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 [...]
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 "
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 [...]
Ultrasound assessment of adjunct therapy Carpal tunnel syndrome (CTS) is a common, painful disorder that occurs predominantly in adults 40 to 60 years old. It is five times more likely to occur in women than in men but is extremely rare in children. Traditional treatment includes splinting, nonsteroidal anti-inflammatory drugs (NSAIDs), vitamin B6, steroids, physiotherapy, [...]
Heart failure (HF) is associated with very high morbidity and mortality. Until recently, patients with HF were managed with a combination of digoxin and diuretics. These drugs alleviated symptoms but were not shown to affect mortality. In the last 10 years, many studies have shown evidence of decreased mortality among patients with HF using new [...]
Herpes zoster Herpes zoster (HZ), or shingles, is reactivation of the latent varicella-zoster virus with dermatomal distribution. Up to 20% of people experience HZ during their lives.1 Incidence of herpes zoster among whites is 1.3 cases per 1000 people per year2; incidence is much lower among African-Americans. Herpes zoster ophthalmicus (HZO) involves the ophthalmic division [...]
Deep vein thrombosis is feared for its potentially fatal complication, pulmonary thromboembolism (PE), the leading cause of preventable mortality among patients in hospital. Deep vein thrombosis affects both healthy people and many patients in hospital. Incidence of DVT is unknown because it is hard to diagnose and because most DVT is silent. Pathophysiology Venous thrombosis [...]
