The Canadian Journal of Diagnosis
2005 Back-Issues

200120022003200420052006200720082009201020112012


JanFeb • MarAprMayJunJulAugSept • Oct • Nov • Dec

December 2005, Volume 22, Number 12

Case of the Month
“My foot isn’t getting better!”

Case in Point
“Help my gruesome groin!”

Experts on Call
Answers to your questions from our medical experts

• Physicians in a Supporting Role
• Diverting Diverticulosis
• Seeds of Successful Plantar Wart Treatment
• A Vaccine Beyond?
• Prostate Surgery After Radiation?
• Beating BPH
• Regarding ASA and Dipyridamole
• Outsourcing Omega-3


Complementary Medicine
An evidence-based review of alternative therapies

Tea Tree Oil

What’s Your Diagnosis?
“I used to be sure-footed!”

Photo Diagnosis
Illustrated cases with questions to test your diagnostic skills

Strawberry Fields and many more...

Allergy Alert
A case-based update

“Clear these unsightly eruptions!”

Women’s Health
Miscarriage: Offering Options

Victoria Jane Davis, MD

Assessing the Elderly: Getting into the Seven Habits
Darryl B. Rolfson, MD, FRCPC

Physicians and other health professionals often confront functional presentations and obscure historic details
when dealing with geriatric patients. Join Dr. Rolfson as he explains the seven habits to adapt when assessing the elderly.

Joint Injection: Needling Shoulder Pain
Douglas LeGay, MD

After diagnosing a shoulder pathology, a corticosteroid injection may be considered as part of the treatment.
Discover the common injection areas, the key injection techniques and the post-injection recommendations suggested by Dr. LeGay.

BPD: Key Strategies for Primary Care
Carmen Wiebe, MD, FRCPC

How is BPD diagnosed? What causes BPD? What medications are helpful? Dr. Wiebe answers these questions and many more inside.


November 2005, Volume 22, Number 11

Case of the Month
Jake's Achin' Abdomen

Case in Point
5 itchy "P"s

Experts on Call
Answers to your questions from our medical experts

• Role-Playing Statins
• What To Do with T4?
• ECASA Dosing
• Appropriate for Hypertensives?
• Elevated Uric Acid and Insulin Resistance Syndrome
• GI Allergies and Multivitamins
• What Are The Screening Recomendations for Women Taking Valproic Acid?
• Leading Chronic Elevated Heparin to Osteoporosis
• Differentiating SIADH, DI and Water Intoxication
• Atkins in the Long-Term

Complementary Medicine
An evidence-based review of alternative therapies

Multitasking with Coenzyme Q10

What's Your Diagnosis
"The pain is unbearable!"

Photo Diagnosis
Illustrated cases with questions to test your diagnostic skills

Inky lesion and many more...

Allergy Alert
A case-based update

Sinus Woes

Women's Health
Cocaine: Is Your Pregnant Patient Using?

Alice Ordean, MD, CCFP, MHSc; Emma Haydon, MSc; Lynn Wilson, MD, CCFP, FCFP; and Meldon Kahan, MD, CCFP, FRCPC

Antibiotics: The Newer the Better?
Deana M. Sabuda, BSc, BSp; and John M. Conly, MD, FRCPC, FACP

In the last 15 years there has been a surge in new antibiotics, but are they better? Dr. Sabuda and Dr. Conly
answer this and many more questions as they investigae the effectiveness of antibiotic use for various infections.


Weight loss: Scaling the Issues
Ihab Matta, MD

Health promotion and disease prevention through diet place family doctors in a unique position to assist
their patients. Dr. Matta discusses the issues facing obesity/overweight and nutrition, in addition to insulin resistance.


Deconstructing Dementia
Amy Freedman, MD; and D'Arcy Little, MD, CCFP

Running you through the dementia gamut are Dr. Freedman and Dr. Little. Here they explore issues ranging
from screening and diagnostic planning to the various tests and the common types of dementia.

Recurrent Kidney Stones
Sean A. Pierre, MD; and Darren T. Beiko, MD, FRCSC

It is more important for family physicians to be able to adequately investigate patients with recurrent urolithiasis and to be aware of preventative and treatment strategies. Join Dr. Pierre and Dr. Beiko as they discuss the diagnostic considerations, investigations and treatment of kidney stones.


October 2005, Volume 22, Number 10

Case of the Month
“I still can’t catch my breath!”

Case in Point
“I’ve got sores galore!”

Experts on Call
Answers to your questions from our medical experts

• Are Estrogen Patches Safe?
• Switch or Augment an Antidepressant?
• Pregnancy and Candida-Positive Urine Cultures
• LBD & PDD co-existence
• Metformin vs. TZD
• Prophylactic Bisphosphonate and Long-Term Steroid Therapy
• Can Men be Tested for HPV?
• What’s the Biochemical Basis of Free/Total PSA?
• Testing and Treating WNV
• Cholesterol-Lowering Agents and Children

Complementary Medicine
An evidence-based review of alternative therapies

Echinacea: Can it Help Combat URIs?

What’s Your Diagnosis?
Tattoo Tariff

Photo Diagnosis
Illustrated cases with questions to test your diagnostic skills

Allergy Alert
A case-based update

The Cat’s Meow

The Skinny on Popular Diets
Robert Dent, MD, CM, FRCP(C)

Dr. Dent summarizes important points to help understand some of the pertinent aspects of obesity treatment, describes different diets and offers practical strategies for dealing with obesity until research and clinical trials provide an evidence-based algorithm.

“Dealing” with Designer Street Drugs
Margaret Thompson, MD, FRCPC

Join Dr. Thompson as she explores the Rave culture and the drugs most common within that culture. She will discuss the composition of designer street drugs, amphetamines and their effects on the body. She will also discuss why they haven’t been scheduled in Canada.

Casing the Joint: Investigating Shoulder Pain
Michael McKee, MD, FRCSC; Jeremy Hall, MD, FRCSC

Shoulder pain often renders the patient incapacitated and the source of pain can be varied. Dr. McKee examines pain derived from shoulder instability, rotator cuff tendinitis and glenohumeral arthritis.

Diabetes: Case by Case
Richard Rowe, MD

Cases, cases and more cases! Dr. Rowe examines how the 2003 Canadian Diabetes Association’s evidence-based Clinical Practice Guidelines for the Prevention and Management of Diabetes effects the nature of the screening and management process.


September 2005, Volume 22, Number 9

Case of the Month
The Anxious Alcoholic

Case in Point
“I scrub, but they won’t go away!”

Experts on Call
Answers to your questions from our medical experts

• TG guidelines
• Stickin’ it to the Common Wart
• Stripping Down Strep Throat
• Can the VZV Vaccine Reduce Herpes Zoster Incidence?
• What are the WHI Results of the Estrogen-Only Arm?
• Initial Atypical Antipsychotics in Severely Depressed Patients?
• Can Kids Use Cholesterol-Lowering Agents?
• What’s the Deal with the Adacel™ Vaccine?
• Managing Healthy Patients at Risk for CV
• How’s Pimecrolimus for Seborrheic Dermatitis?

Complementary Medicine
An evidence-based review of alternative therapies

Mindfulness-Based Stress Reduction: Meditating on the Benefits

What’s Your Diagnosis?
“Doc, I ain’t feelin’ so well...”

Photo Diagnosis
Illustrated cases with questions to test your diagnostic skills

Major Mucosal

Allergy Alert
A case-based update

“Please, don’t freeze!”

A Pain in the ED
Brian Goldman, MD, MCFP(EM), FACEP

Physicians working in the ED know that pain is a key motivating symptom causing patients to seek care, yet pain is poorly managed in the ED. Find out why and learn what can be done to better manage pain in the ED.

Alzheimer’s & VAD: Double Trouble
William Dalziel, MD, FRCPC

Clostridium difficile: Seeing the Problem
Paul Yaffe, BSc; and John M. Embil, MD, FRCPC

C. difficile is a growing problem in Canadian hospitals, being the most common cause of nosocomial diarrhea. But what differentiates symptomatic from asymptomatic patients? How is C. difficile associated diarrhea diagnosed and treated?

The Diabetic Foot Ulcer: Is Amputation an Answer?
Norman Flett, BA, MD, IIWCC, FCFP

With 15% of patients with diabetes developing foot ulcers, we may need to be reminded of DFU assessment, how to check the patient’s footwear and what is included in the treatment for DFU.


August 2005, Volume 22, Number 8

Case of the Month
Stephen’s Breathin’

Case in Point
“What’s this rash?”

Experts on Call
Answers to your questions from our medical experts

• Female Partners and Paps
• Cholesterol-Lowering Agents and Children
• What’s the Connection Between Peanut and Tree Nut Allergies?
• Diabetic Nephropathy and IHD: ACE or ARB?
• Bipolar Disorder: Lithium or Divalproex?
• Managing Osgoode Schlatters
• What’s the Incidence of Edema with Olanzapine?
• Stable CAD Patients and Clopidogrel

Complementary Medicine
An evidence-based review of alternative therapies

Preventing AMD Using Vitamins, Minerals and Lutein

What’s Your Diagnosis?
So Itchy Again!

Photo Diagnosis
Illustrated cases with questions to test your diagnostic skills

“I need a dream cream!”

Allergy Alert
A case-based update

“I can’t shake this cold!”

“B” Aware of B12: A New Look at an Old Vitamin
Anne B. Kenshole, MB, BS, FRCP(C), FACP

Join Dr. Kenshole as she reveals why Vitamin B12 is important to vegetarians, the elderly and the costs to the healthcare system.

CRC Screening: Do you have the time?
Nigel Flook, MD, CCFP, FCFP

Colorectal cancer (CRC) is the third ranking, potentially life-threatening malignancy in men and women. Dr. Flook takes a closer look at the reasons for making CRC screening more common in primary care.

Relieving the Rash: Solutions for Shingles
John Kraft, HBSc; and Charles Lynde, MD, FRCP(C)

Anyone who has had chickenpox is at risk for shingles and the varicella zoster virus vaccine may not prevent attacks of shingles. This article explores the pathogenesis, diagnosis, complications and treatment of this disease.

Potty Problems: Febrile UTIs in Children
Jorge DeMaria, MD, FAAP, FRCSC

Febrile urinary tract infections (UTIs) in children are associated with significant acute morbidity, potential long-term complications and are often over-diagnosed and misdiagnosed. What method is preferred in diagnosing UTIs? Find out inside.


July 2005, Volume 22, Number 7

Case of the Month
Disjointed Digit

Case in Point
Itchy Feet

Experts on Call
Answers to your questions from our medical experts

• Allopurinol and the Elderly
• Withdrawal from Acetaminophen
• New Diabetic Agents
• BPD: To Say or Not to Say?
• Investigating a Hypertensive Teen
• Sperm Count Conundrum
• Catching Cattle Ringworm
• Is MRI Diagnostic for Shoulder Abnormalities?
• INH and Tuberculosis Skin Testing
• How Do You Test the Status of Hepatitis B?

Complementary Medicine
An evidence-based review of alternative therapies

Poking Around: Acupuncture for OAK

What’s Your Diagnosis?
“Ma, I’m seein’ double!”

Photo Diagnosis
Illustrated cases with questions to test your diagnostic skills

Allergy Alert
A case-based update

“Why am I feeling this way?”

What You Need to Know: CAM & Your Family Practice
Esther Konigsberg, MD, CCFP

An increasing number of Canadians are using complementary and alternative medicine in their health care. CAM has been defined as the interventions neither widely taught in medical schools nor generally available in hospitals. Dr. Konigsberg introduces how to incorporate CAM into your family practice.

Ulnar Wrist Pain: Structures of Stability
Daniel Squire, MD, FRCSC

Improvements in the knowledge of anatomy, biomechanics and imaging techniques have lead to a better understanding of clinical problems, diagnosis and treatment of pain on the ulnar side of the wrist.

Getting Over GERD: What Are the Options?
David Pace, MD, FRCSC, FACS; and Mark Borgaonkar, MD, FRCPC

Gastroesophageal reflux disease is the most common disorder of the esophagus. Controversy surrounds the
medical and surgical therapy options for treating GERD. Dr. Pace discusses the efficacy of these treatment options.


June 2005, Volume 22, Number 6

Case of the Month
An Icy Incident!

Case in Point
“Doc, what’s scaling his scalp?”

Experts on Call
Answers to your questions from our medical experts

• What’s the Immunization Duration of Chicken Pox?
• Workout Machine Clarification
• Anticonvulsants and Migraine Prophylaxis
• Screening Men for Osteoporosis
• What do Ultrasounds Reveal about Gallbladder Polyps? & More!

Complementary Medicine
An evidence-based review of alternative therapies

Back Pain Manipulation: Can It Help?

What’s Your Diagnosis?
“Make it go away!”

Photo Diagnosis
Illustrated cases with questions to test your diagnostic skills

Allergy Alert
A case-based update

More Than Dental Anxiety

Women’s Health
Anabolic Agents: New Approaches to Osteoporosis Treatment

Aliya Khan, MD, FRCPC, FACP

Annual Health Exam: Charting a Course for Prevention
Michelle Greiver, MD, CCFP

Dr. Greiver offers an examination of prevention—a cornerstone of family medicine. Learn how to put evidence-based prevention into practice and techniques for saving time and greater efficiency.

Sleep and Weight Control: A Wake-up Call
Charles H. Samuels, MD, CCFP, DABSM

Chronic sleep restriction or sleep deprivation is a common phenomenon of modern life. Dr. Samuels presents background information and evidence relating metabolism to sleep deprivation.

Dietary Supplement: A Disturbing Trend
Major Darrel Menard, OMM, MD Dip Sport Med

Dietary supplements are products that contain nutrients or other food components that people use to gain something they feel is lacking in their diet. Do they work? Are they safe? Can they be trusted?


May 2005, Volume 22, Number 5

Case of the Month
“What’a ya drinkin’?

Case in Point
Handling Hand Lesions

Experts on Call
Answers to your questions from our medical experts

• Is Pap needed after hysterectomy?
• Chicken pox vaccine after exposure: Is it useful?
• A brief primer on deep brain stimulation
• Picking an ADHD drug
• What are normal TSH values? & more

Complementary Medicine
An evidence-based review of alternative therapies

Saw Palmetto Extract: An Alternative for Prostatism

What’s Your Diagnosis?
“Doctor, does it look dangerous?”

Photo Diagnosis
Illustrated cases with questions to test your diagnostic skills

Allergy Alert
A case-based update

“Why is my nose always stuffed?”

Women’s Health
Cesarean Section on Demand: Is It Ethical?

Michael C. Klein, MD, CCFP, FCFP, FAAP (neonatal-perinatal)

Sport-Related Concussion: When’s It Safe to Suit Up?
Willem H. Meeuwisse, MD, PhD, Dip Sport Med; and Brian W. Benson, MD, MSc, CCFP

Concussion is a common occurrence in sport. But what exactly is a concussion and how should it be managed? And when can the athlete return to the sport? In this article, we learn the answers to these and other questions.

Prostate Cancer Screening: The Debate Continues
D. Robert Siemens, MD, FRCSC; and J. Curtis Nickel, MD, FRCSC

Prostate cancer screening with prostate-specific antigen remains a hotly debated issue across North America, one that, according to Dr. Siemens and Dr. Nickel, should be left to the individual physician’s discretion on a patient-to-patient basis. Here, the authors explain why.

Eating Disorders: Motivating Change
Josie Geller, PhD; Krista Brown, BA; and Suja Srikameswaran, PhD

Eating disorders are potentially life-threatening and affect millions of people each year. Motivational interviewing, a new and effective approach, is now being used frequently for treatment-resistant patients. But how does it work?


April 2005, Volume 22, Number 4

Case of the Month
A Nonspecific Problem?

Case in Point
“I can’t sleep ‘cause of my tender ear!”

Experts on Call
Answers to your questions from our medical experts

• Osteoporosis: Should Bisphosphonates Be Used?
• Testing for Bell’s Palsy
• Does Hepatitis B Immunization Last?
• New Chemo Options for Esophageal and Pancreatic Cancers?
• Screening for Ovarian Cancer & More!

Complementary Medicine
An evidence-based review of alternative therapies

Glucosamine: An Osteoarthritis Alternative?

What’s Your Diagnosis?
“The pain is unbearable!”

Photo Diagnosis
Illustrated cases with questions to test your diagnostic skills

Allergy Alert
A case-based update

“I’m swollen all over!”

Women’s Health
Obstetrics: Pearls of Wisdom

J.L. Reynolds, MD, CCFP, MSC, FCFP, MHSc

Diabetes Guidelines: The Highlights
Ivy Fettes, PhD, MD, FRCPC

Diabetes mellitus is increasing in prevalence in Canada and around the world. The most recent Canadian Diabetes Guidelines are a call to action for the prevention of Type 2 diabetes and improved management for all people with diabetes.

Caring for Challenging Patients What Strategies to Keep You Going
John Langley, MD, FRCPC

Dr. Langley describes different types of challenging patients and offers some perspective on the best way to care for them.

Huntington Disease: Targeting the Triad
Lynn A. Raymond, MD, PhD; and Alex Goumeniouk, MD

In Q&A format, Dr. Raymond and Dr. Goumeniouk discuss the diagnosis and treatment of Huntington disease.

Depression: Is It Really Medical?
David Zitner, MD, FCFP

According to Dr. Zitner, the label “depression” does not refer to a medical condition as we normally know medical conditions. He believes many physicians have forgotten that mental in mental illness refers to the doctor’s mind, not the patient’s. Read on for more of his point of view.


March 2005, Volume 22, Number 3

Case of the Month
Is It More Than a Simple Headache?

Case in Point
“Is this lesion cancer?”

Experts on Call
Answers to your questions from our medical experts

• ECHO for stenosis: How Often?
• Is Chronic Wasting Disease a Concern?
• Is it O.K. to Get Pregnant While Taking Sertraline?
• Does Chicken Pox Immunity Last?
• Treating Depression in Teens & More!

Complementary Medicine
An evidence-based review of alternative therapies

Probiotics: Do They Work?

What’s Your Diagnosis?
“Stop this burning sensation!”

Photo Diagnosis
Illustrated cases with questions to test your diagnostic skills

Allergy Alert
A case-based update

“Keep that latex away from me!”

Women’s Health
Contraceptive Challenges: A Walk Through the Life Cycle

Femi Olatunbosun, MD, FRCSC

Genital Herpes and HPV: A Tale of Two Viruses
Barbara Romanowski, MD, FRCPC, FACP

Get the scoop on diagnosing and treating these two relatively prominent sexually transmitted conditions.

2005 Canadian Hypertension Education Program Recommendations:
What Are the New Messages?

On behalf of the Evidence-based Recommendations Task Force of the Canadian Hypertension Education Program

As hypertension continues to be a significant public health problem, the Canadian Hypertension Education Program provides its sixth annual revised recommendations for the
management of this condition. What’s new this year and what is old, but still important?

Chronic Viral Hepatitis: Combinations and Cocktails
Eric M. Yoshida, MD, MHSc, FRCPC, FACP

Chronic viral hepatitis remains a significant problem in Canada. Dr. Yoshida takes a look at both Hepatitis C and Hepatitis B viruses and suggests going the way of combinations and cocktails when it comes to treatment.

What’s Up in GERD?
Jin Kee Ho, MB, BCh, BAO, MRCPI; and Michael F. Byrne, MA, MD (Cantab), MRCP, FRCPC

In this article, Dr. Ho and Dr. Byrne provide a practical approach to the diagnosis and management of
gastroesophageal reflux disease.


February 2005, Volume 22, Number 2

Case of the Month
A Jaw-Dropper!

Case in Point
“My lip’s gone white!”

Experts on Call
Answers to your questions from our medical experts

• Antidepressants and Pregnancy
• Varicella Vaccine
• Pneumococcal Vaccine and Diabetes
• Arthritis Treatment Options
• A Case of Type 2 Diabetes & More!

Complementary Medicine
An evidence-based review of alternative therapies

Massage Therapy: A Universal Alternative

What’s Your Diagnosis?
Assessing Abdominal Aches

Photo Diagnosis
Illustrated cases with questions to test your diagnostic skills

Allergy Alert
A case-based update

“I can’t stand this smell!”

Standard Orders for COPD
From the department of Medicine of the Queen Elizabeth II Health Sciences Centre

Women’s Health
HPV Testing: Improving Cancer Outcome

Lesa Dawson, MD, FRCSC; and Adrian Lear, MD

Erectile Dysfunction & Andropause: Siblings or Distant Relatives?
Michael Greenspan, MD, FRCSC

Follow the cases of patients Bill and Mike and learn more about two major issues in men’s health.

Basic Genetics for GPs: A Crash Course
David Chitayat, MD, FRCPC

The increased knowledge in clinical and molecular genetics and the development of new methods for prenatal and postnatal diagnosis has improved our ability to delineate different
genetic conditions. Dr. Chitayat provides a brief overview!


Should New Vaccines Be Given to Every Child?
Stania Diener, MBChB, DCH, MMed (Community Health), MPA

With more new vaccines becoming available, physicians are often approached by parents requesting information.
Dr. Diener tries to answer the most pressing questions.


January 2005, Volume 22, Number 1

Case of the Month
Putting Out the Fire: Treating Burn Victims

Case in Point
“Can I get rid of these plaques?”

Experts on Call
Answers to your questions from our medical experts

• Hepatitis B Follow-up
• OCPs & Pregnancy
• Diverticulosis & Diverticulitis
• Tamoxifen for Cancer Prevention?
• Lidocaine for Pain & More!

Complementary Medicine
An evidence-based review of alternative therapies

St. John’s Wort: An Alternative for Depression

What’s Your Diagnosis?
“What’s causing this pain?”

Photo Diagnosis
Illustrated cases with questions to test your diagnostic skills

Allergy Alert
A case-based update

“Apples make me itchy!”

Women’s Health
Hormone Replacement: What’s the Controversy?

Amos A. Akinbiyi, MBBS,MRCS, LRCP, FRCOG, FRCSC

Eating Disorders: More than Meets the Eye
D. Blake Woodside, MD, FRCPC

Eating disorders, such as anorexia nervosa and bulimia nervosa, are very prevalent in today’s society. Dr. Woodside discusses possible treatment options and puts the GP’s role into perspective.

Looking Out For Interstitial Cystitis
Joel M.H. Teichman, MD, FRCSC

Dr. Teichman summarizes the diagnostic process for interstitial cystitis by providing tips on history-taking and describing the necessary physical, lab and office-based tests.

Antifungals: What’s New?
Sharmistha Mishra, MD; and Elizabeth J. Phillips, MD, FRCPC

Although many common, superficial, mucocutaneous fungal infections seen in family practice can be successfully
managed with topical antifungal drugs, this review focuses on the newest systemic antifungal treatments.