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 ...

Background: Fragility fractures are a major health concern for older adults and can result in disability, admission to hospital and long-term care, and reduced quality of life. This Canadian Task ...

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 ...

Without more acute care beds, hospitals are on their own to grapple with emergency department crises ...

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 ...

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 ...

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 ...

Figure 1: Median nail dystrophy in a 34-year-old man. Thumbs with central feathered longitudinal lamellar split, surrounded by parallel transverse ridges (open arrows) of the nail plates, macrolunulae ...

Pain from vaccine injections is common, and concerns about pain contribute to vaccine hesitancy across the lifespan.[1][1],[2][2] Noncompliance with vaccination compromises the individual and ...