Monthly Archives: January 2015

Infertility – SOGC 2011

Infertility No conception after 12 months of unprotected and frequent intercourse Primary – no previous pregnancy Secondary – after previous pregnancy 1 When a patient consults you with concerns about difficulties becoming pregnant: a) Take an appropriate history (e.g., ask

Posted in 52 Infertility, 99 Priority Topics, FM 99 priority topics, Gyne

Vaginitis – CANADIAN Guideline 2013

1 In patients with recurrent symptoms of vaginal discharge and/or perineal itching, have a broad differential diagnosis (e.g., lichen sclerosus et atrophicus, vulvar cancer, contact dermatitis, colovaginal fistula), take a detailed history, and perform a careful physical examination to ensure appropriate investigation or

Posted in 97 Vaginitis, 99 Priority Topics, FM 99 priority topics, Gyne

OSCE – popular topics

Pediatrics – diarrhea, development, neonatal jaundice, asthma Obs/Gyn – amenorrhea, vaginal blood, abdominal pain, PIH, contraception / OCP, elective abortion counseling Suturing – choice of suture, tetanus vaccine Chest Pain – read CXR, ECG Resuscitation – fluid resuscitation after blood

Posted in OSCE

Vaginal Bleeding – SOGC 2013

Abnormal uterine bleeding: Change in frequency, duration or amount of menstrual flow Normal Menses: Last up to 7 d, ~35ml of blood loss, wide range of normal Menorrhagia – xs bleeding during menses Metrorrhagia – uterine bleeding at irregular times Oligomenorrhea –

Posted in 96 Vag Bleeding, 99 Priority Topics, FM 99 priority topics, Gyne

Breast Lump – CTFPHC 2011

Breast Lump Any lump / mass noted on clinical exam or by pt 1 Given a well woman with concerns about breast disease, during a clinical encounter (annual or not): a) Identify high-risk patients by assessing modifiable and non-modifiable risk factors

Posted in 11 Breast Lump, 99 Priority Topics, FM 99 priority topics, Gyne

Atrial Fibrillation – CCS2014

Paroxysmal: self-terminating <7d Persistent: sustained >7d or req cardioverison Permanent: >1yr Valvular: rheumatic MV dz, prosthetic valve, valve repair Lone AF: age SAF score – impact on QOL: 0 – asymptomatic, 1 – min effect, 2 – minor, 3 – moderate,

Posted in 8 A Fib, 99 Priority Topics, Cardiac, FM 99 priority topics

Pregnancy Part 4 – TN2014/SOGC2013

9 In a patient with clinical evidence of complications in labour (e.g., abruption (see part 3), uterine rupture, shoulder dystocia, non-reassuring fetal monitoring (see part 3)): a) Diagnose the complication. b) Manage the complication appropriately. Shoulder Dystocia Anterior shoulder impaction against

Posted in 76 Pregnancy, 99 Priority Topics, FM 99 priority topics, OB

Pregnancy Part 3 – SOGC / TN2014

7 In a pregnant patient presenting with features of an antenatal complication (e.g., premature rupture of membranes, hypertension, bleeding): a) Establish the diagnosis. b) Manage the complication appropriately. Nausea and Vomiting 50-90% of pregnant women, often limited to T1, but may

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Posted in 76 Pregnancy, 99 Priority Topics, FM 99 priority topics, OB

Prostate – CTF 2014

1 Appropriately identify patients requiring prostate cancer screening. Canadian Task force 2014: (Endorsed by CCFP) <55yo or >70yo, no screening for prostate ca with PSA (strong recommendation, low-quality) 55-69 yo – no screening for prostate ca with PSA (weak recommendation,

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Posted in 77 Prostate, 99 Priority Topics, FM 99 priority topics, Urol

Pregnancy Part 2 – HTN – SOGC 2014

Ominous symptoms: RUQ pain, H/A, Visual disturbances Dx 1) Pre-existing (chronic) hypertension: HTN (>140/90) that develops either pre-pregnancy or at < 20+0 weeks’ gestation Essential HTN ↑ risk of gestational HTN, placenta abruption, IUGR, IUFD Performed during early pregnancy: (if not previously documented): serum

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Posted in 76 Pregnancy, 99 Priority Topics, FM 99 priority topics, OB
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