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May 2008

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May 2008: Volume 25, Number 4

Feature 1
Pancreatic Cancer:
The Role of Endoscopic Ultrasound

Jennifer A. Flemming,MD; and Lawrence C. Hookey,MD, FRCPC

Pancreatic cancer is the eleventh most common malignancy in Canada but is the sixth leading cause of cancer death with 3,500 people receiving the diagnosis and 3,400 patients succumbing to the disease in 2006.


Feature 2
Chronic Shoulder Pain:
FromA to Z
Peter Lapner,MD, FRCSC

Chronic shoulder pain is a term that refers to pain that occurs for a duration longer than four to six months.


Feature 3
End-Stage Cirrhosis:
Complications, Diagnosis andManagement
Urs P. Steinbrecher, MD, FRCPC

In early stages, cirrhosis may not cause any symptoms and may be associated with few, if any, physical findings .


Feature 4
Top 10 Prescribed Drugs:
Important Interactions
Karen A. Jensen, MSc, BSP

With more drugs and drug combinations being used than ever before, the potential for adverse effects due to interaction is also increasing. The actual incidence of clinically significant interaction has not been determined but it is known to be a factor in many ER visits and hospital admissions.

Feature 5
Dyslipidemia:
When the Usual Statins Are Not Enough

David Blank, MDCM, FRCPC (Medical Biochemistry)

Coronary artery disease (CAD) is a major
cause of morbidity and mortality in Canadians. Hypercholesterolemia, a major risk factor for CAD, requires aggressive treatment. Five classes of medications are used in the treatment of dyslipidemia.

Dalhousie Department of Emergency Medicine
Case of the Month

“Have I lost my mind?”


Case in Point

“What are these white patches?”


Experts on Call

Answers to your questions from our medical experts

• Giant Cell Tumours and Osteosarcoma
• Black Hairy Tongue
• Topical vs. Oral NSAIDs
• Cough due to Bordetella Pertussis
• Developing Gynecomastia
• Hypnosis as a Medical Therapeutic Agent
• Treating Bacterial Vaginosis in Early Pregnancy
• Taking Patients Off BP Medication
• Immunizing Patients Who Have Splenectomies
• Risk of Developing Colorectal Cancer
• Meniere’s Disease
• Lactobactillus in a Urine Culture
• Right Bundle Branch Block
• Commonality of True ASA Allergy
• Pityriasis Alba vs. Rosacea
• Ordering PSA
• Persistent, Foul Vaginal Odour
• Screening for Bladder Cancer
• Calcium Supplementation Options
• Using Insulin Glargine in an Adolescent
• Allergies to Antihypertensive Medication
• Naltrexone for Alcoholic Patients
• Skin Changes With Topical Steroid Use
• ß-Blockers in Chronic Obstructive Lung Diseases
• Significance of Adenomyosis in Pelvic Ultrasound
• Considering Surgery for Stress Incontinence
• Treating Keratosis Pilaris
• Renal Effects of Lithium
• Working-Up Urinary Tract Infections in Males

Endocrine Update

Type 1 Diabetes in Pediatrics


Photo Diagnosis

Illustrated cases with questions to test your diagnostic skills
• Nazaneen’s Nodule
• Lucio’s Scrotal Lump
• Chris’ Cough
• Paul’s Pimples
• Foster’s Foot Abnormality
• Parson’s Purple Papules
• Shelton’s Shortness of Breath
• Lawford’s Lesion


Women’s Health
IUDs and Endometrial
Biopsy
Sally Mahood, MD, CCFP, FCFP

IUDs are low maintenance, inexpensive, reversible and underutilized in Canada. They are used by 13% of women worldwide, but by only 1.5% of women 15- to 45-years-of-age in Canada.

What’s New in Clinical Research

Clinical Viewpoint:
Assessment and Management of Chronic Pain and the Potential Role of Narrative Medicine
Brian Goldman, MD, MCFP (EM), FACP, Alan Kaplan, MD, CCFP (EM)

For more information or to request a copy of Diagnosis please click here.

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