Monthly Archives: December 2014

Behavioural Problems – CADDRA 2011

ADHD 5-12% school-aged children; M:F = 4:1; average onset 3 yo girls tend to have inattentive/distractible symptoms Boys have impulsive/hyperactive symptoms Identify upon school entry Etiology: genetic – family hx of ADHD, cognitive – difficult temperamental characteristics, arousal co-occurring conditions

Posted in 10 Behavioural Problems, 99 Priority Topics, FM 99 priority topics, Psych

Bad News

Bad News 1 When giving bad news, ensure that the setting is appropriate, and ensure patient’s confidentiality. 2 Give bad news: – in an empathic, compassionate manner – allowing enough time. – providing translation, as necessary. 3 Obtain patient consent before

Posted in 9 Bad News, 99 Priority Topics, FM 99 priority topics, Others

Immunization – NACI 2013

1 Do not delay immunizations unnecessarily (e.g., vaccinate a child even if he or she has a runny nose). Vaccine providers should recommend deferral or withholding of vaccines for true contraindications ONLY. Withholding vaccines for conditions that are not true

Posted in 49 Immunization, 99 Priority Topics, ID

OSCE – Psych

Comprehensive Psychiatric Assessment ID: age, sex, source, reliability, marital status (single/common-in-law/married), ethnicity, culture/religion (optional), children, employment status, living situations) Mode of Presentation (ie brought in by EHS? by police?) HPI: pt’s current concerns – often require collateral info – family,

Posted in OSCE

Anxiety – CCP guideline 2014

Anxiety Universal human characteristic involving tension, apprehension, or terror Serves as an adaptive mechanism (fight or flight) Becomes pathological when fear is out of proportion to risk/severity of threat response continues beyond existence of threat or become generalized to other

Posted in 6 Anxiety, 99 Priority Topics, FM 99 priority topics, Psych

Substance Abuse

1. In all patients, and especially in high-risk groups (e.g., mental illness, chronic disability),  opportunistically screen for substance use and abuse (tobacco, alcohol, illicit drugs). Use random urine drug screen – new kit distinguishes methadone and oxycodone from opiates. Amphetamines,

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Posted in 89 Substance Abuse, 99 Priority Topics, FM 99 priority topics, Psych


Suicide Risk Factors – SAD PERSONS Scale Sex (male) Age >60, 15-24 Depression Previous attempts – the best predictor of completed suicide (worst if in the past year) Ethanol abuse Rational thinking loss (delusions, hallucinations, hopelessness) Mood disorders (depression > bipolar),

Posted in 90 Suicide, 99 Priority Topics, FM 99 priority topics, Psych

Travel Medicine

1 Make sure travelers get up to date, timely, itinerary-specific advice from a reliable source (e.g., travel clinic, travel website). Travellers are encouraged to plan their travel consult four to six weeks prior to their anticipated departure date. The reason for

Posted in 93 Travel Medicine, 99 Priority Topics, FM 99 priority topics, ID


Geographic: Africa, India, C & S. America, SE Asia – rural, night-biting mosquitoes Malaria should be suspected in patients with any febrile illness after exposure to a region where malaria is endemic Pathogen: Plasmodium falciparum (most common & most severe)

Posted in 93 Travel Medicine, 99 Priority Topics, FM 99 priority topics, ID

STI Part 3 – Canadian Guideline

7. Vaginal Discharge (Bacterial Vaginosis, Vulvovaginal Candidiasis, Trichomoniasis) Etiology The three infections most commonly associated with vaginal discharge in adult women are: Bacterial vaginosis (BV) – Not STI Most common cause of vaginal discharge. Characterized by an overgrowth of genital

Posted in 83 STI, 99 Priority Topics, FM 99 priority topics
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December 2014