March 2009, Volume 21, Number 3

Photo Clinic
Benjamin Barankin, MD, FRCPC

“A Concerning Brown Nodule”

Consultant’s Corner

1. Increased Risk of Breast Cancer with Topical Estrogen Therapy
2. Treating the Depressed Adolescent
3. Food Allergy Testing in Children with Mild Urticaria
4. Treating Deep Vein Thrombosis with NSAIDs
5. How to Delay Bone Mass Loss
6. Migraine Associated with the OC Pill
7. Neurodermatitis
8. Does Cholecystectomy Affect Cholesterol Levels?
9. Indications for Tonsillectomy
10. When to Treat Elevated Triglycerides
11. Referral for Circumcision
12. Frequency of Bone Density Study
13. Metformin and Polycystic Ovary Syndrome (PCOS)
14. Investigations for White Blood Cells Lower than "N" Range
15. Infrapatellar Bursitis
16. Diagnosis and Management for Hirsutism
17. Contact Between a Pregnant Woman and a MRSA-Positive Person
18. Acrylate Allergy
19. Switching a Patient to Other Classes of Antihypertensives

Quick Queries
Mark Kovacs, MD, FRCPC, FAAP

Immunization Update: The Important Role of Vaccines

DermCase

1. Waxing and Waning Lesions
2. A Unilateral, Pink Lesion
3. Worrisome White Patches
4. Neck Swelling
5. Erythematous Spots
6. A Scaly Plaque

Workshop
Carrie Lynde, HBSc, LLB; John Kraft, HSBc, MD; and Charles Lynde, MD, FRCPC

What's New in Dermatology?

April 2009, Volume 21, Number 4

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

An Inherited Deformity

Case in...
Amir Hanna, MB, BCh, FRCPC, FACP

The Incretins: Medications for Treatment of Diabetes

Consultant’s Corner

1. Preventing Recurrent Deep Vein Thrombosis
2. Antihistamines
3. Effectiveness of Oral Antivirals for Herpes Simplex
4. Antiretroviral Therapy Impact on TB in HIV-Infected Patients
5. Risk of Osteoarthritis from Running
6. ASA for Prophylaxis
7. Oral Allergy Syndrome
8. Recommended Dose of Prednisone when Treating Polymyalgia Rheumatica
9. Mildly Elevated g-glutamyl transferase
10. Peanut Allergy
11. Antioxidants for Patients with High Triglycerides
12. Aphthous Ulcers
13. Foods to be Introduced to Infants at Six Months
14. Treatment for Generalized Anxiety Disorder
15. Dysfunctional Eustachian Tube
16. Recommended Vitamin D Supplements
17. Antibiotics for Cat Bites
18.Vaccines for Patients with Egg Allergies
19. Framingham Score
20. Atrial Fibrillation after Cardiac Surgery
21. Treatment for Chronic Anal Fissures
22. When to Repeat an INR
23. Management of Recurrent Bacterial Vaginosis
24. Raynaud's Phenomenon

DermCase

1. Black Dotted Plaque
2. Stiff Hands
3. Unidentified Lumps
4. Widespread Brownish Spots
5. Bump on the Chin
6. Basal Cell Carcinoma
7. Uncomfortable Rash
8. Red Eyelids

Workshop
Michael Malus, MDCM, CCFP

Adolescent Depression

May 2009, Volume 21, Number 5

Photo Clinic
Hayder Kubba, MBChB, LMCC, CCFP, FRCS, DFFP, DPD

"A Non-Itchy Rash"

Case In...
W. B. Dalziel, MD, FRCPC

Smarter Prescribing for the Elderly

Consultant’s Corner

1. Spontaneous Coronary Artery Dissection
2. Prescribing Bisphosphonates
3. Treatment of Pruritus Ani
4. Attention Deficit/Hyperactivity Disorder
5. Omega 3 for Increased Triglycerides
6. Autism in Siblings
7. Antiviral for Hepatits B Virus
8. Malaria Vaccine
9. Contraception for Women Over Forty
10. ACE Inhibitors for Patients with Past Anaphylaxis
11. Atrial Fibrillation Patients
12. Broken Nose
13. Treating Molluscum Contagiosum
14. Abnormal Pathology to Nausea
15. Selective Estrogen Receptor Modulators
16. Lipid Lowering Therapy
17. Age Limit for the HPV Vaccine
18. Peripheral Cyanosis in a Newborn
19. Paps Post Hysterectomy
20. Symptoms Triggered from Monosodium Glutamate
21. Types of Psychotherapy for Anxiety Disorders
22. Follow-Up for Monoclonal Gammopathy
23. Otitis Externa
24. Silent Abscesses

Quick Queries
S. K. Baker, MD, MSc

Managing Diabetic Polyneuropathy

DermCase

1. White Skin Discolourations
2. A Green Toenail
3. Spot on the Forehead
4. Ear Nodule
5. Premature Graying Hair
6. A Rapidly Growing Bump
7. Bluish-Purple Thigh
8. Purpuric Spots

Workshop
Mohammad Amin, MD, MRCP (UK) and Kenneth G. Gin, MD, FRCPC

Heart Disease in Women: Pearls and Pitfalls

June 2009, Volume 21, Number 6

Photo Clinic
Benjamin Barankin, MD, FRCPC

"What is this brown spot on my toe"

Case In...
Nicholas A. Leyland, BASc, MD, MHCM, FRCSC

Abnormal Uterine Bleeding in Premenopausal Women

Consultant’s Corner

1. Age Limit for Aortic Valve Replacement
2. Treatment of Recurrent Genital Herpes
3. Hyperemesis in Pregnancy
4. Bedtime Tooth Brushing
5. Fatty Liver
6. Using Natural Thyroid Hormones
7. Penicillin Allergy
8. Human Respiratory Syncytial Virus Vaccines
9. Apthous Ulcers
10. Treatment of Bipolar Disorder for GPs
11. Post-Inflammatory Hyperpigmentation
12. Cold Agglutinins
13. Immunotherapy for Anaphylactic Sting Patients
14. Calcium and Vitamin D for Osteoporosis

DermCase

1. Nodule on the Abdomen
2. Sunken Chest
3. Spotting on the Foot
4. Umbilical Lesion
5. White Patched Eyelid
6. Red, Scaly, Pruritic Shin
7. Hand Weakness
8. Sore Tongue

Quick Queries
Douglas C. Wu, MD, DPhil; Andrei I. Metelitsa, MD; and Jaggi Rao, MD, FRCPC

Chronic Leg Ulcers

July 2009, Volume 21, Number 7

Photo Clinic
Benjamin Barankin, MD, FRCPC

Large Lesion on the Scalp

Consultant’s Corner

1. Recurrent Polyposis
2. Treating Thyroid Nodules
3. Menopausal Hormone Therapy
4. Eczema on the Scalp
5. Gallbladder Polyps
6. Oral Allergy Syndrome
7. Infected Ingrown Toenails
8. Hepatits C
9. Dilated Cardiomyopathy
10. Asymptomatic Endometrail Polyps
11. Medications for Pediatric BP
12. Thrombasthenia
13. Orthotics in Children

DermCase

1. Swelling of the Face
2. Back Lump
3. Scaly Lesion
4. White Toenails
5. Skin Papules
6. Patches of Hair

Quick Queries
Rick Hodder, MSc, MD, FRCPC

Asthma and COPD

August 2009, Volume 21, Number 8

Photo Clinic
Benjamin Barankin, MD, FRCPC

White Papule on the Eyelid

Case In
Alan Goodridge, MD, FRCPC

Idiopathic Parkinson's Disease

Consultant’s Corner

1. Preventing Superinfections
2. Sacral Dimpling in a Newborn
3. Vitamin D Levels
4. Natriuretic Peptide
5. Investigating Post-Menopausal Ovarian Cysts
6. Follow-Up for Hepatic Steatosis
7. Reaction to Propofol
8. Cauterization for Plantar Warts
9. Clipping of the Frenulum
10. Chondromalacia Patella
11. Treating H. Pylori in the Pregnant or Nursing
12. Lowering Genital Warts with the HPV Vaccine

Workshop
Erin Keely, MD, FRCPC

Obesity and Type 2 Diabetes: Is Your Patient Ready for Pregnancy?

DermCase

1. Brown Spotted Eruption
2. Enlarged Papule
3. Spotty Face
4. Domed Papule
5. Brown Blotch on the Leg
6. Facial Rash
7. Pink Nodules

September 2009, Volume 21, Number 9

Photo Clinic
Benjamin Barankin, MD, FRCPC

Translucent, Eroded Papules

Case In
Joseph Park, MD, FRCPC, FIPP

Chronic Low Back Pain: An Interventional Approach

Consultant’s Corner

1. Barrett's Esophagus
2. Thinning Hair in Females
3. Statin Therapy for Diabetics
4. Theory of Mindfulness
5. Mammography
6. Excessive Dose of Hepatitis B Vaccine
7. Treating Hyperthyroidism
8. Dual Chamber Pacing
9. Parents Refusal to Vaccinate Children
10. Liver Cysts
11. Suspected Drug Eruption Rash
12. Lyme Disease Test
13. When Nail Cultures Are Negative
14. Congestive Heart Failure in Anemic Patients
15. Indications for TNF-a
16. Spider Bites
17. Examining Calcium and Vitmain D Levels
18. Dietary Treatments for Colicy Infants
19. Vertex Positioned Birth
20. When Should An Antidepressants Not Be Prescribed

What's New In Clinical Research
Jennifer Blake, MD; Ellen Giesbrecht, MD, FRCSC; and Claudio N. Soares, MD,PhD, FRCPC

Evolving Strategies in the Dosing of Oral Contraceptives

DermCase

1. Scaly Plaqued Scalp
2. Protruding Lesion
3. Bump on the Knee
4. Growth on the Cheek
5. Shiny Lesion
6. A Congenital Bald Plaque
7. A Hairy Birthmark
8. Itchy Knees
9. Blue-Grey Patches

October 2009, Volume 21, Number 10

Photo Clinic
Benjamin Barankin, MD, FRCPC

Erupted Lower Central Incisors

Quick Queries
Charles N. Bernstein, MD

An Update on Inflammatory Bowel Disease

Consultant's Corner

1. Sciatica Symptoms in Pregnancy
2. An Intolerance to Lactose After Pancreatic Problems
3. Yearly Fecal Occult Blood Test
4. Asymptomatic Pneumonia
5. Treating Congestive Heart Failure in the Elderly
6. Probiotics for Children
7. Best Insulin Regimen
8. Arrhythmia in a Patient With an Eating Disorder
9. Causes of Blue Sclera
10. Diagnosing Post-Head Injury Seizures
11. Lowering Blood Sugars
12. Male Hypogonadism and Depression

Workshop
Rhonda Shuckett, MD, FRCPC

Fibromyalgia: Diagnosis and Clinical Features

DermCase

1. Enlarging Lesion
2. Red, Itchy Facial Rash
3. Loin Lump
4. Cracked Skin
5. Skin-Coloured Papules
6. Asymptomatic Lesion
7. Pearly Lesions

November/December 2009, Volume 21, Number 11

Case In
Tracey Brown-Maher, BSc Hon, MD, FRCPC

Chronic Wounds: Prevention and Management

Photo Clinic
Benjamin Barankin, MD, FRCPC

Red Spot on the Nose

Consultant's Corner

1. Recommended Immunizations for Mexico
2. Treatments for Premature White Hair
3. Test for Celiac Disease
4. Transobturator Tape Procedure
5. Gripe Water for Colic
6. Assessing Attention Deficit Hyperactivity Disorder
7. Thyphoid Fever
8. Correlation Between Morning Sickness and Miscarriages
9. Migraine Treatments for Children
10. Complications of Pacemaker Insertion
11. Side-Effects From the Flu Vaccine
12. Restarting the OC Pill
13. Corrected QT
14. Hypothyroidism
15. Repairing a Congenital Umbilical Hernia
16. Alzheimer's Disease in the Young
17. Shellfish Allergies
18. Seasonal Affective Disorder Treated by UV Lights
19. Low Libido in Women
20. Celiac Disease in Children

Workshop
Gurdarshan S. Sandhu, MD; and Darrel E. Drachenberg, MD, FRCSC

Prostate Disease: A Primary Care Perspective

DermCase

1. Red Shins
2. Skin Growth
3. Hypopigmented Streaks
4. Localized Swelling of the Foot
5. Scaly Skin
6. Red Annular Plaque on the Arm
7. Irregular Patch on the Thigh
8. Painful Erosions in the Diaper Area