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The Canadian Journal of Diagnosis
2011 Back-Issues

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January 2011, Volume 28, Number 1

Dalhousie Emergency Medicine Department
Case of the Month
“I Took It – You Bind It, Wash It, Cleanse It… Just Get Rid of It!”

Restoring Function in MDD: Balancing Efficacy and Tolerability to Optimally Manage Major Depressive Disorder
Ash Bender, MD, FRCPC

Case in Point
Growth on Cheek

Experts on Call
Answers to your questions from our medical experts

• Iron Supplementation in Thalassemia Minor
• Narrowband vs. Standard UVB
• Antipsychotics to Treat BPD-Related Insomnia
• Treating Elevated TSH
• HPV Vaccine for Women Over 26-Years-of-Age
• Plasmapheresis for Guillain-Barré Syndrome
• Effectiveness of IV Bisphosphonates in Metatstatic Cancer
• Montelukast Use for Allergies
• Eradicating Molluscum Contagiosum in Children

What’s New in COPD?
Key Learnings from the European Respiratory Society’s Annual Congress, Barcelona 2010

What’s Your Diagnosis?
Lesion on Forearm

Fibromyalgia: Is It Real?
Gordon Ko, MD, CCFP(EM), FRCPC, FABPMR, FABPM

Photo Diagnosis
Illustrated cases with questions to test your diagnostic skills

• Raised Lip Lesion
• Scaly Plaque on Calf
• Forearm Streaks
• Hyperpigmentation on Face

Drugs for Dementia
Stephen H. Pasternak, MD, CM/PhD, FRCPC

 


February 2011, Volume 28, Number 2

Dalhousie Emergency Medicine Department
Case of the Month
“Keeping Up With the Joneses”

Case in Point
Dripping Feet

Intra-class Differences with Thiazolidinediones:
A Clinical Update on the Safety of Treatment for Patients with Type 2 Diabetes
Claude Garceau, MD, FRCPC

Experts on Call
Answers to your questions from our medical experts

• Stroke Prevention in Patients with PFO
• Differentiating Between IBS and IBD
• Use of BCP After Delivery
• Bisphosphonates in Asymptomatic, Postmenopausal Women
• RTMS for Migraines
• ABRS versus Viral Rhinitis
• Clues to Diagnose Bipolarity
• Hepatitis B and C Testing
• Reversal of Peripheral Neuropathy
• Severe Pruritus in the Elderly
• Erratum: Describing Incretins

What’s Your Diagnosis?
Ivory Coloured, Slightly Indurated Atrophic Plaque

Pain Management
Fibromyalgia: Is It Treatable?

Photo Diagnosis
Illustrated cases with questions to test your diagnostic skills

• Lump in Neck
• Dark Mole on Back
• Purple Lesions on Face
• Scalp Mass
• Papule on Eyelid
• Recurrent Vesicular Chin Lesions

Benign Anorectal Pain: A Common Problem
Jessica Lefort, BHSc, MD; and Husien Moloo, MD, MSc, FRCSC

 


March 2011, Volume 28, Number 3

Dalhousie Emergency Medicine Department
Case of the Month
“Hey… Clot It Out!”

Case in Point
Pruritic Rash

Experts on Call
Answers to your questions from our medical experts

• First Trimester Screening Tests
• SSRIs For Motivation
• Thyroidectomy Follow-up
• H. pylori Relapse
• Long-term ASA
• Mechanical Nasal Dilators
• Hair Loss in Women
• Age Limit on Ablation of AF
• Treatment of Neuropathic Pain
• Hemochromatosis Incidence
• Melatonin for Sleep Maintenance

What’s Your Diagnosis?
Multiple Pustular Lesions

New Insights on Optimal Management of LDL-C in High-risk Populations
David Fitchett, MD, FRCPC

Photo Diagnosis
Illustrated cases with questions to test your diagnostic skills

• Nodules on Penis
• Cystic Tongue Lesion
• White Scaly Rash

Pain Management
Fibromyalgia Disability: Is There Any Hope?
Gordon Ko, MD, CCFP(EM), FRCPC, FABPMR, FABPM

Adherence with Oral Bisphosphonate Therapy for Osteoporosis Among Patients in Canadian Clinical Practice
Nadir Habib, MD; Heather McDonald-Blumer, MD; Michele Moss, MBChB, MCFP; and Angèle Turcotte, MD

 


April 2011, Volume 28, Number 4

Dalhousie Emergency Medicine Department
Case of the Month
“I Think I Need A Different Prescription”

Case in Point
Cheek Growth

Experts on Call
Answers to your questions from our medical experts

• Otoliths Causing Vertigo
• Long QT Syndrome
• Superficial Thrombophlebitis Treatment
• Light Therapy for SAD
• Oral Antifungals for Tinea Pedis
• Insulin and Other Medications
• Routine Toxoplasmosis Testing
• Use of Adrenaline Autoinjectors
• Moxifloxacin Treatment
• Treating Mild LVH
• Methylphenidate for Refractory Depression
• CIDP Treatment
• Thyroid Nodule Work-up
• Indications for Hiatus Hernia Surgery

The Clinical Implications of Antipsychotic Pharmacology
Diane M. McIntosh, MD, FRCPC; Ayal Schaffer, MD, FRCPC;
and Ric Procyshyn, BSc (Pharm), MSc, PharmD, PhD

What’s Your Diagnosis?
Why Are My Eyes Yellow?

Photo Diagnosis
Illustrated cases with questions to test your diagnostic skills

• Spinal Lesions
• Diffuse Erythematous Skin Eruption
• Pruritic Foot Lesion
• Discoloured Toenail
• Hypopigmentation of Extremities
• Tongue Patches
• Dyspigmented Forehead
• Purple Head and Neck Swelling
• Visual Field Loss
• Inner Thigh Pain
• Pruritic Bullae
• Skin and Soft Tissue Infection

Endocrine Update
Revisiting Childhood Obesity
Hafsah Al-Azem; and Katherine M. Morrison, MD, FRCPC

 


May 2011, Volume 28, Number 5

Dalhousie Emergency Medicine Department
Case of the Month
“My Dad Used to Prescribe That”

Case in Point
Uncomfortable Finger Lesion

Experts on Call
Answers to your questions from our medical experts

• Imiquimod for Plantar Warts
• Screening for PCOS
• Hypercoagulability Screening
• White Coat Syndrome
• Role of DHEA in SLE
• Perioral Dermatitis Treatment in Pregnant or Breastfeeding Patient
• Recommended Management for Asbestos Exposure
• Sleep Study to Diagnose RLS
• Sulfonylureas in Type 2 Diabetes
• Inositol to Treat Depression
• Desensitizing Allergic Individuals
• Gabapentin Use in Psychiatry
• Diastolic Dysfunction: Diagnosis and Treatment
• Hypertriglyceridemia in Asymptomatic Patient
• Management of Recurrent Nosebleeds

What’s Your Diagnosis?
Pigmented Plaque on Perineum

Photo Diagnosis
Illustrated cases with questions to test your diagnostic skills

• Dark Blue Chin Papule
• Right Leg Cellulitis
• Pruritic Back Eruption
• Facial Warts
• Itchy Scalp Lesions
• Achilles Tendon Pain
• Asymptomatic Chest Lesion
• Crusted Face Lesions
• Conical Lesion
• Pigmented Papule
• Itchy Plaque on Back

Pain Management: Letter to the Editor
C. Chan Gunn, MD, CM, OBC, FRCP; and Gordon D. Ko, MD, CCFP(EM), FRCPC

 


June 2011, Volume 28, Number 6

Dalhousie Emergency Medicine Department
Case of the Month
“Cracking Under Pressure”

Case in Point
Scaly Plaque

Experts on Call
Answers to your questions from our medical experts

• BMT and Sickle Cell Anemia
• Treating Elevated TSH in Asymptomatic Patients
• Probability of Naboline Addiction
• Coffee Use in Patients with Ventricular Extrasystoles
• Sensorineural Hearing Loss (SSNHL)
• Negative Anti-transglutaminase (Anti-tTG)
• Significance of Endometrial Cells on a Pap Smear
• Treatment of Uncontrollable Pruritus
• Use of Sitagliptin and Saxagliptin in Treating Type 2 Diabetes
• Implantable Cardioverter-defibrillator (ICD)
• Intensive Pulsed Light and Rosacea
• Treatment for Essential Tremor
• Topical NSAIDs
• Chest X-rays for Pneumonia Patients
• Starting Pre-diabetics on Metformin
• Hyperprolactinemia Caused by Risperidone
• DDAVP Use in Hereditary Bleeding Disorders

What’s Your Diagnosis?
Skin Discolouration on Arms

Photo Diagnosis
Illustrated cases with questions to test your diagnostic skills

• Puritic Eruption on Abdomen
• Eyelid Inflammation
• Hyperkeratotic Papules
• Signal Abnormalities
• Papules on the Chest
• Long-standing Nail Deformity
• Swelling in the Parotid Gland
• Plaques on the Legs
• Tongue Mass
• Abdominal Discomfort

Review: Irritable Bowel Syndrome in 2011: Current Concepts
Paul Mintchev and Christopher N. Andrews, MD, MSc, FRCPC

A Practice Assessment in Major Depressive Disorder:
Closing the Treatment Gaps in the Management of Depression in Canada

Jeffrey Habert, MD, CCFP, FCFP, and Michael Rosenbluth, MD, FRCPC

 


July 2011, Volume 28, Number 7

Dalhousie Emergency Medicine Department
Case of the Month
“Doctor, It’s Red”

Case in Point
Ugly Toenails

Experts on Call
Answers to your questions from our medical experts

• Calcium Supplements
• Steroids and Bell’s Palsy
• Heuristic for Treating Skin Conditions
• Symptomatic Diverticula
• DVT Risk During Flight
• Clopidogrel Use Post Angioplasty
• Allergy Testing Protocol
• The Continuous Birth Control Pill
• Exhaustion and the Elderly
• Methylphenidate for Multiple Sclerosis (MS) Related Fatigue
• Foods to Avoid During Pregnancy

What’s Your Diagnosis?
Why is My Arm So Weak?

Photo Diagnosis
Illustrated cases with questions to test your diagnostic skills

• Foreign-Body Sensation in Eyes
• Skull Fracture
• Knee Enlargement
• Brown Spots on Legs
• Nodule on the Back
• A Horn-like Papule
• Hair Loss
• Thickening of the Hands and Feet
• Spot on Cheek
• Brown Spot
• Back Lesion

Review: Pediatric Atopic Dermatitis
Allison Chabassol and Peter Green, MD, FRCPC

 


August 2011, Volume 28, Number 8

Dalhousie Emergency Medicine Department
Case of the Month
Jeri’s Rolling Stone

Case in Point
Pigmented, Rough Plaques

Experts on Call
Answers to your questions from our medical experts

• SSRI Withdrawal
• Screening for Cushing’s Syndrome
• Giant Cell Myocarditis
• Zoophilic Dermatophytes
• NASH Treatment
• Parkinsons and Coenzyme-Q10
• Prescribing for Mild Cognitive Impairment
• Treating Headaches in Pregnancy
• Oral Allergy Syndrome
• Optimizing Coagulation
• Dopamine Agonist Therapy
• Pacemaker Indications
• Diagnosing Secondary Amenorrhea
• PDE4 Manipulators
• Immediate Recommendations for Stroke Victims
• Pimecrolimus vs. Tacrolimus

Photo Diagnosis
Illustrated cases with questions to test your diagnostic skills

• Nose Papule
• Prominent Neck Veins
• Bleeding Papule
• Scaly Eruption
• Papules on the Chest
• Brown Speckled Forearm
• Itchy, Swollen Face
• Crusted Plaques
• Severe Headaches
• A Raised, Brown Plaque
• Facial Redness
• Crusted Papules
• Odd Hair Growth
• Pruritic Facial Lesion

Clinical Concerns: External Genital Warts
Ameeta Singh, BMBS, MSc, FRCPC, and Ron Read, MD, PhD, FRCPC

 

 


September 2011, Volume 28, Number 9

Dalhousie Emergency Medicine Department
Case of the Month
“One Platelet Left”

Case in Point
Shiny, Yellow Plaque

Experts on Call
Answers to your questions from our medical experts

• Disadvantages of Drug-eluting Stents
• Antivirals and Birth Control Pills
• Peripheral Arterial Disease
• Workup for Chronic Anemia
• Cardiac Contraindictions for Adult ADHD Prescriptions
• Toenail Infections
• Adrenal Gland Nodule
• Screening for Chronic Diarrhea
• Congestive Cardiac Insufficiency and MS
• Chronic Hiccups
• Vitamin D Intake
• Head Lice Treatments
• Treatment for Hoarding
• Skin Bruising with ASA
• Testing for Clotting Disorders
• Diagnosing Diabetes Mellitus
• Anticoagulant Guidelines
• Serotoninergic Syndrome and Antidepressants
• Methotrexate in Polymyalgia Rheumatica Patients
• Treating Chloasma
• Anticonvulsants and Chronic Pain Management
• Managing Diabetes through Diet
• Treatment and Prevention of Keloid Scars
• Cardiac CT and Stress CMR
• Onset of Celiac Disease Symptoms
• Venous Insufficiency in Pregnancy
• Slowing Parkinson’s Disease
• Lower Extremity Deep Vein Thrombosis (DVT)
• Fatigue in Women and Low Serum Ferritin
• Red Dye Reactions
• When to Stop Taking the Oral Contraceptive Pill
• Virtual Colonoscopy
• Bipolar Mood Disorder vs. Borderline Personality Disorder

What's Your Diagnosis?
Widespread Blisters

Photo Diagnosis
Illustrated cases with questions to test your diagnostic skills

• White Papules around the Eyes
• Temple Lesion
• Red Plaques on Thigh
• Dorsolateral Lesion
• Asymptomatic Rash
• Erythematous Papules
• Peeling Hands and Feet
• Scaly Area on Feet
• Purple Blister
• White Patches
• Sweaty Palms
• Changing Lesion on the Back

Clinical Concerns: Current Contraceptive Controversies
Glenn Posner, MDCM, MEd, FRCSC, and Amanda Black, MD, MPH, FRCSC

2011 CHEP Recommendations:
An Annual Recommendations Update

 


October 2011, Volume 28, Number 10

Dalhousie Emergency Medicine Department
Case of the Month
Heads Up!

Case in Point
Rapidly Growing Cheek Plaque

Experts on Call
Answers to your questions from our medical experts

• ASA for Patients over Forty
• Iron Supplements
• Treating Postpartum Depression
• Foul Taste Caused by PPIs
• Burning in the Legs
• Anticonvulsants and Bipolar Disorder
• Morphea
• Causes of Alopecia
• DVT Risk after Surgery
• Twitching Eyelid
• Treating Anal Fissures
• Sucralfate in Peptic Ulcer Management
• Potassium and Diuretic Use
• HbA1c as an Indicator of Glycemic Control
• Screening for Hemochromatosis
• Treatment Options for Trigeminal Neuralgia
• Biologics and Psoriasis
• Mohs Surgery
• Antidepressants for Chronic Pain
• Niacin Contraindications
• When to Stop Bisphosphonates

Endocrine Update:
Pitfalls in the Investigation of Cushing’s Syndrome

Omar S. Qazi, BSc, and Donald Killinger, MD, PhD, FRCPC

Photo Diagnosis
Illustrated cases with questions to test your diagnostic skills

• Itchy Abdomen
• A Pearly-white Papule
• Swollen Abcesses
• Pits on Palms
• Eczematous Eruption
• Mottled Skin
• Lump on Neck
• Neck Pain
• Odd ECG Pattern
• Asymptomatic Plaques
• Painful, Vesicular Rash
• Rash in Parkinson’s Disease Patient
• Hyperpigmented Lesions
• Thick, Itchy Lesion
• Balance Problems

Clinical Concerns: Depression in the Elderly
Jenny Rogers, MD, and Kiran Rabheru, MD, CCFP, FRCP, ABPN

Unmasking Worry:
Identifying and Managing Generalized Anxiety Disorder in Working-age Patients

Denis Audet, MD, and Martin Katzman, BSc, MD, FRCPC


November 2011, Volume 28, Number 11

Dalhousie Emergency Medicine Department
Case of the Month
“Ear”rational Child?

Case in Point
Erythematous Papules & Pustules

Experts on Call
Answers to your questions from our medical experts

• Augmenting Clozapine in Schizophrenia
• Statins and Improved LDL
• Hepatitis C and Interferin
• LABA’s Effect on Asthma
• Infant with Chronic Rhinitis
• Cutaneous Larva Migrans
• Incretin Drugs in Type 2 Diabetes Mellitus and Insulin
• Excluding CAD in Patients with COPD
• Prescribing for Alzheimer’s
• Secondary Causes of Osteoporosis
• Testing for Pernicious Anemia
• Detecting Pulmonary Hypertension
• The Smoking Cessation Drug
• Irritant Dermatitis vs. Yeast Dermatitis
• Antibiotics for Acute Bronchitis
• Symptoms of Incontinentia Pigmenti
• Psychiatric Manifestations of Basal Ganglia
• Biomarkers for Alzheimer’s
• Diabetes in Pregnancy
• Hemoglobin over 180
• Travel and Exercise during Pregnancy

What’s Your Diagnosis?
Tender, Flesh-coloured Nodules

Endocrine Update:
Current Osteoporosis Canada Guidelines

M. Nazir Khan, BHSc, and Brian Lentle, MD, FRCPC

Optimal Management of Chronic Kidney Disease—Priority #1:
Reduction of Cardiovascular Risk

Murray Berall, MD, FRCPC

Photo Diagnosis
Illustrated cases with questions to test your diagnostic skills

• Papule on Forehead
• Protruding Mass
• Speckled Plaque
• Siblings with Ataxia
• Pigmented Nail Bands
• Plaques on Eyelids
• Parasite on Genitals
• Lesion on Chest
• Nodule on Shin
• Papular, Pustular Rash
• Flesh-coloured Papules

Cough: Controversies and Consensus 2011
Irvin Mayer, MD, FRCPC


December 2011, Volume 28, Number 12

Dalhousie Emergency Medicine Department
Case of the Month
“What about His Organs?”

Case in Point
Extensive Hair Loss

Experts on Call
Answers to your questions from our medical experts

• Cardiac Contraindications for Adult ADHD Prescriptions
• Negative Anti-tissue Transglutaminase (Anti-tTG)
• DVT Risk During Flight
• Heuristic for Treating Skin Conditions
• Long-term ASA
• Starting Prediabetics on Metformin
• Differentiating Between IBS and IBD
• Steroids and Bell’s Palsy
• Disadvantages of Drug-eluting Stents
• Vitamin D Intake
• Managing Diabetes through Diet
• Otoliths Causing Vertigo
• Hemochromatosis Incidence
• Pimecrolimus vs. Tacrolimus
• Desensitizing Allergic Individuals
• Onset of Celiac Disease Symptoms
• Foods to Avoid during Pregnancy
• Chest X-rays for Pneumonia Patients
• Treatment of Neuropathic Pain
• When to Stop Bisphosphonates
• Clues to Diagnose Bipolarity
• Significance of Endometrial Cells on a Pap Smear

What’s Your Diagnosis?
Large, Brown, Scaling Patches

Photo Diagnosis
Illustrated cases with questions to test your diagnostic skills

• Scaly Plaque on Calf
• Visual Field Loss
• Nodules on Penis
• Scalp Mass
• A Horn-like Papule
• Purple Blister
• Eczematous Eruption
• Plaques on Eyelids
• Tongue Mass

What's New in Lipid Management?
Cardiovascular Risk Reduction in Chronic Kidney Disease
Stephanie Austin, MSc, and Robert A. Hegele, MD, FRCP(C), FACP