Key points Canada’s health systems are stressed with increasing demands for health care and services. The causes of this stress are multifactorial and include an aging population and a health ...

Background: Subclinical hypothyroidism has been linked to adverse renal outcomes, but it is unknown whether treatment of subclinical hypothyroidism reduces the risk of these adverse outcomes. We ...

Key points The provision of health care is hard and, understandably, clinicians struggle. Beyond meaningful health care interactions, clinicians must also integrate large volumes of demographic, ...

Care should include explicit statements affirming patient choice. Clinicians with faith-based objections should provide timely, tolerant referral; judgmental or obstructive care may result in ...

KEY POINTS Recent changes to Canadian legislation effectively created 2 pathways for medical assistance in dying (MAiD), where death is or is not reasonably foreseeable, with implications for frail ...

Figure 1: (A) Peripheral blood smear showing erythrocytes with basophilic stippling (arrows) in a 47-year-old male plumber with lead poisoning. (B) Burton line (arrows) in some of the patient’s gum ...

KEY POINTS Multifactorial early-pregnancy screening for preeclampsia can identify most patients at risk, particularly of early-onset, severe disease. Prophylaxis with acetylsalicylic acid (ASA) can ...

KEY POINTS Clinicians may be concerned about the potential of electronic patient portals to disrupt the therapeutic relationship, deliver medicolegal burdens or harm patients, but these fears are ...

KEY POINTS In most medical subspecialties, genetic and genomic testing have become a routine part of clinical care. However, access to genetic testing at the patient, provider, and provincial levels ...

Normal prolactin levels are less than 25 μg/L in females and less than 20 μg/L in males.[1][1] Measurement is indicated for erectile or ejaculatory dysfunction, amenorrhea, oligomenorrhea, infertility ...

Trichomoniasis is the most common curable sexually transmitted infection worldwide Although trichomoniasis is not a reportable disease, the estimated North American prevalence is 2.8%–3.1% among women ...

Figure 1: (A) Abdominal contrast-enhanced computed tomography scan of a 54-year-old man with phlegmonous gastritis showing diffuse circumferential thickening of the gastric wall. (B) Upper ...