diagnostic challenge
Numbing pain Backache and fatigue spell trouble.

Casebook
Hepatocellular carcinoma Resection and transplantation are the most promising options, so try to catch the disease early.

ClinicalTalk
Radiology jargon "What the heck do they mean by that?" An interview with Michael K. McLennan, MD

Update
Mental health screening Picking up psychiatric problems in primary care. By Lena C. Quilty, PhD and R. Michael Bagby, PhD

Parkhurst correspondence

30 answers to your clinical questions Our specialists answer questions about testosterone creams for the clitoris, loss of the sense of smell after a sinus infection, airplane travel with a URI, and more…
Question of the month Keeping an eye on a stye: what's the best treatment?
En français Check out our new bilingual section.
Question authority Have you come across a medical dilemma you'd like to share? Send it in and let our experts work it out.
This month's dermatology highlight Piercing complications: nipple rings

Cover photo: Mammogram of normal female breast © BSIP/Cavallini James/Alpha Presse

features

The Compliance Factor
Avoiding gluten in the diet Restrictions impact quality of life.

Checklist
Lyme disease A missed bull's eye rash can have far-reaching consequences, causing arthritis and other disorders years later.

Journal Club
Leading experts comment on herbal treatments for menopause, behavioural therapy for post-traumatic stress, and more…

Case Conundrums
Post-polio syndrome Poliomyelitis survivors may face secondary symptoms.

columns

Pediatrics New column
MMR and autism Is there a basis to the vaccine hysteria?

Food for Thought
Turning down the heat Do we leave the grill in storage this summer?

Heart Beat
New take on stable CAD Angioplasty may be overrated.

Geriatrics
Hospital-induced decline Encourage activity to prevent functional and cognitive loss.

Skin Sense
Discoid lupus erythematosus Treat early to avoid scarring.

Tales from the Heart
The cane Help may just be a phone call away when your patients need assistance in mastering the challenges of aging.