Diagnosis and management of postural orthostatic tachycardia …
WEBMar 14, 2022 · The orthostatic tachycardia must occur in the absence of classical orthostatic hypotension, but transient initial orthostatic hypotension10 does not preclude a diagnosis of POTS.5 The patient’s heart rate should rise by at least 30 beats/min (or ≥ 40 beats/min if patient is aged 12–19 yr) in at least 2 measurements taken …
Guidelines | CMAJ - Canadian Medical Association Journal
WEBOct 16, 2023 · Guidance For Policy: Core elements of participant consent documents for Canadian human genomics research and the National Human Genome Library: guidance for policy
Diagnosis and management of polycystic ovarian syndrome - CMAJ
WEBJan 29, 2024 · Box 1: Evidence used in this review. We drew on the international guideline on the management of polycystic ovarian syndrome (PCOS) published by the European Society of Human Reproduction and Embryology and the American Society for Reproductive Medicine in 2023 and the hirsutism guideline published by the Endocrine Society in 2018.1, 3, 7 We also searched articles in PubMed from 2018–2023 ...
Clinical practice guideline for management of osteoporosis and …
WEBOct 10, 2023 · Background: In Canada, more than 2 million people live with osteoporosis, a disease that increases the risk for fractures, which result in excess mortality and morbidity, decreased quality of life and loss of autonomy. This guideline update is intended to assist Canadian health care professionals in the delivery of care to optimize skeletal health and prevent fractures in postmenopausal ...
Diagnosis and management of low-back pain in primary care - CMAJ
WEBNov 13, 2017 · How can physicians decide if low-back pain has a serious cause? Low-back pain is a common symptom and there are many possible causes. In primary care, low-back pain can be classified into one of four categories: a problem beyond the lumbar spine (e.g., kidney stones); a serious disorder affecting the lumbar spine (e.g., epidural abscess); low-back pain occurring with radicular pain (e.g ...
Apolipoprotein B in cardiovascular risk assessment - CMAJ
WEBAug 28, 2023 · Apolipoprotein (apo) B measurement is a recommended alternative to low-density lipoprotein cholesterol (LDL-C) The 2021 Canadian Cardiovascular Society guideline on dyslipidemia recommends that physicians may use levels of either non-high-density lipoprotein cholesterol (HDL-C) or apo B instead of LDL-C for screening and targets of treatment.1 Non-HDL-C represents total cholesterol minus ...
Obesity in adults: a clinical practice guideline | CMAJ
WEBAug 4, 2020 · Decreased food intake and increased physical activity lead to a negative energy balance and trigger a cascade of metabolic and neurohormonal adaptive mechanisms.25, 26 Therapies that target these alterations in neurohormonal mechanisms can become effective tools in the long-term management of obesity.27 Novel approaches to diagnose and assess obesity in clinical practice have been proposed.11 ...
Trial of labour after caesarean delivery | CMAJ
WEBJan 10, 2022 · Trial of labour after cesarean (TOLAC) is a safe alternative to repeat cesarean delivery 1. Pregnant people who have had a previous cesarean delivery can have a TOLAC or an elective cesarean. For patients with high likelihood of vaginal birth after cesarean (VBAC), TOLAC is the recommended mode …
Polymyalgia rheumatica | CMAJ
WEBNov 22, 2021 · Polymyalgia rheumatica is the second most prevalent systemic rheumatological disease in adults. Lifetime risk is 2.4% for women and 1.7% for men, with incidence rising from age 50 to 80 years.[1][1] Polymyalgia rheumatica is characterized by acute-onset bilateral shoulder pain with morning
Courvoisier's law - CMAJ
WEBApr 1, 2003 · In 1890, Ludwig Courvoisier described his observation that patients with painless jaundice and a palpable gallbladder often have a malignant obstruction of the common bile duct; this is known as “Courvoisier's law.”1 Painless jaundice and a palpable gallbladder are present in 50%–70% of patients with periampullary cancer or carcinoma of the head of pancreas.2
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