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December 2004

Feature 1
5 Faces of Skin Cancer
Jerzy Pawlak, MD, MSc, PhD; and T.J. Kroczak

Skin cancer is currently the most commonly diagnosed cancer in Canada. Follow the cases of five patients while learning more about the risk factors and main features of the different types of skin cancer.


Feature 2
Diabetes Guidelines

A Tool for Every GP
Sora Ludwig, MD, FRCPC

The Canadian Diabetes Association published revised guidelines in 2003, updating areas of screening and diagnosis. They also expanded into areas not previously addressed, but which have become important in diabetes management.


Feature 3
Nocturia
Nature’s Nighttime Call
Richard Baverstock, MD, FRCSC; and Sender Herschorn, MD, FRCSC

In 2002, the International Continence Society standardized the definition of nocturia to facilitate diagnosis and therapy. Learn more in this brief update.


Case of the Month
“It’s worse than labour pains!”


Case in Point
“Is it more than just jaundice?”


Experts on Call
Answers to your questions from our medical experts

What’s the deal with low-carb diets?
• ACTH, cortisol and depression?
• Guidelines for clopidogrel
• Chlamydia testing
• Calculating cardiac risk & more


Complementary Medicine
An evidence-based review of alternative therapies
Acupuncture For...Nausea and Vomiting


What’s Your Diagnosis?

A Respiratory Puzzle


Photo Diagnosis
Illustrated cases with questions to test your diagnostic skills


Allergy Alert
A case-based update

“Why is my asthma getting worse?”


Women’s Health
Designer Menses:
Should Menstruation Be Optional?


Medical Brief
• Study says cholesterol must be treated more aggressively
• Cialis® shows positive effects in patients taking antidepressants

November 2004

Feature 1
Celiac Disease
What’s On Your Plate?
Flavio Habal, MD, PhD, FRCP

The prevalence of celiac disease among North American Caucasians is one in 250. Dr. Habal explains how to make the correct diagnosis, how to treat the condition, and what complications may arise.


Feature 2
Erectile Dysfunction
Assessing the New Drugs
Richard Ward, MD, CCFP, FCFP

With three drugs now available to treat erectile dysfunction, physicians must make a choice. How do these agents compare and which is best suited to your patient? Dr. Ward gives us the scoop.


Feature 3
Renal Protection
Staying on Target
James Barton, MD, FRCPC

Diabetes is the most common cause of chronic kidney disease in Canada. The 2003 Canadian Diabetes Guidelines have recommended ways to protect the kidney and reduce other diabetes-related complications. Dr. Barton gives us a rundown.


Case of the Month
She’s Gonna Blow!


Case in Point
“Is this lump a tumour?”

Experts on Call
Answers to your questions from our medical experts
• What harm can genetically modified foods do?
• Advanced liver failure management
• The role bisphosphonates in osteoporosis
• When are liothyronine sodium tablets used
• Rehab after hip replacement surgery & more


Complementary Medicine
An evidence-based review of alternative therapies
Alternatives For...Depression


What’s Your Diagnosis?
“Doc, now my face itches too!”


Photo Diagnosis
Illustrated cases with questions to test your diagnostic skills


Allergy Alert
A case-based update
Chronic Urticaria: Scratching the Surface


Women’s Health
Female Athlete Triad:
The Flip Side of Active Living


Medical Briefs
• Levitra® can help men with ED in 10 minutes
• Lipitor® approved in the prevention of CVD
• Imitrex DF™ is new and improved
• Cialis® brings hope to ED patients
after BNSRRP



October 2004

Feature 1
Osteoporosis in Men
Breaking Down the Risk
Aliya Khan, MD, FRCPC, FACP

Osteoporosis has widely been regarded as a disease affecting women; thus, it’s often overlooked in men; however, it has become an increasingly important health issue. Dr. Khan provides a breakdown.


Feature 2
Depression
Cutting Through the Confusion
John Jordan, MD, MCISc, CCFP, FCFP

One in six Canadians will, at some point, suffer from a major depression. Learn more about the treatment of this sociallydebilitating disorder and about how to prevent relapse.


Feature 3
Knee Pain
Covering the Angles
Emil Orsini, MD, FRCS(C), FAAOS, FACS

Review the symptoms, diagnosis, and treatment of two major lower-extremity injuries: the torn meniscus and acute knee injury.


Diagnosis Mailbox


Case of the Month
“I can’t move my shoulder!”


Case in Point
“Doctor, this is embarrassing!”

Experts on Call
Answers to your questions from our medical experts
• What’s new in PMS?
• Dealing with obesity
• Sources of Omega-3
• Overcoming lack of sexual interest
• When should you use imiquimod? & more


What’s Your Diagnosis?
When the Treatment Becomes the Problem


Photo Diagnosis
Illustrated cases with questions to test your diagnostic skills


Take Caution! Travelling With Diabetes


Allergy Alert
A case-based update
A Stinging Experience


Women’s Health
Vulvar Rash: A Complete Workup


Medical Briefs
• Adalat®XL® means fewer cardiovascular events
• Zelnorm®: A go for chronic constipation

September 2004

Feature 1
The Evolving Management of Multiple Sclerosis
What GPs Need to Know
Khalid Hassan, LRCP&SI, MB, BCh, BAO; and
Liesly Lee, BSc, MSc, MD, FRCP(C)


Multiple sclerosis is one of the most common disabling
neurologic conditions in young adults. It is important that family physicians be aware of presenting symptoms and treatment options.


Feature 2
Anal Cancer
A Sexually Transmitted Disease
Irving E. Salit, MD, FRCPC

Anal cancer occurs at a rate of approximately 1.3 to 1.4 per 100,000. Get the scoop on various screening methods and therapeutic modalities for this sexually transmitted disease.


Feature 3
The Painful Truth About
Chronic Pain
Mohamud Verjee, BSc (Hons), MB ChB, DRCOG, MCFP

The management of chronic pain has seen great advances in recent years with the development of chronic pain clinics, greater expertise by family physicians and anesthetists, and more effective drug therapy. Learn more in this brief overview.


Feature 4
4 Steps: Getting to the Bottom of Hematuria
Kerri Novak, MD; and Kevin McLaughlin, MB ChB, MRCP(UK)

Follow the four steps to the diagnosis and treatment of hematuria.


Diagnosis Mailbox


Case of the Month
“I don’t think it’s a coin!”


Case in Point
“What’s this mass on my head?”

Experts on Call
Answers to your questions from our medical experts

• Are contraceptive patches effective?
• Recommended tests for patients with hypertension
• Does soaking help wounds?
• Surgery after radiation therapy & more


What’s Your Diagnosis?
“Doc, I’m worried about my prostate”


Photo Diagnosis
Illustrated cases with questions to test your diagnostic skills


Allergy Alert
A case-based update
A Purr...fect Approach!


Women’s Health
Cervical Cancer: Timing is Everything


Medical Briefs
• A Quick Test can help diabetes patients
• Lipitor®: Reducing the risk of heart attack
• JRA sufferers can stay active with Vioxx®


August 2004

Feature 1
Cognitive Therapy
Essentials for Family Physicians
Greg Dubord, MD

While most cognitive therapy training is designed for full-time psychotherapists, it is important for family physicians to know the essentials of this behaviour-based strategy.


Feature 2
Gout at a Glance
Rafat Faraawi, MD, FRCP(C), FACP

Gout is one of the oldest diseases in history. Dr. Faraawi runs down the steps to making a diagnosis and reviews the various treatment options.


Feature 3
Thimerosal Allergy:
Is It a Concern?
Peter Vadas, MD, PhD, FRCPC, FACP

Thimerosal is widely used in contact lens solutions, eye drops, and vaccines. One large-scale North American study found it ranked as the12th most common contact allergen. Get the scoop on what some other studies have shown.


Feature 4
Benign Prostatic Hypertrophy
3 Paths to Relief
Bryan Donnelly, BSc, MSc, MCh, FRCSI, FRCSC

Benign prostatic hypertrophy affects at least 60% of men over 50. Dr. Donnelly sheds some light on the three levels of
treatment.


Diagnosis Mailbox


Case of the Month
“My fingers just started hurting”


Case in Point
A Nickel for Your Thoughts

Experts on Call
Answers to your questions from our medical experts
• What’s the value of evidence-based
medicine?
• What’s the latest on ascites?
• What is the link between nuts and
diverticulitis?
• Treating endometriosis
• Is anorexia a psychosis?
• What is the best way to deal with mono?


What’s Your Diagnosis?
A Case of the Spins


Photo Diagnosis
Illustrated cases with questions to test your diagnostic skills


ECG Clinic
An Arm and a Leg


Women’s Health
Overactive Bladder: Fighting the Urge


Medical Briefs
• Remeron® RDTM: A unique way to treat
depression
• Are hormonal acne medications a safe option?
• Spiriva® means good news for COPD patients


July 2004

Feature 1
Choosing A Diabetes Strategy
Where to Start and Where to Go
Erin Keely, MD, FRCPC; and Sharon Brez, RN, BScN, MA(Ed), CDE

Choosing which oral antihyperglycemic to use has become more complicated in the past several years. Follow this
comprehensive flowchart and select the strategy that fits your patient.


Feature 2
DNR Orders and the Elderly
Delicate Discussions
William Eaton, MD, CCFP, FCFP

DNR discussions, while necessary at times, are never easy. Dr. Eaton provides some Q&As for doctors who are concerned about having the “DNR talk” with elderly patients or their families.


Feature 3
Quality of Care
Does Your Practice Measure Up?
Alan Katz, MB ChB, CCFP, FCFP

Family physicians strive to provide their patients with the best possible care. Dr. Katz lists some key points to help physicians achieve this goal.


Feature 4
NSAIDS and GI Effects
What Do the Studies Say?
Roger Thomas, MD, PhD, CCFP, MRCGP

What do the latest studies say about preventing or reducing GI effects in patients taking NSAIDs? Dr. Thomas gives us a brief synopsis.


Diagnosis Mailbox


Case of the Month
“My face is swollen!”


Case in Point
“Doctor, I don’t like it!”

Experts on Call
Answers to your questions from our medical experts:
• Too much HDL?
• The biochemical basis of PSA
• Managing CV risks
• How is urticaria diagnosed?
• Oral bisphosphonates and cancer
• Treating plantar warts
• Prostatic calcifications on ultrasound


What’s Your Diagnosis?
Mind Games: Migraine or More?


Photo Diagnosis
Illustrated cases with questions to test your diagnostic skills


ECG Clinic
A Teenager With Syncope


Women’s Health
Perimenopause: Taking it One Symptom
at a Time


Medical Briefs
• Better access to the “morning after pill”
• Pfizer.ca: User-friendly for the disabled
• Atomoxetine: A new weapon in the ADHD battle
• AndroGel® offers a safe answer to low testosterone


June 2004

Feature 1:
Thyroid Nodules
When Is a Lump Cancer?

Jay Silverberg, MD, FRCPC, FACP

Thyroid nodules are among the most common thyroid disorders encountered in routine family practice. Learn how to diagnose a malignant nodule and what treatment options exist.


Feature 2
New Pediatric Vaccines

D’Arcy Little, MD, CCFP

Several new vaccines have recently entered the market, covering pediatric diseases such as pneumococcal disease, meningococcal disease, and varicella. Dr. Little reviews risks, benefits, and cost effectiveness of the new vaccines.


Feature 3
Keeping a Watchful Eye on
Kidney Function

Sophia Chou, MD; and Bruce F. Culleton, MD, FRCPC

Chronic kidney disease is an emerging public health problem
worldwide. For patients who are affected, monitoring kidney function is essential. Find out which tests are useful and how far-reaching the GP’s role is.


Feature 4
Migraine
What to Keep in Mind

Cory Toth, BSc, MD, FRCPC; and Werner J. Becker, MD, FRCPC

Should a migraine be treated with abortive or prophylactic therapy? When is it time to refer? Get the answers to these and other migraine-related questions.


Diagnosis Mailbox


Case of the Month
“Whoa, hold the amoxicillin!”



Case in Point
A Cancer Scare

Experts on Call
Answers to your questions from our medical experts

This month:
Answers to your questions from our medical experts
• Treating mild asthma in adults
• The role of BNP in managing CHF
• How to avoid missing a prostate cancer
diagnosis
• What to know about hypothyroidism
• Managing belated hypertriglyceridemia


What’s Your Diagnosis?

“Doc, I’m blind on one side!”

Photo Diagnosis

Illustrated cases with questions to test your diagnostic skills


ECG Clinic

A Revealing Form of Injury


Women’s Health


The Story of a Breast Cancer Patient:
A GP’s Approach

Medical Briefs

This month:
• MetroLotion™: A new weapon against rosacea
• Fosamax® continues to shine



May 2004

Feature 1:
BMD Testing in Premenopausal Women:
When Should it Be Done?

Yasmine Hussain; and Aliya Khan MD, FRCPC, FACP

The Canadian Panel of the International Society of Clinical Densitometry recently published standards for the performance of densitometry in premenopausal women. This article provides an overview.


Feature 2
Food For Thought: Diet Feature
High-Protein, Low-Carb Diets: Worth the Risk?
Sheri Taylor, BSc, RD


Feature 3
OTC Weight-Loss Products: Do They Deliver?

Jeff Taylor, PhD)


Feature 4
Osteoporosis in Men:
A New Type of Patient

Rafat Faraawi, MD, FRCP(C), FACP

There is mounting evidence that men have higher rates of
osteoporosis and fragility fractures than previously assumed. How is osteoporosis diagnosed and treated in this “new type of patient”?

Feature 4
HIV: How Can GPs Make a Difference?

Dale Guenter, MD, MPH, CCFP

What is the GP’s role in caring for HIV patients?

Case of the Month
“Doc, my belly really hurts!”


Elisabeth Hobden, MD; and Robert Green, MD, FRCP

Emergency Department’s (ED) Case of the Month is a series of articles discussing topics important to family physicians working in the ED.


Case in Point
A Large Mole?

Jerzy Pawlak, MD, MSc, PhD, and T.J. Kroczak

This department features a case and discussion—tools for your daily practice.

Experts on Call
Answers to your questions from our medical experts

This month:
• The use of valproic acid
• Are doctors immune to certain illnesses?
• How far-reaching is the influenza vaccine?
• Corticosteroid inhalers for COPD; and more


Just Click It!

A look at common medical issues on the Web:
West Nile Virus

What’s Your Diagnosis?

Out-of-the-Norm Vermiform

Photo Diagnosis

IIllustrated cases with questions to test your diagnostic skills
.


ECG Clinic

The Forgotten Lead


Women’s Health
Surviving Menopause Without HRT


Medical Briefs
An abridged look at current events in and around the health-care industry.


This month:
• Health Canada approves Levitra™ for ED
• Intestinal cholesterol absorption protein identified
• Meningitec™ is now available in Canada
• Antibiotic Avelox® equals better cure for AECB


April 2004

Feature 1
The Ups and Downs of
Thyroid Function

Heather Lochnan, MD, FRCPC

Disorders of the thyroid, such as hyperthyroidism and
hypothyroidism, are very common. What exactly causes these
conditions, how are they diagnosed, and what can be done to treat them?


Feature 2
Improving Patient Safety
A GP Guide

Nowell Fine; and Edward Etchells, MD, MSc, FRCP

Errors can happen, but the goal of the patient safety movement is to build a system that reduces errors and prevents unavoidable human error from causing harm. Learn what steps can be taken by GPs toward this end.


Feature 3
Hypertriglyceridemia:
How Big is the Problem?

George Fodor, MD, PhD, FRCPC, FAHA; and Marian Kotrec, MD

Hypertriglyceridemia may be a risk factor for coronary artery
disease and should not be overlooked. Review the causes of this condition, as well as the clinical features and treatment options.


Feature 4
Don’t Get Burned
Making Sense of Dyspepsia

Nigel Flook, MD, CCFP, FCFP

About 30% of adult Canadians will suffer the symptoms of
dyspepsia. The most important challenge for physicians is finding the cause. Dr. Flook reviews the diagnostic process.


Case of the Month
An Easy-to-miss Displacement



Case in Point
“Will my baby be O.K.?”


Experts on Call
Answers to your questions from our medical experts

This month:
• What tests should be done when following patients taking amiodarone?
• Is bacterial vaginosis an STD?
• Is there a role for ACE inhibitors in diabetes patients? & more


What’s Your Diagnosis?
“What’s wrong with my finger?” & Just Click It! (Eczema)


Photo Diagnosis

Illustrated cases with questions to test your diagnostic skills



ECG Clinic

Closing the Loop


Women’s Health
Abating Anxiety:
The First Gynecologic Exam

Urinary Incontinence: Can It Be Helped?


Medical Briefs
An abridged look at current events in and around the health-care industry.


This month:
• ARD is more serious than we think
• Children can get faster relief from eczema & more


March 2004

Feature 1
Battling the Bulge:
Obesity in Kids

Glenn Berall, BSc, MD, FRCPC; and Karen Balko, RD

The prevalence of childhood obesity has reached 30% to 35% in the past decade. What is causing this contemporary epidemic, and what can GPs do to curb the trend?



Feature 2
Back on Their Feet:
Coping With Falls in the Elderly

Roger Butler, MD, CCFP, FCFP

Every year, one-third of community-dwelling people over 65 will fall; some will sustain serious injury. Dr. Butler explains the benefits of a multidisciplinary approach to treating those who have fallen and to avoiding subsequent falls.


Feature 3
Needling the Facts:
An Evidence-based Review of Acupuncture


K. Trinh, MD, MSc, CCFP, DipSportMed; and Shauna-Dae Phillips, BSc)

Promising results have emerged with the use of acupuncture for various ailments. Learn what the latest studies are saying about this once-controversial therapeutic option.


Feature 4
What Should GPs Know?
Remission in Long-term Depression

Roger S. McIntyre, MD, FRCPC; and Jakub Z. Konarski, MSC, PhD candidate

Recurrence of major depressive disorder is highly prevalent. How can long-term remission be sustained?


Case of the Month
“This won’t hurt, will it?”


Elisabeth Hobden, MD; and Robert Green, MD, FRCP

Emergency Department’s (ED) Case of the Month is a series of articles discussing topics important to family physicians working in the ED.


Case in Point
“What is this strange lump?”

Jerzy Pawlak, MD, MSc, PhD, and T.J. Kroczak

This department features a case and discussion—tools for your daily practice.


Experts on Call
Answers to your questions from our medical experts

This month:
Should ARBs be used for renal function preservation in people with diabetes?
Is long-term use of oral contraceptives safe?
How is acute psychosis diagnosed & managed in the elderly?


Just Click It!

A look at common medical issues on the Web
This month: Bronchitis


What’s Your Diagnosis?
“Is it something I ate?”

David Yue, MD

Mr. Davis, 65, presented with a sudden onset of postprandial abdominal pain the previous evening. He recalled eating potato salad, cottage cheese, and deli meat.


Photo Diagnosis

Illustrated quiz on problems seen in everyday practice (various entries).



ECG Clinic

Review ECGs with a specialist from the University of Western Ontario, and the London Health Sciences Centre.


Update
Abstracts and news from the medical literature of interest to the primary care physician.

This month:
Another negative study for Alzheimer’s
Which treatment is better for children with AOM?
Early or delayed surgery for acute cholecystitis?
Sleep’s effect on insight and creativity


Women’s Health
Abating Anxiety:
The First Gynecologic Exam

Stéphanie Palerme, MD, FRCSC; and Mary Anne Jamieson, MD, FRCSC

This department features various topics in women’s health.


Medical Briefs
An abridged look at current events in and around the health-care industry.


This month:
Evra® is as effective as the pill
Better asthma management in Quebec
Couples can enjoy unique moments through music
Heart health can save $2.4 billion by 2006


February 2004

Feature 1
“Why are my options?”
Colorectal Cancer Screening

Wayne Rosen, MD, FRCSC

Colorectal cancer is the fourth most common cancer affecting Canadians. It is also a cancer that is particularly well-suited for screening. Dr. Rosen provides a review of the four main screening methods.

Feature 2
What's Your Game Plan?
Sports Injuries


Howard Winston, MD, CCFP, FCFP

Sports medicine often involves analyzing the delicate balance between supply and demand. History and physical exams are essential, but what else can GPs do for their patients?

Feature 3
Finding the Balance
Simple Acid-Base Interpretation

Anthony M. Herd, BSc, MD, CFPC, CFPC(EM)

Physicians practising in the emergency setting commonly encounter acid-base disturbances. Dr. Herd discusses the must-know rules and formulas for maintaining pH balance.

Feature 4
How Low Do We Go?
Update on Hypertension

Beth L. Abramson, MD, FRCPC, FACC

Hypertension has become the leading risk for death worldwide. Dr. Abramson reviews the diagnosis and treatment options.

Case of the Month
“Doc, I’m getting strokes!”

Sam G. Campbell, MB BCh, CCFP(EM)

Emergency Department’s (ED) Case of the Month is a series of articles discussing topics important to family physicians working in the ED.


Case in Point
“What is this scaly rash?”

Benjamin Barankin, MD

This department features a case and discussion—tools for your daily practice.

Experts on Call
Answers to your questions from our medical experts

This month:
How can aortic dissection be prevented?
Is soaking advisable for open foot ulcers?
Is elevated chromium linked to chronic fatigue?

Talking To Your Patients
Promoting Active Living

Ross Kerkhoff, MD

This department features ways in which family physicians can improve communication with their patients.

What’s Your Diagnosis?
A Diagnostic Dilemma

Mohammed F. Shamji, BSc, MSc, MD; and David C. Holland, MSc, MD, FRCPC

A 68-year-old female presented with known diffuse B-cell lymphoma diagnosed by femoral and posterior triangle lymph node pathology. She had a three-week history of fatigue, pain in all extremities, and progressive weakness, requiring her to use a walker to ambulate.

Photo Diagnosis

Illustrated quiz on problems seen in everyday practice (various entries).


ECG Clinic

Review ECGs with a specialist from the University of Western Ontario, and the London Health Sciences Centre.


Update
Abstracts and news from the medical literature of interest to the primary care physician.

This month:
Risk factors for lactation difficulties
Whispered voice test vs. audiometry
More options for breast cancer
Combination therapy for BPH

Women’s Health
Making the Switch:
Opioid Dependence in Pregnancy

Alice Ordean, MD, CCFP; and Meldon Kahan, MD, CCFP, FCFP, FRCPC

This department features various topics in women’s health.

CME Credit Quiz

This test offers the opportunity to assess your knowledge and retention of the information presented in the articles in this issue. This test is prepared with the Dalhousie University CME department.

Medical Briefs
An abridged look at current events in and around the health-care industry.

This month:
HRT remains safe and effective
Xenical® reduces threat of developing Type 2 diabetes

January 2004

Feature 1
“Why is the room spinning?”
A Look at Dizziness

Beth Lange, MD

Assessing dizziness and imbalance is often complex. Dr. Lange reviews the common clinical syndromes of imbalance and runs down the treatment options.


Feature 2
When You’re the Patient
Coping With Stress and Burnout

Mamta Gautam, MD, FRCPC

Medicine is a stressful field, and doctors often put their own psychological health on the backburner. In this feature, Dr. Gautam emphasizes the importance of self-care.


Feature 3
Spotlight On: Tendon Overuse Injuries

Ean Parsons, MD, CCFP, FCFP, Dip Sport Med

Overuse injuries of the musculoskeletal system are very common in the workplace and in recreational settings. However, there is confusion regarding the focus of treatment. Dr. Parsons clarifies the issue.


Feature 4
Getting a Feel For Skin Infections

Ameeta Singh, BMBS (UK), MSc, FRCPC

A review of various skin infections, including impetigo, erysipelas, cellulitis, necrotizing fasciitis, and diabetic foot infections.


Case of the Month
A Hockey Check Gone Wrong!

Robert S. Green, MD, FRCPC(EM), DABEM

Emergency Department’s (ED) Case of the Month is a series of articles discussing topics important to family physicians working in the ED.


Case in Point
“Is this plaque dangerous?”

Benjamin Barankin, MD

This department features a case and discussion—tools for your daily practice.


Experts on Call
Answers to your questions from our medical experts

This month:
What’s testosterone’s role in osteoporosis?
When should microalbuminuria testing be done?
What’s available for BPH treatment?


Talking To Your Patients
Smoking Cessation: What Can the GP Do?

Paul Wong, MD, CCFP, FCFP

This department features ways in which family physicians can improve communication with their patients.


Just Click It!

A look at common medical issues on the Web
This month: Influenza


What’s Your Diagnosis?
“I can’t catch my breath!”

Kayvan Amjadi, MD, FRCPC; and Denis E. O’Donnell, MD, FRCPC

A 39-year-old woman presents with a seven-month history of exertional dyspnea. The dyspnea has now progressed to a level where she experienced it on moderate activity (Medical Research Council rating III). She is a non-smoker, is not taking any medications, and denies the use of recreational drugs..


Photo Diagnosis

Illustrated quiz on problems seen in everyday practice (various entries).


ECG Clinic

Review ECGs with a specialist from the University of Western Ontario, and the London Health Sciences Centre.


Update
Abstracts and news from the medical literature of interest to the primary care physician.

This month:
Is school environment linked to depression?
Alternatives in asthma treatment
Falling BP can be dangerous for stroke patients
More benefits with coated TIPS


Women’s Health
Update On: Chronic Pelvic Pain

Paul Martyn, MBBS, FRCOG, MRACOG, FRCS(C)

This department features various topics in women’s health.


CME Credit Quiz

This test offers the opportunity to assess your knowledge and retention of the information presented in the articles in this issue. This test is prepared with the Dalhousie University CME department.


Medical Briefs
An abridged look at current events in and around the health-care industry.

This month:
Oxeze® proven as safe as salbutamol
Asthma attacks reduced with Singulair®
New data in atherosclerosis treatment
Celebrex® linked to lower incidence of lesions