January 2013, Volume 25, Number 01

Diagnose This!
Diagnose a case for your chance to win

Photo Clinic
Large Lumpy, and Sometimes Painful Hand Lesions

Consultant's Corner

• How Common is Serious Metformin-related Lactic Acidosis?      
• Treating Pruritis Ani
• Autism and Vaccines
• Treatment for Cramps
• Event Monitors (Recorders) vs. Holter Monitors 
• What Are the Best Iron Supplements to Prescribe?
• Testing for Rubella Immunity in Pregnant Women
• Moulds in the Environment
• Can ASA and Clopidogrel Be Combined for CBVD?
• Smoking Cessation Benefits
• Protocol for Immunizing Patients
• Treating Eczema in Children
• Significance of Posterior Cervical Lymph Nodes
• The Normal Reference Range for Serum Ferritin
• Prescribing Clopidogrel Post Angioplasty
• Differentiating Between Corns and Warts
• Referring to an Infertility Specialist

DermCase

• Soft Tissue Mass on the Occiput
• Large, Blotchy Areas of Erythema
• A Woman with Back Hair
• A Stain on the Forehead
• Stubborn Pruritus
• Hanging Skin Growths
• Alarming Body Rash
• Dry, Red, Cracked Skin on Thumb
• Maculopapular Arm Rash   
• Ulcerating Chest Wall

Case in...
Changing the Paradigm for Fibromyalgia
Mary-Ann Fitzcharles, MB, ChB; Peter A. Ste-Marie, BA

February 2013, Volume 25, Number 02

Diagnose This!
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Photo Clinic
Unusually Stained Teeth

Consultant's Corner

• Chlamydia Retreatment      
• Bleeding Risk with Dabigatran and Melatonin Supplement
• Eyelid Dermatitis
• Possible Gastrointestinal Hemorrage with SSRI Use
• Treating High LDL and Muscular Dystrophy        
• Estrogen and Progesterone Replacement
• How Should the SMART Trial be Interpreted?
• Treatment for Severe Chemotherapy Induced Mucositis
• Vaccinations for Multiple Sclerosis Patients
• RBBB Finding in a Healthy 18-year-old Athlete
• Latest Canadian Guidelines for Lipid Reduction
• Has CD24 Been Released for Clinical Use?
• Detecting the Existence of Pernicious Anemia
• Management of COPD Patients
• Is Depression an Independent Risk Factor for CV Death?
• Drug Interaction between Paroxetine and Tamoxifen
• Treatment Options for Syringomas
• Treating Pediatric Anxiety

DermCase

• Scattered, Red Papules
• Large, Brown Chest Patch
• Erythematous Flank Papules
• Sore Pimple on the Buttock
• Undereye Papule
• Linear, Raised Lesions
• Multiple, White Papules
• Pigmented Lesion on the Back

Case in...
Clostridium Difficile Infection: A Practical Approach
Marisa Ann Azad BSc(Hons); Christine H. Lee MD, FRCPC

Upcoming...

March 2013, Volume 25, Number 03

Diagnose This!
Diagnose a case for your chance to win

Photo Clinic
“Doctor, I Keep Having to Pee!”

Consultant's Corner

• Measuring for C-Reactive Protein
• Sputum Colour and Its Diagnostic Value
• Administering Strep Tests in a Rural Clinic
• COX-2 Inhibitor Use in Patients with Crohn’s or Ulcerative Colitis
• Child with an Aversion to Noise
• Protein Deficiency and Its Association with Blood Clotting
• Treatment for Dandruff
• Cancers Associated with Smoking and Alcohol
• Open Lipid Levels in Patients on Medication
• Information on Devices Available for Home Monitoring of INR
• Screening Pregnant Women for Syphilis
• Vertigo after Blunt Trauma
• Serum Omega-3 Fatty Acid Testing
• Childhood Obesity
• Fecal Immunochemical Testing for Occult Bleeding
• Treating Actinic Porokeratosis
• Congenital Dislocation of the Hips
• Anything New in Schizophrenia Treatment?
• The Clinical Importance of Mean Platelet Volume
• OCP and Possible Interactions with Antibiotics

DermCase

• Ulcerated Lesion on the Lip
• Difficult to Diagnose Skin Lesions
• Dark Line on Fingernail
• Short Fourth Metacarpals
• Erythematous Arm Rash
• Yellow-orange Skin
• Deep Ulceration on the Nose
• A Red, Painful Leg
• Rash on the Buttock
• Erythematous Blanching Rash
• Darkening of the Skin Axillae
• Multiple, Brownish Cheek Lesions
• Possible Overexposure to Sunlight
• Ulceration on the Buttock
• An Elevated Arm Lesion
• A Mass on the Wrist

Workshop...
Topical Analgesics for Pain
Jana Sawynok, PhD; Mary Ann Fitzcharles, MB, ChB

Upcoming...

April 2013, Volume 25, Number 04

Diagnose This!
Diagnose a case for your chance to win

Photo Clinic
Discoloured Tongue

Consultant's Corner

• Management of Chemotherapy-induced Neuropathy
• Testing for STIs During a Pap Visit
• Bronchoscopy for Patients with Hemoptysis
• Warfarin for Atrial Fibrillation
• Post-lyme Syndrome with Motor Sensory Neuropathy
• Any Specific Treatment Available for PLS?
• Mesenteric Fibromatosis and its Prognosis
• Pseudofolliculitis Barbae Treatment
• Fallopian Tube Removal
• Treatment Options for Breast Lumps
• Opioid Induced Constipation
• When to Use Benzodiazepines for Panic Attacks
• Decreased TSH in a Patient with Graves’ Disease
• Controlling Supraventricular Tachycardias
• Investigating Occult Coronary Artery Disease
• How to Diagnose Sleep Apnea

DermCase

• Multiple Dots on the Face
• Itchy Chest Rash
• Spider-like Cheek Lesion
• A Growing, Congenital Plaque
• A Red, Nonhealing Lesion
• A Nonitchy, Nontender Lump
• Asymptomatic, Yellow Bumps

DermCase Feature
An Update on Therapeutic Options for Unwanted Hair Growth
Anil Kurian, BScN, MN, MD; Benjamin Barankin, MD, FRCPC

Workshop...
A Practical Approach to the Diagnosis and Management of
Polycystic Ovary Syndrome
Bernard Corenblum MD, FRCPC

Upcoming...

May 2013, Volume 25, Number 5

Diagnose This!
Diagnose a case for your chance to win

Photo Clinic
An Asymptomatic Chest Lesion
Benjamin Barankin, MD, FRCPC

Consultant's Corner

• Current Guidelines for Tonsillectomy
• A Breast Lump Finding in a Teen vs. One in an Adult
• Symptoms and Treatment of Pleural Effusion
• Can an Infant Be Allergic to Its Mother’s Milk?
• Hard to Treat Head Lice
• Decolonizing a Patient Diagnosed with MRSA
• Oral Iron Preparations
• Babinski Reflex and Investigating Lumbosciatalgia
• Which Group of Men/Women Should Take ASA
• Estrogen-containing Contraception and Migraine
• Why the Incidence of Shingles Seems to Be Rising
• Treating Superficial BSC and SCC with
• 5-Aminolevulinic Acid
• Prostate and Breast Cancers: Is There a Connection?
• Discontinuing Isotretinoin before and after Orthopaedic
• Antidepressant Use during Perimenopause
• Over-the-counter Niacin Preparations
• Diet and Excercise in Type 2 Diabetes
• Diagnosis and Treatment of Anton’s Syndrome
• Are Flu Shots Recommended for Cancer Patients?
• Differentiating Myocarditis from
• Myocardial Infarction
• Diagnosis of Carcinoid Tumour
• Proton Pump Inhibitors for GERD
• Treating Deep Vein Thrombosis below the Knee
• Chest X-ray after Contracting Tuberculosis
• Methotrexate’s Affect on Lung Function   

DermCase

• Enlarging Plaque
• Progressive Eruption
• Posterior Shoulder Lesion
• Skin Lesions on the Back
• A lesion Changing Pigmentation
• Dry, Scaly Feet
• A Circular Rash on the Cheek
• Calor, Dolor, Tumor, and Rubor
• Painful Fingers
• Face and Upper Back Markings
• Random Bald Patches

Case In
Hematuria: Nephrological or Urological
-- A practical Approach
Mandeep Dulai, MD, FRCPC
Sophia Chou, MD, MSc, FRCPC

Upcoming...

June 2013, Volume 25, Number 6

Diagnose This!
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Photo Clinic
A Confused State of Mind
Hayder Kubba, MBChB, LMCC, CCFP, FRCS(UK), DFFP, DPD

Consultant's Corner

• Distinguishing between Innocuous and Dangerous Symptoms
• Amount of Iron that Can Be Absorbed Each Day from Iron Salt
• Safe Durantion to Be on Antifungals for Onychomycosis
• What to Do after Eradicating Helicobacter pylori  
• Differenciating between Parkinson's Disease and Essential Tremor
• Lowering BMI Can Reduce the Risk of Certain Cancers
• MP3 Players and Hearing Loss
• How to Approach Severe Halitosis in a Child
• When to Repeat a Pap Test
• Treating Elevated Triglycerides in an Otherwise Healthy Patient
• Etiology of Osteomyelitis of the Spine or Discitis
• Dosage of Duloxetine for Depression

DermCase

• A Lesion between the Eyes
• Perianal Papules
• Linear Pattern on the Thigh
• Large, Yellow Plaques on the Shin
• A Lump on the Scalp
• Plainful Vesicles

Case In
Knee Pain
Eric M. Babins, MSc, MD, FCFP, Dip. Sport Med.

Upcoming...

July/August 2013, Volume 25, Number 7

Diagnose This!
Diagnose a case for your chance to win

Photo Clinic
A Rough, Scaly Patch on the Back
Benjamin Barankin, MD, FRCPC

Consultant's Corner

• Considerations for Testosterone Replacement Therapy
• Treatments for Sleep Apnea
• What to Do about Low Hemoglobin and Low Ferritin Levels
• Caffeine Consumption in Children
• Steroids in Pregnancy
• Applying Results of the JUPITER Trial to Younger Patient Groups
• When Should the Chicken Pox Vaccine Be Administered?
• Treating Elevated Triglycerides in an Otherwise Healthy Patient
• Etiology of Osteomyelitis of the Spine or Discitis
• Dosage of Duloxetine for Depression
• Any Treatments for the Prevention of Alzheimer's Disease
• Medical Therapy vs. Intervention for Coronary Artery Disease
• Breast-Conserving Surgery vs. Mastectomy
• Is it Possible for an Asthmatic Patient to Have Normal PFTs?
• Treating Acute CHF with Relaxin
• Treating Anemia in Children
• Blood Pressure Variations between Arms
• Adenomyomatosis and Follow-up Treatment
• Testing Diabetics for Silent Ischemia
• Survival Rate of a Patient Treated for Pancreatic Cancer
• Protecting Children against Insect Bites
• Loss of Libido in an Otherwise Healthy Woman
• Liraglutide for Nondiabetic, Obese Patients
• Erythromelalgia Treatment
• Different Uses for Atomoxetine

DermCase

• Brown, Hyperpigmented Patches
• Face Swelling
• Pink Eyebrow and Chest Patches
• An Abdominal Bulge
• Swelling Over the Preauricular Area
• Umbilical Bulge in an Infant
• A Rash on the Face
• A darkened, Brown Nail
• A Red Patch on the Back

Case In
Acute Infectious Diseases
in the Returning Traveller
Bonnie Meatherall MD, FRCPC, DTMH, MSc Epidemiology

Upcoming...

September 2013, Volume 25, Number 8

Diagnose This!
Diagnose a case for your chance to win

Photo Clinic
Offensive Ear Discharge

Consultant's Corner

• Diagnosing Chronic Cough in a Nonsmoking Adult
• ACE Inhibitors for the Prevention of Cardiomyopathy?
• Following the β-hCG of a Patient with Suspected Abortion
• Triscupid Valve Insufficiency
• Loss of Taste and Smell Following Upper Respiratory Infection
• Outgrowing allergies
• Treating IBS Patients with Metronidazole
• A Patient with Factor V Leidon Mutation
• Hepatitis B and Hepatocellular Carcinoma
• A Patient with Type II Diabetes and Dyslipidemia
• Biopsy of a Thyroid Nodule
• Eyelied Dermatitis

DermCase

• A Painless Lump on the Wrist
• Pustules on the Palms and Soles
• Darkened, Infraorbital Circles
• A '"Pimple" on the Lip
• Pruritic Skin Eruption
• Diffuse Scaling and Crusting
• A History of Melanoma

Chronic Urticaria
Diagnosis, management, and Future Directions
Moshe Ben-Soshan, MD, MSc, Pediatric Allergy and Immunology Specialist

Upcoming...

October 2013, Volume 25, Number 9

Diagnose This!
Diagnose a case for your chance to win

Photo Clinic
Scars Affecting the Axillae and Inframammary Areas

Consultant's Corner

• Guillain-Barré Syndrome
• Are There Alternative Therapeutic Strategies to Statins?
• Vaccines for Cruise Ship Travellers to the Caribbean
• Patients with Umbilical Hernias – Any Guidelines for Surgical Referral?
• Consistently Low WBC or Polymorphonuclear Leukocyte Counts
• Polyethylene Dosing
• Can Alkaline Foods Change the pH Level of the Body?
• Is an ECG Recommended before Treating Children with ADHD
• Blood Pressure Reading
• Therapeutic treatment for Low HDL Cholesterol
• Can Levonorgestrel Counter Estrogen's Effect on the Uterus?

DermCase

• Dark, Black Plaque
• Back and Leg Papules and Vesicles
• Swelling on Posterior Elbow
• Nail Infection
• Severe, Itchy Leg Rash
• White Spots on fingernails
• Sticky Eyes in the Morning
• Yellow Cheek Papule
• A Large Skin Lesion

Bariatric Surgery for Treatment of Type 2 Diabetes
and prevention of Cardiovascular Disease
Davis E. Harris, BSc, MD, FRCPC
Nam Nguyen, BSc, MD, FRCSC
Sharadh Sampath, BSc, MD, FRCSC

Upcoming...

November/December 2013, Volume 25,
Number 10

Diagnose This!
Diagnose a case for your chance to win

Photo Clinic
This Little Piggy Went Bye Bye
Brent M. McGrath, MD, MSc, PhD;
Lacey R. Blyth, BN, RN

Consultant's Corner
Answers to your questions from our medical experts

• Latest Canadian Guidelines for Lipid Reduction
• How Should the SMART Trial be Interpreted?
• Diet and Exercise for Type 2 Diabetics
• Congenital Dislocation of the Hips
• Breast-conserving Surgery vs. Mastectomy
• Vertigo after Blunt Trauma
• Anything New in Schizophrenia Treatment?
• Post-lyme Syndrome with Motor Sensory Neuropathy
• Discontinuing Isotretinoin before and after Orthopaedic Surgery
• What to Do after Eradicating Helicobacter pylori
• MP3 Players and Hearing Loss

DermCase
Illustrated cases with questions to test your diagnostic skills

• Multiple dots on the face
• Sore Pimple on the Buttock
• Calor, Dolor, Tumor, and Rubor
• Linear, Raised Lesions
• A Lump on the Scalp
• Deep Ulceration on the Nose
• Umbilical Bulge in an Infant

Case In
Water, Water Everywhere...Diagnosis and Treatment of Hyponatremia
Davis E. Harris, BSc, MD, FRCPC
Pamela Tsao, MD
Manoela Braga, MD

Upcoming...