Blog Archives

Headache – AAFP 2013

International Classification of Headache Disorders, 2nd ed. (ICHD-2) Primary: Tension-type Migraine Cluster Other: cold-stimulus headache, exertional, cervical OA, TMJ syndrome Secondary: Head or neck trauma: SAH, ICH Cranial or cervical vascular disorder: stroke, venous sinus thrombosis Nonvascular intracranial disorder: increased ICP

Posted in 44 Headache, 99 Priority Topics, FM 99 priority topics, Neuro

Stroke – Canadian Stroke Best Practice Guideline 2010

Stroke Sudden onset of neurological deficits (focal, lasting >24hr) of a vascular basis with infarction (permanent tissue injury) of CNS tissue – can be confirmed by neuroimaging Not an evolving neuro deficit over several days Hemorrhagic stroke ~20% & ischemic

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Posted in 88 Stroke, 99 Priority Topics, FM 99 priority topics, Neuro

Parkinsonism – Canadian Guideline 2012

Parkinson’s Dz: Extra Pyramidal Syndrome Key Features: TRAP Tremor: asymmetric 3-5hz “pill-rolling” resting or postural tremor, especially in hands Tremor ↓ with movement Rigidity: lead-piperegidity with cogwheeling due to superimposed tremor Thoughtout the whole ROM, the rigidity affects both flexor and extensors

Posted in 71 Parkinsonism, 99 Priority Topics, FM 99 priority topics, Neuro

Diarrhea – WGO 2008

3 categories Acute Diarrhea: presence of ≥ 3 loose, waterly stools within 24hr Dysentery: bloody diarrhea, visible blood and mucous present Persistent diarrhea: Episodes of diarrhea lasting >14 days Main symptoms Fever: common and associated with invasive pathogens Bloody stools: invasive

Posted in 26 Diarrhea, 99 Priority Topics, FM 99 priority topics, GI

Seizure – CMAJ 2003

Seizure:  Transient neurological dysfunction caused by xs activity of cortical neurons, resulting in paroxysmal alteration of behaviour &/or EEG changes Epilepsy: Chronic condition characterized by ≥ 2 unprovoked Sz Status Epilepticus: Unremitting Sz >5min or successive Sz w/o return to

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Posted in 81 Seizures, 99 Priority Topics, FM 99 priority topics, Neuro

Hepatitis – Pocket Medicine

1 In a patient presenting with hepatitis symptoms and/or abnormal liver function tests, take a focused history to assist in establishing the etiology (e.g., new drugs, alcohol, blood or body fluid exposure, viral hepatitis). S/Sx: HAV: lasting 2mo, fulminant illness <1%, 70%

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Posted in 45 Hepatitis, 99 Priority Topics, FM 99 priority topics, GI

Neck Pain – AFP 2013

Approach to Neck Pain Acute <6wk most common: “locked” after quickly rotating the neck is typical of acute torticollis or the “wry neck” phenomenon Sub-acute: 6 weeks to 6 months address yellow flags to reduce the transition to chronic neck

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Posted in 66 Neck Pain, 99 Priority Topics, FM 99 priority topics, Rheum

Fatigue – UpToDate

Fatigue can be manifested as difficulty or inability initiating activity (perception of generalized weakness); reduced capacity maintaining activity (easy fatiguability); and difficulty with concentration, memory, and emotional stability (mental fatigue) Fatigue should be distinguished from somnolence, dyspnea, and muscle weakness

Posted in 28 Fatigue, 99 Priority Topics, Endo, FM 99 priority topics

Low Back Pain – McMaster2009

Low Back Pain Acute <6wk, subacute 6-12wk, chronic >12wk Lifetime prevalence: 90% & 90% resolved in 6wk, <5% become chronic Peak prevalence: 45-60yo Most common cause of chronic disability in <45yo 1) In a patient with undefined acute low-back pain

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Posted in 61 Low-back Pain, 99 Priority Topics, FM 99 priority topics, Rheum

Anemia – AAFP 2013

Anemia A decrease in RBC mass that can be detected by [Hb], hematocrit, and RBC count Adult males: Hb <130g/L or Hct <0.41 Adult female: Hb Hx: Anemia symptoms – fatigue, malaise, weakness, dyspnea, decreased exercise tolerance, palpitations, h/a, dizziness,

Posted in 4 Anemia, 99 Priority Topics, FM 99 priority topics, Hem
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