NOVEMBER 2006, VOL. 14, NO. 11

Casebook
Atypical angina Determining the probability that a patient with chest pain has CAD is key to choosing the right diagnostic test.

Update
Managing migraine Practical advice on achieving better prevention and treatment of attacks.

ClinicalTalk
Salt sensitivity and CVD Shaking up the diet-vs-genes debate and settling on useful clinical interventions.

Diagnostic Challenge
Sorely stressed Aphthous ulcers that won't resolve.

parkhurst correspondence
34 answers to your clinical questions Our panel answers your questions on the risks of inadvertent varicella vaccination in early pregnancy, why doctors have such bad handwriting, the clinical significance of cold agglutinins, and others…

Question of the month Are chronic large doses of acetaminophen harmful?

This month's dermatology highlight Split ends on hair loss in women.

Question authority Confused by a clinical quandary? Let our panel of specialists figure it out.

features
Cultural Medicine
Religious refusal What happens when physician and patient disagree on treatment?

Perspectives on Pain
Sex differences in pain Biologic, psychologic and social factors explain why men and women don't feel each other's pain.

Checklist
Pediatric UTIs Prompt diagnosis and treatment are vital to avoid renal scarring and recurrence.

Case Conundrums
Lead poisoning Even low lead levels aren't safe in kids and have long-term consequences.

Round Table
Rural physician shortages Overcoming the challenges unique to rural medicine to bring in and keep new doctors.

Journal Club
Leading experts comment on a quiz to identify UI type, MRI screening in high-risk women, and CHD risk from alcohol in men vs women.

departments
Letters
Countering conventional cholesterol wisdom.

From the Frontlines
Shopaholic goes to the DSM (maybe), resetting body clocks in the blind, an old antibiotic as a new weapon against cancer, and more…

The Art Gallery
Jennifer Annesley uses shadow, light and texture to bring ancient architecture to life.
Donna Lynd gives her portraits expression and intensity with paint and other media.

Meet the Artists
Two Canadian artists exhibit their work in the Parkhurst Exchange gallery. Have a favourite artist or two? Kindly send their names to katz@parkpub.com.

Parkhurst Index
This month's fascinating facts include: C. difficile in livestock; links between gum disease, smoking and premature birth; and sudden cardiac death in young athletes.

Drug Compendium Update
We've got the 411 on the latest drug approvals and advisories.

News from the Net
Popeye's predicament Nutritious greens may pack a powerful pathogen.

Passing Scene
An early-warning system for bones about to break, obesity and headache, a new vaccine that fights the plague, and more…

 

Update childhood asthma
ClinicalTalk testosterone therapy
Casebook leprosy


columns
Food for Thought
Coffee and the heart CHD risk from java may hinge on whether you're a fast or slow caffeine metabolizer.

Mind Matters
Delirium This common condition is easy to miss in patients presenting with the "silent" form.

Heart Beat
Beta-blockers revisited Take a look at the many indications for this old standby.

Skin Sense
Granuloma annulare A cosmetic concern that fades with time but comes back.

Tales from the Heart
Of loaves and fishes Lessons on gout and the virtue of tolerance.

Cover photo: Transmission electron micrograph of influenza A virus, early passage; ©BSIP/CDC/Erskine Palmer/Alpha Presse

 
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