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Today we shall be talking about Pneumonia! What an exciting topic.
According to Dr William Osler considered to be the âfather of modern medicineâ and who trained at McGill, pneumonia is known as âthe old manâs friendâ he wrote, â"Pneumonia may well be called the friend of the aged. Taken off by it in an acute, not often painful illness, the old man escapes those 'cold gradations of decay' so distressing to himself and his friends.â Dr. Olser himself died from complications of pneumonia.
Pneumonia has a fascinating history as it has been with humanity for many centuries. Symptoms of pneumonia were first described by Hippocrates around 460 BC, but it wasnât until the 19th century that doctors were aware pneumonia was its own condition and not a symptom of another disease.
Interesting tidbits of pneumonia related history, Dr. Edwin Klebs was the first person to observe bacteria causing pneumonia under the microscope in 1875 and the bacterial genus klebsiella was named after him.
Strep pneumonia, commonest cause of CAP was the first bacteria to be gram stained to distinguish gram positive from gram negative bacteria by Hans Christian Gram in 1884. Hence the name âGramâ stain.
The Spanish Flu in 1918, which was an H1N1 influenza A pandemic, killed more people than the first world war in combat, resulting in approximately 20-50 million deaths, and was the second most deadly pandemic on record. In comparison, Covid19 worldwide deaths stand at around 7 million according to the WHO in November 2023.
Alright, we could talk all day about pneumonia history, but its time to focus on CCFP objectives for pneumonia!
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Authors: Veronica Oczkowski (MS4) and Andrea Brabant (rFM PGY-2)
Content Expert and Reviewer: Dr. Matt Strickland
According to the World Health Organization (WHO) and the Centers for Disease Control (CDC), more than nine people die every minute from injuries or violence. A total of 5.8 million people of all ages and economic groups die every year from unintentional injuries and violence. The burden of injury accounts for 18% of the worldâs total diseases. Motor vehicle crashes alone cause more than 1 million deaths annually and an estimated 20 million to 50 million significant injuries; they are the leading cause of death due to injury worldwide.
Traumatic presentations are unfortunately quite common, so itâs important we get comfortable with a strong approach. Our goal today is in no way to complete an exhaustive review. That being said, we did our best to prepare a brief overview that allows us to cover the CCFP objectives. Get ready. This is a pretty robust topic to cover, so buckle up!!
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https://thegenerehlist.ca/episode-3-bpsd-behavioural-and-psychological-symptoms-of-dementia/
Written By: Christine Miller, COE Resident
Review By: Dr. Christian Weins, Psychiatrist, Palliative Care
Hosts: Christine Miller, COE Resident & Hannah Dunnigan, Rural Family Medicine Resident
Art: as ever by Aikansha Chawla
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Obesity Canada published a guideline in 2020 that we will be referring to a lot in this episode. It defines obesity as a chronic, progressive and relapsing disease characterized by the presence of adiposity that impairs health and social well-being.
So today youâll learn what you need to know for the exam, but also some practical considerations for real life visits that take into account the pressures of diet culture, and how we as physicians can provide evidence based advice that doesnât isolate and judge our patients. And because we know language matters, youâll hear us use terms like âlarge bodiesâ, instead of saying someone is fat. There are advocates who have reclaimed the term fat, but today weâll stick with medical jargon and terms aimed to avoid stigma.
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Syncope = a brief loss of consciousness and postural tone that resolves spontaneously with a return to baseline neurological function within seconds or a few minutes.
Presyncope = near LOC. Should be worked up the same as we know it portends a similar risk of downstream badness as syncope. presyncope is âI almost lost consciousness and then recoveredâ â more of acute thing. The final common pathway of syncope is the same regardless of the underlying cause. In general, 10 seconds of interrupted blood flow to the brain.
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An update episode for 2023 on some tips and tricks for both the SAMP and SOOs from the founders of The Review Course: Dr Paul Dhillon and Dr Simon Moore.
New bundled labs that are okay What guidelines are too new? Review the SNO PQRST methodAND, get $100 off The Review Course in 2024 by using the code 'GenerEhlist' when you register.
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Hello and welcome to another episode of The GenerEhlistâs CFPC 105 topics podcast.
â Todayâs topic is renal failure
â This episode was written by Vaishvi Patel, a third-year medical student from the University of Alberta, and Ronan Noble an MD/PhD student from the UofA as well, and it was reviewed by Dr. Whitney Hung, an internal medicine senior resident in Edmonton, AB.
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Episode Written By : Kyla Freeman PGY3 Content Reviewer : Dr. Charley Boyd, FP working Obstetrics Hosts : Kyla Freeman, Patricia Massel Artwork : Aikansha Chawla
In today's episode we review the basics of gestational diabetes screening and management. We also briefly discuss the newborn hypoglycemia screening protocol for infants born to gestational parents with diabetes and first steps of management.
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Written By: Cezara-Maria Latcu Peer Review By: Bianca-Mariana Baila FM PGY1
Check also the CCFP 105 Topics: Periodic Health Assessment Part One and Two episodes.
So, first things first: Who should be assessed for osteoporosis and fracture risk?
There are three categories:
1. All women and men aged 65 or more;
2. Adults aged 50-64 who are at high risk of fracture or have already experienced a fragility fracture;
3. Younger adults under the age of 50 who are at high risk of fractures.
We know who, letâs see âHow?â
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We have a bread-and-butter family medicine topic ready for you today â immunizations!
This episode was:
written by Sean Wang, a third-year Dalhousie medical student out of Halifax, Nova Scotia and peer-reviewed by another East-Coaster, Dr. Melissa Power, Dalhousie Family Medicine Staff and the Faculty Undergraduate Coordinator of South-West Nova.This is a large topic and donât worry, we wonât just repeat routine vaccine schedules to you the whole time; rather the CCFP objectives focus on the more nuanced details of vaccines â which we all need to have a solid grasp on.
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