March 2008, Volume 20, Number 3

Editorial
Ivan Silver, MD, MEd, FRCPC

Photo Clinic
Anwar Al Hammadi, MD, FRCPC

“What is this large ulcer on my leg?”

Consultant’s Corner

1. The Threat of Severe Acute Respiratory Syndrome
2. Counselling for Osteonecrosis
3. Indications for Mitral Valve Surgery
4. Testosterone Therapy
5. Vitamin D Deficiency and Fibromyalgia
6. Quarantining a Pregnant Woman from Chickenpox
7. Indications for Tonsillectomy and Adenoidectomy
8. Amelanotic Melanoma
9. The Definition of Metabolic Syndrome
10. Treating Infant Eczema
11. The Role of Metformin
12. Herpes Simplex Treatment

Quick Queries
Anne Kenshole, MBBS, FRCPC, FACP

Preventing Diabetic Complications

DermCase

1. Itchy Lesions
2. Nail Deformity
3. A Persistent Papule
4. A Long-Lasting Nodule
5. Concerning Lesions
6. Mat-Like Telangiectasias
7. A Pruritic Rash

The High-Risk TIA Patient: Part One—Diagnosis
David J. Gladstone, MD, PhD, FRCPC; and Aaron Izenberg, BSc, MD

The High-Risk TIA Patient: Part Two—Management
David J. Gladstone, MD, PhD, FRCPC; and Aaron Izenberg, BSc, MD

April 2008, Volume 20, Number 4

Editorial
Jocelyn Lockyer, PhD

Bug of the Month
Jared Bullard, MD; and John M. Embil, MD, FRCPC

Nitpicking the Details About Lice

Case in...
Paul Beck, MD, PhD; and K. P. Rioux, MD, PhD

Celiac Disease: A Common Condition That Can Fool You

Photo Clinic
Benjamin Barankin, MD, FRCPC

Severe Redness and Peeling

Consultant’s Corner

1. Anti-Citrullinated Peptide Antibodies Tests
2. Side-Effects of Testosterone Treatment
3. Long-Term Effects of the Varicella Vaccine
4. Chest Pain in Adolescents
5. Corticosteroid Use in Children
6. Treatment for an Unconscious Patient with Liver Failure
7. Pseudofolliculitis Barbae
8. Shellfish Allergies
9. Scalp Fungal Infections

Quick Queries
Kevin McLaughlin, MB ChB(Hons), MRCP(UK), PhD; Davina Tai, BE, MD; and David Sadler, MB ChB, FRCS, FRCRP

Stone Formers: How to Sort Them Out and When to Refer

DermCase

1. Asymptomatic Macules
2. Tongue Discolouration
3. A Scaling Papule
4. Ringed Pustules
5. Skin-Coloured Bumps
6. An Intensely Itchy Rash

Workshop
Cathy MacLean, BSc, MD, CCFP, MC1Sc, MBA; and Merrilee Brown, BSc(Hon), MD, CCFP, BA

Tips for Teaching in a Busy Family Practice

Irritable Bowel Syndrome: Pain from the Second Brain
Christopher N. Andrews, MD, MSc, FRCPC

Cytogenetics in the Human Genome Era: FISHing for a Diagnosis
Abeer Anwar Al Saegh, MD; A. Micheil Innes, MD, FRCPC, FCCMG; and Judy E. Chernos, PhD, FCCMG

Body Modification: Body Piercing Issues in the Doctor’s Office
Raj Bhardwaj, MD, CCFP

Outpatient Management of Chronic Kidney Disease
Ralph G. Hawkins, MD, LLM, FRCPC

May 2008, Volume 20, Number 5

Bug of the Month
Kunaal Jindal, BSc; Edward Buchel, MD, FACS; and John M. Embil, MD, FRCPC

Eikenella spp and the Human Fight Bites

Case in...
Anne Sclater, MD, FRCPC, FACP

Drugs in the Elderly: Preventing Adverse Events

Photo Clinic
Benjamin Barankin, MD, FRCPC

A Painful Step

Consultant’s Corner

1. Valve Replacement in Aortic Stenosis
2. Measuring Hemoglobin A1ct
3. Sulphite Allergies
4. A Couple with Confirmed Herpes
5. Treatment of Generalized Psoriasis
6. Proper Treatment of H. pylori
7. Screening and Treatment for Vitamin B12 Deficiency
8. Drug Reactions to Laser Hair Removal
9. Cinnamon Allergies
10. Prevalence of Pinworm Infection
11. Management of Hyperthyroidism
12. Controlling BP
13. Post-Cholecystectomy Diarrhea
14. Hip Checks on Newborns
15. Contact Lens Protection Against UV Rays

Quick Queries
Philip Dawe, BEng, MD; and John M. Embil, MD, FRCPC

Polio: Is it Really Gone?

DermCase

1. A Tender Nipple
2. A Bluish Lesion
3. Various Comedones
4. A Sore Throat
5. Asymptomatic Papules
6. Rough Bumps
7. A Rapidly-Growing Nodule
8. A Horn-Like Protrusion

Workshop
Raj Tuppal, MD, FRCPC, FACP

Cutaneous Manifestations of Internal Disease

June 2008, Volume 20, Number 6

Bug of the Month
Jay Hingwala, BSc; Edward Buchel, MD, FACS; and John M. Embil, MD, FRCPC

Necrotizing Fasciitis and All of Its Causes

Photo Clinic
Alexander K. C. Leung, MBBS, FRCPC, FRCP(UK and Irel), FRCPCH

A Foot Deformity

Consultant’s Corner

1. Pauses Reported on a Holter Monitor
2. The HPV Vaccine
3. Low Thyroid-Stimulating Hormone Levels
4. Colonscopy Screening
5. Treatment of Tinea Unguium
6.The Antibiotic Choice Bronchitis
7. Marginal Blepharitis
8. Mesenteric Adenitis
9. Follow-Up ECG for Patients on Antipsychotics
10. Occasional Warfarin for Deep Vein Thrombosis
11. Pityriasis Rosea
12. Nocturnal Terrors in Children
13. Right Bundle Branch Block
14. Elevated Amylase Levels

Quick Queries
Talal Al-Khatib, MD; and Mark Samaha, MSc, MD, FRCSC

Acute Rhinosinusitis: A Diagnostic and Therapeutic Approach

DermCase

1. Dry Scales
2. A Fleshy Nodule
3. A Dark-Coloured Rash
4. Burning Buttocks
5. Pearly Papules
6. A Lip Sore

Workshop
Alexander Yan, BMSc, MD, FRCPC

Rheumatoid Arthritis: Immune Modulation Therapy

July 2008, Volume 20, Number 7

Bug of the Month
Kunaal Jindal, MD; and John M. Embil, MD, FRCPC

Contemplating Campylobacter spp

Case In...
Donald W. Morrish, MD, PhD, FRCPC

Male Hypogonadism: A Review of Three Case Studies

Photo Clinic
Benjamin Barankin, MD, FRCPC

Red, Scaly Plaques

Consultant’s Corner

1. Stress-Induced Cardiomyopathy
2. Children with Ingrown Toenails
3. Magnesium Supplementation in Diabetic Patients
4. Long-Term Hair Colouring
5. Foods That Affect Vision
6. Causes and Treatment of Anal Fissures
7. Bone Pain with Use of Filgrastim
8. Vaccines for Patients Taking Biologic Agents
9. Omega-3 Supplements and Allergies
10. Lactose Intolerance in Toddlers Following GI Infections
11. Treating Hypothyroidism During Pregnancy
12. Different Treatment Options for GERD
13. Investigating Hypoglycemia
14. Perioral Dermatitis

Quick Queries
J. Mark FitzGerald, MB, FRCPC

COPD in Primary Care: A Case-Based Review

DermCase

1. A Whitish Mass
2. Radiating Vessels
3. Pruritic Eruption
4. A Dark-Brown Patch
5. Hand Deformity
6. A Concerning Mole
7. Erythematous Rash
8. Round Plaques

Workshop
Ruth E. Dubin, MD, PhD, CCFP, FCFP; and Atilla Turgay, MD, Dip. Psych., FRCPC

Diagnosis and Management of ADHD in Adults

August 2008, Volume 20, Number 8

Bug of the Month
Ramzi M. Helewa, MD; and John M. Embil, MD, FRCPC

The Cautionary Tale of Coccidioidomycosis

Case In...
Yoram Shir, MD

CRPS Type 1: Reflex Sympathetic Dystrophy

Photo Clinic
Anwar Al Hammadi, MD, FRCPC; and Hanan Al-Hammadi, MD, CCFP

Multiple, Minute Red Spots

Consultant’s Corner

1. Treating Genital Warts with Imiquimod
2. Nocturnal Enuresis
3. Hemorrhoidal Bleeding
4. Treating Gout with Allopurinol
5. Home Monitoring of Blood Glucose vs. HbA1c
6. Managing a Patient with High Ferritin
7. Drug-Eluting Stents vs. Bare-Metal Stents
8. Length of Use of Medroxyprogesterone Acetate
9. Link Between Use of Spironolactone and Breast Cancer
10. Maternal Hypothyroidism
11. Relieving Ear Pressure
12. Antibiotic Prophylaxis and Dental Routines
13. Psoriasis in Infants
14. Avian Flu Update
15. Treatment of Hyperactivity

Quick Queries
Cathy Popadiuk, MD, FRCSC

Cervical Cancer and Pap Smears

DermCase

1. Leg Swelling
2. Flesh-Coloured Papules
3. A Teenage Bald Spot
4. Warty Lesions
5. Excruciating Pain in the Joint
6. A Facial Crust

September 2008, Volume 20, Number 9

Case In...
David H. Fitchett, MD

Reducing Cardiovascular Events in High-Risk Patients

Photo Clinic
Samir N. Gupta, MD, FRCPC, DABD

"What are these itchy spots?"

Consultant’s Corner

1.When to Introduce Highly-Allergenic Foods
2. Criteria for Rituximab
3. ECGS to Help Detect Left Ventricular Hypertrophy
4. Treating Ramsay Hunt Syndrome
5. How to Treat a Short Frenulum
6. Susceptibility to Colds
7. Pain Relief for Fibromyalgia
8. Iron Supplementation for Patients with Decreased Ferritin
9. The Role of ß-blockers in the Treatment of Esophageal Varices
10. Phosphodiesterase Type 5 Inhibitors
11. The Cause of Broken Heart Syndrome

DermCase

1. Pus-Filled Bumps
2. A Red Mass
3. Flattened Globose Papules
4. A Blood-Filled Lesion
5. Itchy Eruption

Workshop
Vikram Chandurkar, MD, FRCPC

Obesity in Adults: What You Need to Know

Pierre Robin Sequence: A Common Presentation
Tulika Shinghal, DMD; and Ted L. Tewfik, MD, FRCSC

October 2008, Volume 20, Number 10

Bug of the Month
Ramzi M. Helewa, MD; and John M. Embil, MD, FRCPC

Histoplasmosis: Another Endemic Mycosis in Our Neighbourhood

Case In...
Aly Abdulla, BSc, MD, LMCC, CCFP (C), DipSportMed (CASM), FCFP (C), CTH (ISTM); and
Faiza Abdulla, CDA, RPN, CTH (ISTM)

A How-To Guide to Shoulder Evaluation

Photo Clinic
Benjamin Barankin, MD, FRCPC

"What is this ?"

Consultant’s Corner

1. Quantity of Fat to be Present on Ultrasound
2. Implcation of Endometrial Cells on Pap Smear
3. The New Retrovirus Vaccine
4. Recommendations for Milia
5. Repeating INR
6. Eczema of the Eyelids
7. Vitamin D Supplemantation for a Menopausal Woman with High Total Calcium
8. Treatment for Perforated Acute Otitis Media
9. Risk of Infection from a Needlestick Injury
10. The Usefulness of Serial Urate Levels
11. Egg Allergy and the Influenza Vaccine
12. Giving a Second Dose of the Varicella Vaccine to Children
13. Treating Polycystic Ovary Syndrome
14. Myelocytes in a Blood Smear
15. Recommendations for Worsening Chest Pain
16. Follow-Up for a Thyroid Patient with Low TSH
17. Ruling out Celiac Disease in a Patient with IBS
18. Treating a Post-Menopausal Woman with Dyslipidemia
19. Allergies to Latex

DermCase

1. Round, Rose-Coloured Papules
2. A Notch on the Tongue
3. An Asymptomatic Lesion
4. Bluish Mottling
5. White Papules on the Scrotum

Workshop
Robert Skomro, MD, FRCPC

Obstructive Sleep Apnea: Finding the Solution

Juvenile Diabetes: Type 1 vs. Type 2
Laurent Legault, MD, FRCP

November/December 2008, Volume 20, Number 11

Editorial
Jatinder Takhar, MD, FRCPC

Bug of the Month
Ramzi M. Helewa, MD; Walter F. Schlech III, MD, FRCPC; and John M. Embil, MD, FRCPC

The Trouble with Lesteria

Case In...
Jamie Manlucu, MD, FRCPC; Ishvinder S. Chattha, BSc; and Andrew D. Krahn, MD, FRCPC

QT Interval: The Proper Measurement Techniques

Photo Clinic
Benjamin Barankin, MD, FRCPC

"Why is my skin discoloured?"

Consultant’s Corner

1. Rocky Mountain Spotted Fever
2. The Effect of Whole BodyVibration on Osteoporosis
3. Schatzki Rings
4. Facial Hair Removal
5. Starting a Statin in a Well-Controlled Diabetic
6. Risk of Recurrent Deep Vein Thrombosis Following Lower-Limb Surgery
7. Who to Admit for Syncope
8. The Role of Antibiotics and Steroid Therapy for Acute Sinusitis
9. The Radioallergosorbent Test
10. Conceiving After a Miscarriage
11. Bed Bugs and Bites
12. Assessing Cardiac Risk Before Elective Surgery
13. When to Stop Osteoporosis Treatment
14. Leukoplakia of the Tongue
15. Differential Diagnosis of Elevated g-Glutamyl Transpeptidase
16. Tonsil and Adenoid Surgery

Quick Queries
Venu Chalasami, MBBS, FRACS; Carlos H. Martinez, MD; Darwin Lim, MD, FPUA;
and Stephen E. Paulter, MD, FRCSC

Prevention of Prostate Cancer

DermCase

1. An Itchy Back
2. Swollen Toes
3. Darkened Thumbnails
4. A Protruding Mass
5. Depressed Plaque
6. Hanging Lumps

Workshop
Michael Rieder, MD, PhD, FRCPC, FAAP, FRCP (Glasgow)

Cough and Cold Medications in Children: Are They Effective

Pediatric Bipolar Disorder: A Difficult Diagnosis
Tamison Doey, MD, FRCPC

Inflammatory Bowel Disease: Medications and Mental Health
Joel Lamoure, RPh, BSc.Phm, FASCP; and Jessica Stovel, RPh Hon.BSc, BSc.Phm