Monthly Archives: October 2014

Osteoporosis – 2010 Guideline CMAJ

Focus on preventing fragility fracture Osteoporosis – T scoare <= -2.5 Indications for measuring BMD with dual-energy x-ray absorptiometry Age >= 65 Clinic risk factors for fracture (menopausal women, men 50-64yo) Fragility # after age 40yr High risk medications –

Posted in 69 Osteoporosis, 99 Priority Topics, Endo, FM 99 priority topics

Melasma (chloasma)

Melasma is a chronic skin disorder that results in symmetrical, blotchy, brownish facial pigmentation. The pigmentation is due to overproduction of melanin by the pigment cells, melanocytes, which is taken up by the keratinocytes (epidermal melanosis) and/or deposited in the

Posted in 84 Skin Disorder, 99 Priority Topics, Derm, FM 99 priority topics

IBD Rx

1) ULCERATIVE COLITIS- (sulfasalazine most effective to maintain remission) Well balanced diet Colectomy if refractory to medical Tx or if have cancerous changes Colonoscopy surveillance recommended starting 7 yrs from time of diagnosis Meds: mild-mod disease Р sulfasalazine high dose

Posted in 99 Priority Topics, GI

Peptic Ulcer Disease – BC Guideline

Dyspepsia is a symptom 1 In a patient presenting with dyspepsia, include cardiovascular disease in the differential diagnosis. DDx: Cardiac: CAD/MI/PE/Pericarditis/Myocarditis/Aortic dissection/Tamponade Boerhaves Hepatobiliary, colonic, Celiac, Achalasia, MSK, esophageal stricture / scleroderma Dyspepsia: GERD, gastric cancer (Zollinger-Ellison), esophageal cancer, pancreatic

Posted in 31 Dyspepsia, 99 Priority Topics, FM 99 priority topics, GI

Abdominal Pain – UpToDate

1 Given a patient with abdominal pain, paying particular attention to its location and chronicity: a) Distinguish between acute and chronic pain: Arbitrary distinction, 6-12 wk for chronic pain b) Generate a complete differential diagnosis (ddx). Periumbilical – gastro, obstipation,

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Posted in 1 Abdominal Pain, 99 Priority Topics, FM 99 priority topics, GI

Contraception – SOGC 2004 + Rx Files 9th edition

1 With all patients, especially adolescents, young men, postpartum women, and perimenopausal women, advise about adequate contraception when opportunities arise. 2 In patients using specific contraceptives, advise of specific factors that may reduce efficacy (e.g., delayed initiation of method, illness,

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Posted in 16 Contraception, 99 Priority Topics, FM 99 priority topics, Gyne

Emergency Contraception – SOGC 2012

5 In all patients, especially those using barrier methods or when efficacy of hormonal methods is decreased, advise about post-coital contraception. 6 In a patient who has had unprotected sex or a failure of the chosen contraceptive method, inform about

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Posted in 16 Contraception, 99 Priority Topics, Gyne
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