By Dr. Devin Harris on December 13, 2010
Transient ischemic attacks are a major risk factor for stroke. The management of TIA has changed significantly in the last 10 years. Any patient who presents TIA symptoms is now treated with the same urgency as a patient who presents with unstable angina.
By Dr. Julio Montaner on November 29, 2010
Remarkable advances in HIV/AIDS treatment have been achieved over the past two decades. Most significant among these advances is the development of highly active antiretroviral therapy, a combination of antiretroviral drugs that suppress HIV replication.
By Dr. Ken Seethram on November 15, 2010
The European experience shows that multiple ultrasound markers, serum, and anatomical survey of the fetus could be conducted in the period around 12 weeks, and that this information is much stronger in detecting genetic syndromes than 2nd trimester markers.
By Dr. Steve Wong on November 2, 2010
I now strongly consider using dabigatran instead of warfarin in patients with a CHADS score of 2 or higher.
By Dr. Hugh Anton on October 18, 2010
A recent study of nearly one million adults in the US determined that more than 2/3 of the subjects had at least one imaging procedure during the three year study period. CT and nuclear imaging accounted for 75.4% of the cumulative radiation dose.
By Dr. Daniel Ngui on October 4, 2010
Every family physician faces the challenge of very limited clinical interview time with patients for a multitude of problems. Thus, we need to have an efficient framework to deal with patients with Benign Prostatic Hypertrophy.
By Dr. Roey Malleson on September 20, 2010
IUDs provide long term reversible birth control, rivaling tubal sterilization in contraceptive efficacy. They are associated with few complications, have excellent adherence records and are very cost effective.
By Dr. Edmond Chan on September 7, 2010
“There is no convincing evidence that delayed introduction of food proteins such as peanut beyond 4 to 6 months of life has any benefit in allergy prevention”
By Dr. Amanda Hill on August 23, 2010
In providing care to frail and severely demented elderly we see many patients with aspiration pneumonia, swallowing problems and failing to eat. We also see many patients fail to get better even when we have adequately addressed their acute medical issues.
By Dr. Adeera Levin on August 9, 2010
Identifying patients with eGFR<60ml/min remains important to avoid potential risks, but it is becoming clear that referring all those patients to nephrologists is neither appropriate nor efficient.
By Dr. Brian Bressler on July 26, 2010
Recently there has been clinical evidence for using probiotics for various medical conditions, including treatment of acute gastroenteritis, prevention of antibiotic-associated diarrhea and IBS.
By Dr. Bob Bluman on July 11, 2010
It was usually difficult to get my patients into appropriate resources and due to my lack of tools and time to help these patients, I would often prescribe medications.
By Dr. Barb Melosky on June 28, 2010
A 6 month survival difference was seen in those patients who did not receive a chemotherapy free interval.
By Dr. Monica Beaulieu on June 14, 2010
The evidence strongly suggests that there is little to no benefit gained by raising the Hb over > 100g/L (and perhaps even lower) in diabetic patients with CKD not on dialysis.
By Dr. Steve Wong on April 20, 2010
I generally started with thiazide diuretics (due to cost and proven effectiveness) then added either an ACE inhibitor (ACEi) or a calcium channel blocker (CCB), consistent with the Canadian Hypertension Society Guidelines.
By Dr. Natasha Press on April 16, 2010
A 32 year old woman, otherwise healthy, presented with a “spider-bite”. On exam, she had a tender abscess on her buttock. It was associated with some surrounding cellulitis but no fever or other systemic features.
By Dr. Breay Paty on April 15, 2010
Since their introduction, certain contraindications and side effects have been well known, including worsening heart failure, edema (including macular edema) and weight gain.
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