Monthly Archives: November 2014

Cognitive Impairment – AFP2011

1 In patients with early, non-specific signs of cognitive impairment: a) Suspect dementia as a diagnosis. b) Use the Mini-Mental State Examination and other measures of impaired cognitive function, as well as a careful history and physical examination, to make

Posted in 23 Dementia, 99 Priority Topics, FM 99 priority topics, Neuro

HTN – CHEP Guideline 2014

Technique for measuring BP Use calibrated sphygmomanometer or electronic device (quiet room, take at 1-2min intervals, ≥ 6, the first is taken by a health professional to verify cuff position & validity of the measurement, average latter 5) Appropriate bladder size:

Posted in 47 HTN, 99 Priority Topics, Cardiac, FM 99 priority topics

Sleep Disordered Breathing (OSA) CTS 2011 Guideline

Symptoms: Recurrent nocturnal awakening Unrefreshing sleep Daytime sleepiness Bed partner c/o loud snoring, nocturnal apnea choking episodes 4 types of Sleep apnea Obstructive Sleep Apnea (OSA) More common in overweight pt More likely to have car crashes due to xs

Posted in 53 Insomnia, 99 Priority Topics, FM 99 priority topics, Resp

Recurrent UTI – SOGC Guideline 2010

Recurrent UTI  2 uncomplicated UTIs in 6 months or >= 3 positive cultures within the preceding 12 months. Relapse Recurrent infection with the same organism despite adequate Tx Reinfection Recurrent UTI caused by a different bacteria or previously isolated bacteria

Posted in 95 UTI, 99 Priority Topics, ID

Gout – ACR 2012 Guideline Part 2

Summary: Acute gouty Tx should be initiated within 24hr of onset Established urate-lowering Tx should be continued during an acute attack 1st line: NSAIDS, corticosteroids, or coral colchicine (combination for severe or refractory attacks) Anti-inflammatory prophylaxis for all gout pt

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

Depression – CANMAT Guideline 2009

1. In a patient with a diagnosis of depression:  a) Assess the patient for the risk of suicide. b) Decide on appropriate management (i.e., hospitalization or close follow-up, which will depend, for example, on severity of symptoms, psychotic features, and

Posted in 24 Depression, 99 Priority Topics, FM 99 priority topics, Psych

Gout – ACR 2012 guideline Part 1

Gout carries a risk of long-term morbidity and impaired quality of life. Risk factors for gout Male > Female (7x) Age (7% >65yo men, 3% >85 women) hyperuricemia – consider the reasons and possible measures to alleviate it Chronic kidney failure,

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

Managing Menopause – SOGC 2014 Guideline

Assess Risk Factors: Waist Circumference >=88cm / 35in ↑ DM, heart dz, HTN Smoking HTN (BP >140/90) Past pregnancy complication  ↑ premature CV dz and death preeclampsia, Gestation HTN, GDM placenta abruption, idiopathic preterm delivery, fetal growth restrictions Venous thromboembolism risks: Factor V Leiden

Posted in 63 Menopause, 99 Priority Topics, FM 99 priority topics, Gyne

Type 2 Diabetes – CDA 2013 Guidelines

1 Given a symptomatic or asymptomatic patient at high risk for diabetes (e.g., patients with gestational diabetes, obese, certain ethnic groups, and those with a strong family history), screen at appropriate intervals with the right tests to confirm the diagnosis.

Posted in 25 Diabetes, 99 Priority Topics, Endo, FM 99 priority topics

COPD – Canadian Thoracic Society 2007

COPD A respiratory disorder characterized by progressive airway obstruction, lung hyperinflation, and systemic manifestations. Exacerbations gradually increase in frequency & severity Early Dx & smoking cessation can slow progression of COPD 2 types Chronic bronchitis – chronic productive cough x

Posted in 15 COPD, 99 Priority Topics, FM 99 priority topics, Resp
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November 2014