HealthPlexus.net

Volume 3, Number 2

Disclaimer:  While every attempt is made to ensure that drug dosages provided within the text of this journal and the website are accurate, readers are urged to check drug package inserts before prescribing. Views and opinions in this publication and the website are not necessarily endorsed by or reflective of those of the publisher.

Editor's Note

D’Arcy Little, MD, CCFP, FRCPC
Medical Director, JCCC and HealthPlexus.NET

Related Terms:

JCCC 2013 Issue 2

The Development of a Replacement Pathology Service in a Community Hospital in Quebec Using Telepathology and Supportive Service Corridors

I.W. Kuzmarov MD FRCS(c),Director of Professional and Hospital Services, Santa Cabrini Hospital, Department of Surgery (Urology) McGill University.
S Trifiro MD FRCPC,Department of Pathology, Santa Cabrini Hospital,

Bich N. Nguyen MD FRCPC,Department of Laboratory Medicine, University of Montreal Hospital Centre.

Abstract
Santa Cabrini Hospital is composed of 369 acute care beds, with a separate pavilion providing services for 100 long term care patients. The hospital is situated in the northeastern part of Montreal, and provides services to an area that encompasses approximately 750,000 people.
Keywords: pathology service, community hospital, telepathology, Quebec.

Related Terms: Technology in Medicine, pathology service, community hospital, telepathology, Quebec

Potentially Fatal Necrotising Fasciitis of the Head and Neck: A Case Report and Review of the Literature

Members of the College of Family Physicians of Canada may claim one non-certified credit per hour for this non-certified educational program.

Mainpro+® Overview
Pre-test CME Quiz Post-test CME Quiz

P.K. Shenoy, MD, FRCS, DLO, FACS, ENT Service Chief, Campbellton Regional Hospital, Campbellton, NB, Canada.
K. Bali, MD, MS, Deputy Head, Ear Nose and Throat Department, Al Ain Hospital, Al Ain, United Arab Emirates.

Abstract
A case of necrotising fasciitis of the neck originating from odontogenic infection is presented. Clinical features including pathogenesis and treatment are discussed along with a review of the literature.
Keywords: necrotising fasciitis, flesh eating bacterial disease, synergistic necrotizing cellulitis, killer bug disease, fasciitis necrotans, surgical débridement, hyperbaric oxygen therapy, multi-organ failure, toxic shock syndrome, Disseminated Intravascular Coagulopathy (DIC), Laboratory Risk Indicator for Necrotising Fasciitis (LRINEC).

Related Terms: Otolaryngology, necrotising fasciitis, flesh eating bacterial disease, synergistic necrotizing cellulitis, killer bug disease, fasciitis necrotans, surgical débridement, hyperbaric oxygen therapy, multi-organ failure, toxic shock syndrome, Disseminated Intravascular Coagulopathy (DIC), Laboratory Risk Indicator for Necrotising Fasciitis (LRINEC)

A Moustache for a Good Cause

Members of the College of Family Physicians of Canada may claim one non-certified credit per hour for this non-certified educational program.

Mainpro+® Overview
Pre-test CME Quiz Post-test CME Quiz

Francesca Cheung, MD CCFP, is a family physician with a special interest in dermatology. She received the Diploma in Practical Dermatology from the Department of Dermatology at Cardiff University in Wales, UK. She is practising at the Lynde Centre for Dermatology in Markham, Ontario and works closely with Dr. Charles Lynde, MD FRCPC, an experienced dermatologist. In addition to providing direct patient care, she acts as a sub-investigator in multiple clinical studies involving psoriasis, onychomycosis, and acne.

Abstract
Impetigo is a gram-positive bacterial infection of the superficial layers of the epidermis. There are two forms of impetigo: bullous and nonbullous. Diagnosis of impetigo is usually based solely on the history and clinical presentation. Culture and sensitivity results can help the physician choose appropriate antibiotic therapy. Treatment of impetigo typically involves local wound care, along with antibiotic therapy, either topical alone or in conjunction with systemic therapy. For mild or localized cases, topical mupirocin or topical fusidic acid applied 2 to 3 times daily for 7 to 10 days are adequate treatment. Systemic antibiotics are indicated for widespread, complicated, or severe cases associated with systemic manifestations of impetigo. Beta-lactam antibiotics remain an appropriate initial empiric choice, with coverage against both Staphylococcus aureus and Streptococcus pyogenes. For patients with recurrent impetigo or Staphylococcus aureus nasal carriers, topical mupirocin cream or ointment can be applied inside the nostrils 3 times daily for 5 days each month to reduce colonization in the nose.
Keywords: Impetigo, Staphylococcus aureus, Group A beta hemolytic streptococci Bullous impetigo, Nonbullous impetigo.

Related Terms: Dermatology, impetigo, nonbullous impetigo, bullous impetigo, group A beta-hemolytic streptococci, Staphylococcus aureus

What's New from the Canadian Consensus Conference on the Diagnosis and Treatment of Dementia (CCCDTD4)

Dr.Michael Gordon Michael Gordon, MD, MSc, FRCPC, Medical Program Director, Palliative Care, Baycrest Geriatric Health Care System, Professor of Medicine, University of Toronto, Toronto, ON.

In the winter and spring of 2012 I was privileged to be part of the executive working group that organized the fourth Canadian Conference on the Diagnosis and Treatment of Dementia (CCCDTD4) which took place in May 2012. The process as described in both of the initial publications that came out in the fall of 2012 included many participants from all of those physician groups involved in caring for those at risk of dementia, as well as those not-for-profit organizations involved in educating the public.

Related Terms: Dementia, dementia
Subscribe to Volume 3, Number 2