Blog Archives

Disability – CGS 2011 & NICE

1  Determine whether a specific decline in functioning (e.g., social, physical, emotional) is a disability for that specific patient. Impairment: any loss or abnormality of psychological, physiological, or anatomical structure or function Disability: any restriction or lack of ability to

Posted in 28 Disability, 99 Priority Topics, FM 99 priority topics, Others

Red Eye – UpToDate

 Red Eye ddx Lids/orbit/lacrimal system Hordeolum / chalazion Blepharitis Entropion / ectropion FB / laceration Dacryocystitis / dacryoadenitis Conjunctiva / sclera Subconjunctival hemorrhage Conjunctivitis Dry eyes Pterygium episcleritis / scleritis preseptal / orbital cellulitis Cornea FB (including contact lens) Keratitis

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Posted in 79 Red Eye, 99 Priority Topics, FM 99 priority topics, Others

Poisoning – McMaster Module

1 As part of well-child care, discuss preventing and treating poisoning with parents (e.g., “childproofing”, poison control number). Keep items locked and out of reach/sight. Don’t refer to medicine as “candy”. Keep meds in their original containers with safety lids, don’t

Posted in 75 Poisoning, 99 Priority Topics, FM 99 priority topics, Others

Lacerations – TN 2014

Lacerations – Hx What is the cause? How clean are the surroundings? Was a bite involved? Human/canine / feline? How long ago did it occur? Any FB may remain deep in the wound? Any underlying compound #? Tetanus immunization status

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Posted in 56 Lacerations, 99 Priority Topics, FM 99 priority topics, Others

Shaken-baby Syndrome

Mechanism: Angular / rotational deceleration causing cerebral concussion & subdural hematoma. It is the sudden angular deceleration experienced by the brain & cerebral vessels, not the specific contact forces applied to the surface of the head, that results in teh

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Posted in 99 Priority Topics, Others

Lifestyle – 2008 PA guideline

1 In the ongoing care of patients, ask about behaviours that, if changed, can improve health (e.g., diet, exercise, alcohol use, substance use, safer sex, injury prevention (e.g., seatbelts and helmets). 2 Before making recommendations about lifestyle modification, explore a

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Posted in 58 Lifestyle, 99 Priority Topics, FM 99 priority topics, Others

Family Issues

1 Routinely ask about family issues to understand their impact on the patient’s illness and the impact of the illness on the family. SOO: this is important for the social & developmental context and illness experience. Use open-ended questions to

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Posted in 37 Family Issues, 99 Priority Topics, FM 99 priority topics, Others

Domestic Violence – SOGC 2005

Domestic Violence (Sexual, Physical, Psychological) Prevalence rates among pregnant and adolescent women appear to be greater All women, regardless of socioeconomic status, race, sexual orientation, age, ethnicity, health status, and presence or absence of current partner, are at risk 1 In a patient

Posted in 30 Domestic Violence, 99 Priority Topics, FM 99 priority topics, Others

Difficult Patient – UpToDate

1 When physician-patient interaction is deemed difficult, diagnose personality disorder when it is present in patients. RECOGNIZING PERSONALITY DISORDERS — The clinician may feel angry, threatened, defensive, or incompetent, or may find it difficult to feel any emotional connection with the patient.

Posted in 27 Difficult Patient, 99 Priority Topics, FM 99 priority topics, Others

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
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February 2023