Managing adolescent anxiety
The essential first step is to gain teenagers’ cooperation through developing rapport. This is difficult at first, as anxious teenagers are practised at resistance, but the fact that you have taken time to listen through the assessment has a remarkable effect. Before engaging in more specific treatments (Table 2), such factors as sleep [...]

Continue reading " Managing the many faces of adolescent anxiety. Part 2 "

Most cases of generalized anxiety, panic disorder, and social phobia first appear in adolescence or earlier. Anxiety develops out of fundamental human survival responses, mediated by the serotonergic and noradrenergic systems, involving avoidance of harm and escape from danger, and ensuring that helpless infants maintain close contact with adults. Canadian Pharmacy prednisone
When this natural anxiety [...]

Continue reading " Managing the many faces of adolescent anxiety. Part 1 "

Family physicians frequently see patients who complain of sinusitis. These patients usually present with symptoms that include preceding upper respiratory tract infection, mucopurulent rhinorrhea, postnasal drip, cough, fever, nausea, and congestion. Facial pain above or below the eyes that increases on leaning forward is common. The nasal airway is often reduced and the mucosa hyperemic [...]

Continue reading " Clinical diagnosis of acute sinusitis in adults "

The macula is the central portion of the retina. At the centre of the macula is the fovea. Although the fovea is only 0.5 mm in diameter, it is responsible for the ability to read, drive, and recognize fine detail, including facial features. order cialis professional
Age-related macular degeneration (AMD) is now the leading cause in [...]

Continue reading " Ophthaproblem. Photodynamic therapy with verteporfin "

Summary of recommendations affecting family physicians
Hypertension is estimated to be the third leading risk factor for death worldwide; 22% of adult Canadians have high blood pressure (BP). Unfortunately, only 16% of these people are treated and have their BP controlled. As part of a national strategy to improve BP control in Canada, a new process [...]

Continue reading " Canadian hypertension recommendations "

Children’s minor wounds are frequently
assessed in their primary caregiver’s office. For the purposes of this article, minor wounds are defined as simple wounds (such as abrasions, most bite wounds, and lacerations) that do not require sutures. canadian pharmacy Levaquin
We briefly describe common minor wounds suffered by children and focus on evidence-based management principles. We review [...]

Continue reading " Office management of minor wounds "

A 76-year-old man came to the emergency department after slipping on the ice and hitting his head. He believed he was briefly unconscious, but he was able to stand on his own and walk. He remembered losing his balance and then finding himself on his side on the ice. generic Levofloxacin online
He arrived at the [...]

Continue reading " Head injury in patients using warfarin "