January 2012, Volume 24, Number 01

Diagnose This!
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Photo Clinic
Tender Lesions on Fingertips
Brent M. McGrath, MD, MSc, PhD, Joffre S. Munro, MD, BSc(Hon),
Emily C.E. Wilson, BSc, MSc, and Eric Grant, MD, FRCPC

Consultant's Corner

• Elevated Vitamin B12 Level in an Otherwise Healthy Patient
• Side-effects of Atypical Antipsychotic Use in Patients
• Prescribing for Adult ADHD
• Chronic Perforated Eardrum
• Performing Endometrial Biopsy in Mid-late 40s Female Patients
• Clinical Presentations and Lab Testing for Syphilis
• When to Use Cholestyramine Resin for Gastroenteritis
• Risks in Young Children Taking Omega/DHA Tablets or Oils?
• Interactions of Natural Medicines with Psychotropic Medications
• Testing a Patient’s Immunity to Tetanus, Measles, and Mumps

DermCase

• Soft Tissue Mass on the Occiput
• Enlarged Lesion on the Thigh
• A Hairless Patch
• Linear Erythematous Leg Papules
• Hyperpigmented Leg Lesions
• Itchy, Evanescent Lesions

Workshop
Cardiovascular Magnetic Resonance Imaging: What Are the Clinical Applications?
Javier Ganame, MD, PhD

Cardio Q&A
Experts Answering Your Questions

• Measuring hs-CRP Levels
• Reader’s Response

February 2012, Volume 24, Number 02

Diagnose This!
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Photo Clinic
Hyperpigmentation on the Face
Alexander K.C. Leung, MD, FRCPC, FRCP (UK&Irel), FRCPCH

Consultant's Corner

• Parasite Testing for Patients with Bruxism
• What is the Suggested Circumcision Age for Phimosis?
• Varenicline and Suicidal Ideation: How Common Is It?
• Treatments for Glossodynia
• Treating Pruritus Ani
• Impact and Treatment Options of Luteal Insufficiency on Fertility
• Significance of Giant Platelets in an Asymptomatic Patient
• Herpes Zoster Vaccination after Having Been Recently Infected?
• Syringing of Ear Cerumen in Children
• Treating Hyperhidrosis
• Accuracy of the Research Done on Influenza Strains

DermCase

• Proliferating Papules on Abdomen
• Yellowish Discolouration of Toenails
• Asymptomatic Lip Papule
• Small Lumps on the Lower Eyelids
• A Reddish, Growing Mass
• A Woman with Back Hair

Cardio Q&A
Experts Answering Your Questions

• Treatment of Hypertension in Pregnancy

Workshop
Preventing Cardiovascular Disease in Diabetes
Subroto Acharjee, MBBS, and Christopher P. Cannon, MD

March 2012, Volume 24, Number 03

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Photo Clinic
White Patches on the Tongue
Alexander K.C. Leung, MD, FRCPC, FRCP (UK&Irel), FRCPCH

Consultant's Corner

•Autism and Vaccines
• Prophylactic Topical Antibiotics and Minor Skin Surgery
• Treating Internet Addiction
• Managing Weakness and Low Ferritin
• Treating Dientamoeba fragils
• Treatment for Cramps
• Aspartate Aminotransferase vs. Alanine Aminotransferase
• Testing for Rubella Immunity in Pregnant Women
• Treatment with PPIs for Patients with GERD Symptoms
• Oral vs. Intravenous Antibiotics for Human Bites
• Treating Helicobacter pylori
• Evaluating Adenomyosis
• Zinc and Vitamin C in Wound Healing

DermCase

• Hypopigmented Area on the Chest
• Recurrent Hand Eruptions
• Deep, Tender Lesions on the Trunk
• Elbow and Knee Lesions
• Nonhealing Skin Lesion
• White Patches on the Arms
• Asymptomatic Lesion on the Penis

Cardio Q&A
Experts Answering Your Questions

• Connection Between Gout and Heart Disease?
• Gastrointestinal Bleed Treatment

Case In...
A Murmur in an Elderly Patient: What is the Cause?
Hisham Dokainish, MD, FRCPC, FASE, FACC

Upcoming: CME Programs Across Canada

April 2012, Volume 24, Number 04

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Photo Clinic
A Problematic Pregnancy Rash
Stanley Wine, MD, FRCP

Consultant's Corner

• What Are the Best Iron Supplements to Prescribe?
• Protocol for Immunizing Patients
• How to Use Psychostimulants in Geriatric Depressive Disorder
• Should Levothyroxine Be Used to Normalize TSH?
• Initiating Antiviral Treatment for Herpes Zoster
• Treating Eczema in Children
• Methotrexate and Misoprostol to Induce Therapeutic Abortion
• Treatment for Acute Onset of Seizures in Children
• Kynurenine and Depression
• Herpes Simplex Virus Type-specific Serology
• Is there a Cure for Onychomycosis?
• The Normal Reference Range for Serum Ferritin
• Long-term Bisphosphonate Use
• Current Recommendations for TB Testing
• How to Approach Platelet Dysfunction
• Is Aminolevulinic Acid an Effective Acne Treatment?
• Nonstreptococcal Bacterial Infections in the Airway

DermCase

• Orange Plaque on the Scalp           
• Slowly Enlarging Plaque
• Painful Rash on Chest
• Asymptomatic Erythematous Papules
• A Stain on the Forehead
• Generalized Pruritis in an Infant
• Intensely Pruritic Lesions
• A Thick, Pruritic Growth
• Rough Spots on the Palms and Soles
• Oral, White Patches

Cardio Q&A
Experts Answering Your Questions

• Does Pantoprazole Inhibit the Activation of Clopidogrel?
• Brugada Syndrome
• Is Warfarin Recommended in a Nonagearian Female with Atrial Fibrillation?

Case In...
Investigations and Management of Crohn’s Disease
Hayder Kubba, MBChB, LMCC, CCFP, FRCS(UK), DFFP, DPD

Upcoming: CME Programs Across Canada

May 2012, Volume 24, Number 05

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Photo Clinic
Mass in the Umbilical Area
Alexander K.C. Leung, FRCPC, FRCP(UK&Irel); Carmen Fong

Consultant's Corner

• Significance of Posterior Cervical Lymph Nodes  
• Montelukast in a Child for Asthma Control?
• Pancytopenia Finding in a Patient on Mirtazapine
• Management of Post Polio Syndrome
• Treatment for Fungal Infections of the Toenails
• Gastric Banding Update
• Recommendations for Ordering Digital Mammograms
• Effectiveness of OTC Cryotherapy Products for Plantar Warts
• Sucralfate in Cases of IBS with Prominent Diarrhea
• Antibiotics for Pharyngitis
• Management of Nonstreptococcal Upper Respiratory Infection
• Bisphosphonate Use with Calcium
• Diagnosing ADHD in Children
• Differentiating Between Tinea Corporis and Tinea Versicolor

DermCase

• Leg, Arm, and Chest Papules
• Asymptomatic Nose Lesion
• Black and White Papules
• Elevated, Tan Coloured Lesion
• Pruritic, Purple Papules
• The Shy Toe
• Skin Coloured Bumps
• Hanging Skin Growths

Case In...
COPD: How to Make a Timely Diagnosis
R. L. (Bob) Cowie, MD, MSc, FCP(SA)

Cardio Q&A
Experts Answering Your Questions

• Ordering Cardiac Stress Tests
• Should Patients with Coronary Artery Stents Continue Taking Folic Acid?

Upcoming: CME Programs Across Canada

June 2012, Volume 24, Number 06

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Photo Clinic
Abnormal Thumb Lesions
Alexander K.C. Leung, MBBS, FRCPC, FRCP(UK&Irel); Justine H.S. Fong

Consultant's Corner

• Revaccinating with Recombinant HPV Quadrivalent Vaccine
• Bisphosphonates for Osteopenia
• Treatment for Seizures of Acute Onseit in Children
• Differentiating Between Corns and Warts
• Identifying Remission after Depression
• Referring to an Infertility Specialist
• Treating ADHD Adult Patients
• Usage of Infliximab for Crohn's and Ulcerative Colitis Treatment
• Premature Ovarian Failure Treatment
• Surgically Treating Mucous Retention Cyst

DermCase

• Changes on the Forehead
• Foot Growths
• Circumbscribed Hyperpigmentation
• Lesions on the Penis
• Unilateral Rash
• Coloured Plaques
• Scaly Elbow Plaque
• Chest Patch
• Round Spots

Case In...
How to Approach Patients with Chronic Cough
Stephen K. Field, MD, CM, FRCPC

Cardio Q&A
Experts Answering Your Questions

• Pleiotropic Effects of Statins
• Colchicine for the Prevention of Pericarditis

Upcoming: CME Programs Across Canada

July/August 2012, Volume 24, Number 07

Diagnose This!
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Photo Clinic
Hair Loss on the Scalp
Stanley J. Wine, MD, FRCPC

Consultant's Corner

• Referral Centres for Suspected Tropical or Infectious Diseases
• Managing Postcholecystectomy Diarrhea
• Roflumilast in COPD Treatment
• Probiotics in the Prevention of Repetitive Infections
• Evaluating Patients with Elevated Serum Potassium
• Epidural for a vWF Deficient Patient in Labour: Is it Safe?
• Glucagon for Patients on Insulin                                                    
• Treating Hirsuitism in a 15-year-old Girl
• Treating Dientamoeba Fragilis with Liquid Alternatives
• Switching Agents for Treating Depression Based on Weight Gain
• Symptoms of West Nile Disease
• Should DREs be Performed on Female Patients?
• Preventing the Spread of Genital Herpes
• Differential Diagnosis for Periorbital Edema
• Moulds in the Environment
• Management of Benign Mastodynia

DermCase

• Large, Red Eyelid Growth
• Torso Rash Preceded by Patches
• Alarming Body Rash
• Papule on the Nose
• Weight Gain and Cutaneous Manifestations
• Dry, Red, Cracked Skin on Thumb
• Swollen Chest Nodule
• Itchy, Swollen Lips
• A Swollen, Red Umbilical Stump
• Abdominal Pain Followed by Rash
• Enlarging Lesion on the Flank
• Premature Breast Enlargement
• Growth Underneath The Tongue
• Bilateral, Hypopigmented Macules
• Discoloured Areas on the Foot

Case In...
Myalgic Enephalomyelitis/Chronic Fatigue Syndrome: A Pragmatic Approach
Eleanor Stein, MD FRCPC(C)

Cardio Q&A
Experts Answering Your Questions

• A Short PR Interval on a Routine ECG
• Significance of a PFO on an Echocardiography
• Risk in Japan vs. the West
• Using hs-CRP in CV Risk Stratification
• Benefit to Adding a Nighttime Antihypertensive

Upcoming: CME Programs Across Canada

September 2012, Volume 24, Number 08

Diagnose This!
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Photo Clinic
Large Neck Lesion
Stanley J. Wine, MD, FRCPC

Consultant's Corner

• When to Treat for Eustachian Tube Dysfunction
• Methylphenidate in the Treatment of Bipolar Disorder
• Combining Sitagliptin with Metformin and Insulin
• Hepatitis Testing Recommended for Sexually Active Adults
• Circumcision for Asymptomatic Phimosis
• Which AEDs Interact with Hormonal Contraceptive Pills?
• Probability of Glaucoma when Treating with Topical Steroids                                                
• Lithium Treatment in the Elderly
• Treating Skin Lesions Secondary to MRSA
• When to Scope for Adenomas or High-grade Dysplasia Polyps
• Distinguishing between Cardiac and Gastro Origins of Chest Pain
• Latest Treatment Measures for Atopic Dermatitis
• Inhaled Steroids vs. Oral Steroids

DermCase

• Enlarging, Firm Nodule
• Red, Scaly Plaques on the Abdomen
• Lesion Left after Excision
• Painful Tongue Lesion
• Erosive, Crusted Skin on Cheeks
• Scaly Lesions on the Scalp
• Large Plaque on the Shoulder
• Asymptomatic Rash on the Back
• Band-like Eruption on the Torso
• Yellowish-brown Elbow Nodule
• A Mass on the Dorsum of the Wrist
• Unilateral Dermatitis on Lower Leg
• Maculopapular Arm Rash

Case In...
Multiple Sclerosis: First Line Therapy Treatments
Frederico Di Guglielmo, MD, and Sarah A. Morrow, MD, MSc, FRCPC

Cardio Q&A
Experts Answering Your Questions

• Beta-Blocker Use in Patients with CAD
• ACEi Induced Cough: A "Class Effect?"
• COX-2 Selective Inhibitor Therapy
• Which Omega-3 Prep is Recommended?
• Spiral CT for CAD

Upcoming: CME Programs Across Canada

October 2012, Volume 24, Number 09

Diagnose This!
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Photo Clinic
Dark, Round Areas on the Back
Benjamin Barankin, MD, FRCPC 

Consultant's Corner

• Prescribing Clopidogrel Post Angioplasty
• URI Symptoms and Edematous Uvula: Likely Infectious Agent?
• Distinguishing Between Aphthous and Other Mouth Ulcers
• Diabetes Mellitus Onset and Peripheral Neuropathy Symptoms
• Distinguishing Between Genital Warts and Vulvar Papillomatosis
• Smoking Cessation Benefits
• Asthma Diagnosis in Young Patients
• Taking Pictures of Pigmented Lesions to Track Changes
• Management of Fetal Alcohol Spectrum Disorder
• HPV Vaccination Boosters and Indications for Males
• Neutropenia Finding on a Routine Blood Draw
• Risks Associated with Cardiac CT Angiogram
• Macerated Nipples in a Newly Nursing Mother
• In-office Treatment of Common Warts
• IGRA Testing vs. Mantoux Screening
• Itchy Ear Canal Treatment
• When to Switch from Homogenous to 1 or 2% Milk
• How Common is Metformin-related Lactic Acidosis?
• Long-term Effects Associated with Chronic PPI Use
• Clinician-administered Scales for Depression
• Irritated, Noninflamed, Patchy, White Tongue

DermCase

• Lesion on the Nose
• Red Papules on the Arms
• Slowly Growing Lesion
• Umbilicated Papules on the Chin
• Scaly, Round Plaques
• Expanding Area of Pigmentation
• Red Spots on the Periorbital Skin
• Red, Occasionally Bleeding Plaque
• Ulcerating Chest Wall
• Yellow, Discoloured Skin
• Asymptomatic Rash on the Chest
• Bumps on the Abdomen
• Hypopigmentation on the Trunk
• Pruritic, Skin-coloured Papules

Workshop
Current Challenges in the Approach to Treating Late-life Depression (LLD)  
Karen Saperson, MBChB, FRCPC

Upcoming: CME Programs Across Canada

November/December 2012, Volume 24, Number 10

Diagnose This!
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Photo Clinic
A Patch of Scalp Hair Loss
Hayder Kubba, MBChB, LMCC, CCFP,  FRCS(UK), DFFP, DPD

Consultant's Corner

• Effectiveness of Seasonal Vaccines for Flu Prevention
• Any New Treatments for Parkinson’s Disease?
• Significance of Burr Cells Found on a CBC Smear
• Managing Long-lasting Post-viral Coughs
• When to treat Diastolic Hypertension
• Event Monitors (Recorders) vs. Holter Monitors
• Improving the Appearance of Stretch Marks
• Is a Lactose- and Gluten-Free Diet Completely Beneficial?         
• Can ASA and Clopidogrel Be Combined for CBVD?
• Prolonged QT Interval in the Absence of Hypocalcemia
• The Latest on Administering Tetanus Boosters
• Significance of Large Platelets in Routine Blood Work
• Best Indications of Airway Obstruction
• Pap Smears for Women Who Have Had a Partial Hysterectomy
• Ordering C-reactive Protein
• Isolated Amylase in an Otherwise Healthy Patient

DermCase

• Breast Growth in a Pubertal Boy
• An Intensely Pruritic Eruption
• Ugly Neck Lesions
• An Unwanted Souvenir
• Red Nose Papule
• Stubborn Pruritus
• Non-itchy Elbows
• Large, Blotchy Areas of Erythema
• A Contagious, Itchy Rash
• Red and Sore Corner of the Mouth
• Nonpruritic Shin Patches

Workshop
Breastfeeding Challenges Presented to the Family Physician
Marlene Lidkea, MD, CCFP, FCFP

Upcoming: CME Programs Across Canada