Guidelines
While waiting for consultation for this chronic disease, family doctors can take steps to modify CV risk and slow further progression (e.g. through blockade of the renin-angiotensin-aldosterone system where appropriate).
What is chronic kidney disease?
KidneyWise Toolkit - http://tbrhsc.net/wp-content/uploads/2018/04/CCO-009_accessible_toolkit_mh07.pdf
Out of 1000 men tested, 33 out of 102 cancers diagnosed with this screening test would not have caused illness or death. Five men will die from the relevant disease despite screening. One will escape death from the relevant disease because of screening.
What is PSA screening for prostate cancer? (age 55-69)
CTFPHC - https://canadiantaskforce.ca/tools-resources/prostate-cancer-harms-and-benefits/
This medication is first-line for tick bites meeting certain criteria.
An online place to find community resources.
What is the OTN Health Services Directory *or* Ontario 211?
The most common culprit of allergic contact dermatitis.
What is nickel?
This organization has a guideline that can be used to counsel your 67-year-old patient on apixaban before his minor skin cancer surgery.
What is Thrombosis Canada?
https://thrombosiscanada.ca/tools/?calc=perioperativeAnticoagulantAlgorithm
These questions help indicate the potential of psychosocial risk factors for developing chronic low back pain.
"Yellow Flags" of low back pain
Centre for Effective Practice CORE Back Tool - https://cep.health/
This DSM-5 diagnosis is a common mimicker of anxiety, social anxiety, and behavioural issues in children.
What is ADHD?
These are being introduced in Ontario to provide a new way of organizing and delivering care that is more connected to patients in their local communities.
What are Ontario Health Teams?
1/10 of these turn into skin cancer over 10 years.
What is actinic keratosis?
A guideline on how to start and monitor your 27-year-old MSM patient on PrEP.
What is the Canadian guideline on HIV pre-exposure prophylaxis (CMAJ 2018)?
The single best test to assess thyroid dysfunction.
TSH
TOP Alberta Doctors - https://actt.albertadoctors.org/CPGs/Pages/Thyroid-Dysfunction.aspx
This blood marker, commonly ordered for certain types of joint pain, is found in 5-10% of the healthy population.
What is rheumatoid factor?
This is a provincial program for people who spend about 4% or more of after-tax household income on prescription-drug costs.
Trillium Drug Program
https://www.ontario.ca/page/get-help-high-prescription-drug-costs
It is poor form to perform a shave biopsy for this kind of lesion.
Mole / pigmented lesion
This tool is the most efficient way to determine which patients are at high risk of osteoporosis and require further testing [Bone Mineral Density (BMD)].
OST: Weight (kg) – Age (year)
BMD warranted if <10
Tools for practice - https://www.acfp.ca/wp-content/uploads/tools-for-practice/1429563774_updatedtfp44screeningforosteoporosisfv2.pdf
Swallowing difficulties, painful swallowing, bleeding/anemia, weight loss, or persistent vomiting are red flags to ask about when doing a history of this common disorder.
There is a minimum four week interval between these kinds of vaccines.
Live vaccines
This is a searchable resource for therapeutic abortion clinics in Canada.
What is Choice Connect?
30% of persons with this condition will develop a widespread rash if treated with amoxicillin.
What is Epstein-Barr virus (EBV)?
These are the ABCDESSS of T2DM. [List at least 4/8)
a1c targets
BP targets
Cholesterol targets
Drugs for CVD risk
Exercise goals
Screening for complications
Smoking cessation
Self-management
Diabetes Canada - https://www.diabetes.ca/static/docs/CPG-quick-reference-guide-web-EN.pdf#page=5
These kinds of prescriptions address needs like social safety nets, food security, and housing. They should emerge from the therapeutic relationship, be strengths-based, and involve tracking/follow-through.
What is social prescribing?
In a RCT involving 776 older adults over 30 months, this simple intervention led to 40% fewer hospital days/pt & half the emergent admissions.
What is continuity of care?
Twitter - https://twitter.com/ml_barnett/status/1088261594155569153
This hotline is open Monday to Friday, from 8 a.m. to 8 p.m. to speak with a drug information pharmacist who can answer your questions about opioid tapering, switching, interactions and withdrawal.
What is the HQO opioid prescribing hotline?
Historically, this rash was considered an AIDS-defining illness for people living with HIV.
What is Kaposi sarcoma?