January/February 2011, Volume 23, Number 01

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Photo Clinic
Deep Furrows Around the Mouth
Benjamin Barankin, MD, FRCPC

Consultant's Corner

• Activity Levels Effect on Prenatal Glucose Tolerance Test
• Risk Using PPIs Over a Long Period of Time
• Antipsychotics for Aggressive Patients with Dementia
• Effectiveness of Medication in Autism Spectrum Disorder
• Pap Testing in Women After Age 69
• Diagnosis of Mesenteric Adenitis
• Prevention of Tonsilloliths
• Treatment of Patients with Hashimoto’s Thyroiditis
• C. difficile Relapse Treatment
• Lipid-lowering Agents
• Chronic Salmonella “Non-typhoid” in Stool and Chronic Diarrhea
• Multiuse Vitamins Containing Folic Acid and Risk of Malignancies
• Drug-eluting Stent for Patients on Clopidogrel
• Reader’s Response: “Is Conjugated Quadrivalent Meningococcal Vaccine Worthwhile?”

DermCase

• Pruritic, Scaly Knee Patch
• Red, Cracked Skin
• Blue-back Shoulder Lesion
• Perianal Redness
• Rough, Scaly Papules on Scalp
• Brownish Hand Spots
• Reader’s Response: “Cystic ‘Neck’ Structure”

Workshop
Cholesterol, What’s Changed?
Thomas W. Wilson, MD, MSc, FRCPC, FACP

March 2011, Volume 23, Number 02

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Photo Clinic
Violaceous, Sore, Cold Toes
Benjamin Barankin, MD, FRCPC

Consultant's Corner

• Investigations for Patients with Ferritin in the 300s
• Acne Vulgaris Treatment
• Treatment of Thrombosed Hemorrhoids
• Insulin Inhalers Update
• Evaluating the Virulence of Hepatitis B and C
• Best Chronic-allergic Rhinitis Treatment
• Nuchal Translucency Found by Integrated Prenatal Screening
• Differentiating Features of Various Personality Disorders
• Heme Iron Vs Ferrous Compounds for Fe-deficiency Anemia

Case In
Upper ExtremityOcclusive Disease
Dr. Gregory E.J. Harding

Pain Management
Navigating Lab Tests in Rheumatologic Work-up of Patients
Dr. Rhonda Shuckett

DermCase

• Significant Leg Hair Loss
• Hair Loss on the Head
• Itchy Upper Chest Macules
• Blotchy Patches and Back Pain
• Discoloured Forearm
• Cystic Mouth Lesion
• Hypopigmented Lesions

Cardio Q&A

• Managing Non-compliant Patients
• Simultaneous Use of LMWH and Warfarin in Stable Atrial Fibrillation Patient

April 2011, Volume 23, Number 03

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Photo Clinic
Red Papules and Pustules on Chest
Benjamin Barankin, MD, FRCPC

Consultant's Corner

• Hepatitis B Vaccination During Pregnancy
• The Role of Omega 3 in Attention Deficit Disorder
• How Nutritious Is Insulin?
• Can an Intravesical BCG Convert PPD Skin Tests?
• Echocardiogram Frequency Following Aortic Stenosis
• Usefulness of Medication in Treating Pathological Gambling
•Tongue Tie in a Toddler
•Managing a-thalassemia
• ß-HCG Levels After Miscarriage
• Testosterone Deficiency and Clinical Depression
• Treatment of Mildly Elevated Thyroid-stimulating Hormone
• When Antifungal Treatment Does Not Work For Athletes Foot
• Triple Therapy H. Pylori Treatment Recommendations
• How To Treat Strep Carriers
• Investigations of Asymptomatic Nodules in Sarcoidosis
• Vitamin D and Calcium Dosing for Long-term Steroid Use

Case In
Weight Management During Pregnancy
Dr. Marineau G. Plourde, MD, PhD, and WN Tannous

DermCase

• Red, Burning Glans/Prepuce
• Reddish-brown Knee Papule
• Hyperpigmented Linear Lesions
• Brownish Hand Spots
• Ulcerations on the Face
• Red-to-Purple Face Nodules

Cardio Q&A

• When to Use Calcium Channel Blockers
• Electrocautery Use and Implantable Pacemaker Devices

May 2011, Volume 23, Number 04

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Photo Clinic
Lip Nodule
Benjamin Barankin, MD, FRCPC

Consultant's Corner

• Coumadin Therapy for Atrial Fibrilation Diagnosis
• Bleeding Risks of NSAIDs Post Surgery
• Antidepressants with the Least Sexual Side-effects
• Is “Bitterness in Mouth” Related to GERD?
• Is the Zoster Vaccine Following Shingles Beneficial?
• Is There Any Therapy for Chilblains?
• Combination of Oral Medications for Diabetic Patients
• Sensitivity of Urine, and Serum Protein Electrophoresis Testing
• Bochdalek Hernia Treatment
• Genetic/hereditary Component to Pemphigus?
• When to Prescribe Antidepressants for Depressed Mood
• Significance of Positive Antigliadin Antibody for Celiac Screening
• Effectiveness of SSRIs in the Treatment of Depression
• Syringoma Treatment
• Non Tender Breast Nodule in a Baby Girl who is Not Nursing
• Is an Ultrasound Worthwhile for Polycystic Ovary Syndrome?
• The New HPV Vaccine
• How to Encourage Patients to Increase their HDL

DermCase

• Pruritic Arm and Leg Eruptions
• Arm, Leg, Buttocks and Ear Papules
• Scaly Eruption on Scalp
• Clustered Papules and Vesicles
• Weeping Leg Lesion
• Infantile Face Bumps
• Scaly Bump on the Scalp
• Itchy Rash on Wrist

Cardio Q&A

• Statins, Niacin, ASA, and Cp-enzyme Q10 Combo Pill?
• Victims of Sudden Cardiac Death
• Treating High Cholesterol

June 2011, Volume 23, Number 05

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

Consultant's Corner

• Present Recommendations for the Treatment of Dog Bites
• When to Prescribe Infliximab
• Does Pulling Out Hairs Stimulate More Hair Growth?
• Liver Screening for Type 2 Diabetics
• Treatment of Asymptomatic Bacteriuria During Pregnancy
• When to Order ASOT
• Differentiating Between Bipolar and Borderline Personality Disorder
• Managing Itchy Skin During Pregnancy
• Screening in the Elderly for Pernicious Anemia
• Treatment for Post-nasal Drip
• Immunity to Hepatitis B Infection
• The New Biomarker ColonSentry Test Measure
• Optimal Time to Repair an Acute Nasal Fracture
• Best Agents for Treating Psoriasis of the Scalp
• Alternative to BDEPQ for Patients with Insomnia and on Antidepressants

DermCase

• Rash on Baby’s Face
• Skin-coloured Papule on Shoulder
• Dermatitic Eruption Around Lips
• Itchy Back Eruption
• Scaly, Brown, Itchy Skin on Knees
• Areas of Hair Loss on the Face
• Growing Face Lump
• Fish-like Scales

Cardio Q&A

• The Physiological Mechanism for Alcohol to Raise Blood Pressure
• ASA Use for Primary Prevention of CVD

Cardio Feature
Dronedarone A New Alternative in Atrial Fibrilation Management
Subroto Archarjee, MBBS, and Christopher Cannon, MD

July/August 2011, Volume 23, Number 06

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Photo Clinic
Hard, Red Lesion on Scalpula
Benjamin Barankin, MD, FRCPC

Consultant's Corner

• High Dose Vitamin B12 vs. Injected B12
• Child with Recurrent UTIs
• Oral Cimetidine in Wart Treatment
• Risk of GI Bleeding with SSRI Use
• Can Thrombocytosis Cause Hyperkalemia?
• Pros and Cons of Menstrual Suppression
• High Blood Pressure in an Otherwise Healthy Patient
• Caffeine Intake in Children
• C. Difficile Rate of Colonization
• Effectiveness of Probiotics for IBS
• Fertility Drugs and Breast Cancer; Is There a Connection?
• Most Efficacious Typhoid Vaccine
• Slide and Fixative Method for Paps
• What Can Help Patients with Lipodermatoscelorsis?
• What is the Prognosis for CLL?
• What to Do with Keratoacanthomas
• Severe Panic Attacks in a Pregnant Woman

DermCase

• Firm, White Plaque on Axilla
• Painless, Unproblematic Lump
• Ugly Growths
• Pigmented Lesion on Upper Arm
• A Reticular, Scaling Rash
• White Patches on Cheeks
• Monomorphic Papules on Finger

Case In
How to Approach Treatment for Menopause
Marla Shapiro, MDCM, CCFP, MHSc, FRCP, FCFP, NCMP

Cardio Q&A
Experts Answering Your Questions
• 24 Hour or 48 Hour Holter fo Yount Patient with Palpitations?
• Abdominal Aortic Aneurysm Screening in High Risk Patient

September 2011, Volume 23, Number 07

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Photo Clinic
Red Lines on Trunk and Arms
Alexander K.C. Leung, MBBS, FRCPC, FRCP (UK & Irel)

Consultant's Corner

•Focular Nodular Hyperplasia in Segment VII of the Liver
• Skin Pain in a Patient with Scleroderma
• What Constitutes Lifelong Depression?
• Thalassemia and Iron Deficiency
• What Causes Microscopic Colitis?
• Dosage of ASA for Patient with Chest Pain Prior to Entering ER
• TSH Test for Hypothyroidism
• Pregnancy After MMR Injection
• Six-month-old Breastfed Baby with Blood in Her Stool
• Sun Exposure in a Patient with Psoriasis
• Accuracy of Rapid Strep Tests in Children
• Fertility and the Effect of Chemo and Radiotherapy to Treat ALL
• Hepatitis A and B Immunization
• Treatment for Constipation in Infants
• Treating Gestational Diabetes Mellitus
• Treatment for “Airplane Ear”
• Recurrent Malaria
• Diabetes and Major Depressive Disorder

DermCase

• Itchy Skin Rash
• Nonpruritic Skin-coloured Papules
• Small Domed Papules
• Large Lesion Behind the Ear
• Ulcerated Nodule
• Eyelid Papules and Plaques
• Dimple on the Neck
• Hypopigmented Area on the Chest
• Lesion on Palm
• Hypopigmented Lesion on Cheeks

Case In
The New Kids on the Block: Incretin Therapy for Management of Type 2 Diabetes
Janine C. Malcolm, MD, FRCPC

Cardio Q&A

• Current Indications for Amiodarone Use
• Drug-eluting Stents

2011 CHEP Recommendations
An Annual Recommendations Update

October 2011, Volume 23, Number 08

Diagnose This!
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Photo Clinic
Patches on Legs
Benjamin Barankin, MD, FRCPC

Consultant's Corner

• Performing an ECG on a Patient with a Previous Asymptomatic MI
• Family History and Breast Cancer Screening
• Pacemakers for Gastroparesis
• Describing Pap Smear Diagnoses
• Is Calcium Absorption Decreased when Taking PPIs?
• Treating Facial Eczema in a Five-month-old
• Best Treatments for Paranoia and Delusions
• Treatment of “Bull’s Eye Rash”
• The Effects and Treatment of Fifth Disease
• Adjustable Dental Appliances for Treatment of Snoring
• First-time Herpes Zoster in a 10-year-old
• Screening for Type 2 Diabetes in Patients with FBS
• Minimum Vaccination for Travel to India
• Medication for Symptoms of Acute Bereavement?
• Investigating Siblings of Children with Vesicoureteral Reflux
• Oral Therapy for Tinea Versicolor Eruption

DermCase

• Enlarging Ear Rim Lesion
• Yellow-pigmented Skin
• Supraorbital Enlarging Lesion
• Triangular, Fleshy Growth on Eyes
• Multiple Pruritic Papules
• Eruptions in Mucous Membrane
• Leg Deformity
• Scaling Pruritis
• Non-pruritic Rash
• Coating on Axillary Hair

Cardio Q&A
Experts Answering Your Questions
• Current Standards for Stroke Care, TIAs, and AF in Rural Canada
• Management of Atypical Chest Pain

Case In
Transient Ischemic Attack, Minor Stroke and the Family Physician
Shelagh B. Coutts, BSc, MB.ChB., MD, FRCPC, FRCP(Glasg.)

November/December 2011, Volume 23, Number 09

Diagnose This!
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Photo Clinic
Streaks on the Lower Back
Alexander K.C. Leung, MBBS, FRCPC, FRCP (UK&Irel), FRCPH, and Andrew Wong, MD

Consultant's Corner

• Treating Sexual Dysfunction in Risperidone Patients
• Family History and Breast Cancer Screening
• High Dose Vitamin B12 vs. Injected B12
• Treatment for “Airplane Ear”
• Treatment of Mildly Elevated Thyroid-stimulating Hormone
• Echocardiogram Frequency Following Aortic Stenosis
• The New HPV Vaccine
• Effectiveness of Medication in Autism Spectrum Disorder
• Managing Itchy Skin During Pregnancy
• Best Agents for Treating Psoriasis of the Scalp
• Accuracy of Rapid Strep Tests in Children
• Treatment of Thrombosed Hemorrhoids
• Testosterone Deficiency and Clinical Depression
• C. Difficile Rate of Colonization
• Effectiveness of Probiotics for IBS

DermCase

• Scaly Eruption on Scalp
• Rough, Scaly Papules on Scalp
• Fish-like Scales
• Hyperpigmented Linear Lesions
• Nonpruritic Skin-coloured Papules
• Pigmented Lesion on Upper Arm

Workshop
Hypoglycemia in Non Diabetic Patients
Michelle J. Haroun, MD, and Ally P. H. Prebtani, MD, FRCPC

Cardio Q&A
Experts Answering Your Questions

• Statins, Niacin, ASA, and Co-enzyme Q10 Combo Pill?
• Managing Non-compliant Patients

Prespecives in Cardiology
Glycemic Control and CV Outcomes in Type 2 Diabetes: On to the Meta-analyses
Subroto Acharjee, MBBS, and Christopher P. Cannon, MD