bernier and Dr. Perron tell us how to reduce the amputation rate and mortality in their thorough discussion. Frédéric Bernier, MD and Patrice Perron, MD, FRCPC Feature 2 HRT and Alternatives: A “Natural” Choice? Dr. Gilbert summarizes the current evidence on the risks and benefits of HRT in this case-based article. Lucy Gilbert, MD, MSc, FRCOG Feature 3 Chronic Bronchitis: Clearing the Cough What is AECB? How is it diagnosed? How can it be treated? Dr. Piché answers these and other questions about the most frequent cause of consultations and hospitalizations among COPD patients. Alain Piché, MD, MSc, FRCPC Editorial André Plante, MD, MA(Ed) Bug of the Month Philip Dawe, BEng and John M. Embil, MD, FRCPC Getting to the Bottom of Beaver Fever Case In… Paul Bessette, MD Vulvar Lesions: Peggy’s Pruritic Pain Photo Clinic Benjamin Barankin, MD “I have a booboo on my back!” Consultant’s Corner 1. Steroids for dermatosis? 2. Plugging problems 3. Blood work for ACEIs and ARBs 4. Outgrowing allergies 5. Fixing fibromyalgia 6. What’s recommended for spondylosis deformans? 7. Dealing with GAD 8. Myringotomy recommendation 9. Crohn’s and renal calculi 10. Why can’t I treat with this? 11. In sinus rhythm on ECG—what to do? 12. Diabetics on ACEIs? 13. Injecting painful knees 14. Black eye worries 15. Methylphenidate for Mom and Dad 16. Checking for insulin resistance 17. Caution: Meds to avoid in Crohn’s 18. Evaluating LBBB Time Out Howard A. Winston, MD, CCFP, FCFP, Dip. Sport Med. (CASM) Get Rid of my Aching Back! Quick Queries Matthieu Touchette, MD, FRCPC and Luc Lanthier, MD, MSc, FRCPC Worrying about Weight Loss DermCase 1. A Gardening Rash 2. “It came back!” 3. Turned Down for Botulinum 4. “I’ve got a crusty sore!” 5. Swimming and Stinging Workshop Rebecca Leboeuf, MD and Marie-France Langlois, MD Investigating Common Thyroid Problems