Monthly Archives: November 2014

Allergy – CSACI 2014 Guideline

1. In all patients, always inquire about any allergy and clearly document it in the chart. Re-evaluate this periodically. The most common allergens include certain foods – nuts, shell fish insect stings (yellow jackets, hornets, wasps, honey bees). Less common causes include

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Posted in 3 Allergy, 99 Priority Topics, FM 99 priority topics, Resp

Smoking Cessation – CAN-ADAPTT Guideline 2012

Motivational Tasks Associated with Patient Stages of Change Precontemplation – Not considering the possibility of change Raise doubt.Help patient understand the benefits of the unhealthy behaviour, while at the same time highlighting the costs Contemplation – Seriously thinking about change,

Posted in 85 Smoking Cessation, 99 Priority Topics, FM 99 priority topics, Resp

UTI – Saskatchewan 2013 guideline

Definitions Anatomic Lower: urethritis, cystitis Upper: pyelonephritis, renal or perinephric abscess, prostatitis Clinical Complicated UTI – Functional or anatomic abnormality of the urinary tract polycystic kidney disease nephrolithiasis Neurogenic bladder DM, immunosuppression Pregnancy Indwelling urinary catheter Bacteria establish biofilm in/on

Posted in 95 UTI, 99 Priority Topics, FM 99 priority topics, ID

Hand Infections – TN2013

Principles Trauma is the most common cause, 90% gram + organisms Most common organisms – S aureus, S viridans, GAS, S. epidermidis, bacteroides melaninogenicus 5 cardinal signs: rubor (red), calor (hot), tumour (swollen), dolor (painful), functio laesa (loss of function)

Posted in 51 Infections, 99 Priority Topics, FM 99 priority topics, ID

Carpal Tunnel Syndrome – TN2013

Definition Median nerve compression at level of flexor retinuculum Etiology Primary cause: idiopathic Secondary causes: Space occupying lesions: tumors, hypertrophic synovial tissue, fracture callus, osteophytes Metabolic / physiological: pregnancy, hypothyroidism, acromegaly, RA Infections Neuropathies: associated with DM or EtOH Familial

Posted in 55 Joint Disorder, 99 Priority Topics, FM 99 priority topics, msk

Acute Otitis Media – CPS 2009

Why do children get AOM? shorter and more horizontal eustachian tube that prone to obstruction by enlarged adenoids Viral infections and allergies Decreased levels of secretory immunoglobulin A – causing recurrent OM Pathophysiology Eustachian tube obstructed –> mucociliary clearance impaired,

Posted in 33 Earache, 99 Priority Topics, ENT

DVT – Thrombosis Canada 2014

1) In patients complaining of leg pain and/or swelling, evaluate the likelihood of deep venous thrombosis (DVT) as investigation and treatment should differ according to the risk. calf pain, lower extremity swelling (>3cm c/w unaffected side-10cm below tibial tuberosity, circumference)

Posted in 21 DVT, 99 Priority Topics, FM 99 priority topics, Resp

Thyroid Disease – 2011 UofT FM Guideline & Uptodate

Overview Hypothalamus –> TRH – pituitary gland –> TSH, which controls the production of T3 & T4 from the thyroid gland. T3/T4 affects protein synthesis by affecting gene transcription and mRNA stabilization. They play an important role in regulating tissue metabolism

Posted in 91 Thyroid, 99 Priority Topics, Endo, FM 99 priority topics

Croup in children – CMAJ 2013

Croup – Key Points Caused by a viral URTI & 2nd most common cause of respiratory distress in children Characterized by the abrupt onset of barky cough, inspiratory stridor, hoarseness and respiratory distress Oral corticosteroids reduce the severity & duration of

Posted in 20 Croup, 99 Priority Topics, FM 99 priority topics, Resp

Epistaxis

Background Epistaxis is usually from Little’s area (90%), which is on the septal wall anteriorly and contains Kiesselbach plexus of vessels. 10% occur posteriorly, along the nasal septum or lateral nasal wall. Nasal septum blood supply is from the internal

Posted in 36 Epistaxis, 99 Priority Topics, ENT, FM 99 priority topics
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