Not always, but too often, my patient and I both watch my right hand as it shakes. Sometimes, to finish writing a prescription, I steady it with my left hand. Oops. And I wonder: Should I address the ...

Despite advancements in treatment and HIV viral suppression, people with HIV experience a risk of myocardial infarction that is 1.73 times higher than in people without HIV.[1][1] Believed to be in ...

KEY POINTS Acute aortic syndrome (AAS) is a life-threatening emergency, accounting for 1/2000 presentations of acute chest or back pain to the emergency department. [1] [1] It is a clinical spectrum ...

Key points A 39-year-old otherwise healthy man presented to the emergency department with severe rectal pain and a 3-day history of constipation. He had presented to another community emergency ...

The CanMEDS roles of professional and health advocate as defined seem to be at odds. Medicine’s current concept of professionalism is not designed to encourage advocacy in progressive movements or the ...

Multiple sclerosis (MS) often begins in early adulthood, and symptoms may include fatigue, pain, and mood changes. These may not be outwardly visible but can be deeply disabling.[1][1] Clinicians ...

A 57-year-old woman was admitted to hospital with a 2-month history of fever and rash that had begun on her right hand and spread across her body over the previous 10 days. She had palp–able purpura ...

Delirium occurs in 30%–50% of adults aged 65 years or older admitted to hospital, and may be hypoactive (lethargy, reduced psychomotor functioning), hyperactive (agitation, hallucinations) or mixed.1 ...

A 68-year-old man presented to the gastroenterology clinic with recurrent melena over 3 months with a history of recurrent spontaneous epistaxis and a familial pattern of similar bleeding among his ...

Young-onset type 2 diabetes is defined as type 2 diabetes diagnosed before age 40 years The annual incidence in Canada is 50–150 per 100 000 people aged 20–29 years and is rapidly rising. 1, 2 Type 2 ...

Key points On Jan. 20, 2025, the incoming United States administration froze all foreign assistance funds for 90 days, including the President’s Emergency Plan for AIDS Relief (PEPFAR) funding.[1][1] ...

Background: Determining optimal timing for intensifying the frequency of physician encounters for type 2 diabetes mellitus (T2DM) requires trade-offs between timely care and clinician burden. We aimed ...