Dalhousie Medical Journal最新文献

{"title":"Cultural competencies and tips to keep in mind when in- teracting with Muslim patients","authors":"Farina Rafiq, Ameer Jarrar, H. Hamodat, Malik Ali, Saif Syed, B. Haroon","doi":"10.15273/DMJ.VOL45NO1.8791","DOIUrl":"https://doi.org/10.15273/DMJ.VOL45NO1.8791","url":null,"abstract":"Muslims make up a significant portion of the world population, with an estimate of 1.8 billion people as of 2015. According to the 2011 Canadian census, Muslims make up 3.2% of the Canadian population. As future physicians, many of us will encounter Muslims in our practice. Muslims come from different ethnicities and speak different languages. It is, therefore, essential to be conscious of core cultural values and practices commonly held by Muslims. This article will highlight cultural competencies and tips to keep in mind when interacting with Muslim patients.","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"349 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134033260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A “domino-effect” case of multiple ocular pathologies ascribed to various complex causes","authors":"Ricarda M. Konder, Erin M. Demmings","doi":"10.15273/DMJ.VOL45NO1.8789","DOIUrl":"https://doi.org/10.15273/DMJ.VOL45NO1.8789","url":null,"abstract":"This is a learning case targeted at medical students and other healthcare professionals who wish to improve their understanding of ophthalmic conditions and their anatomical underpinnings.This report will introduce a patient with a complex history of ocular pathologies who presented to a small urban community ophthalmology clinic.A brief summary of past medical history will be presented, followed by a detailed explanation of the symptoms, etiologies, and chosen treatments for the patient’s various conditions (iris and chorioretinal colobomas, uveitis, cataracts, retinal detachments, corneal edema, and glaucoma). In this case, the various medical interventions for our patient’s initial problems often led to complications and exacerbations of pre-existing conditions; therefore, special attention will be paid to highlighting both the pathophysiological and mechanical influences that may lead to, and exacerbate, eye disease.","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127641225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"In the psych ward","authors":"Matthew Lee","doi":"10.15273/DMJ.VOL45NO1.8795","DOIUrl":"https://doi.org/10.15273/DMJ.VOL45NO1.8795","url":null,"abstract":"<jats:p>.</jats:p>","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128195758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"All thumbs:The philosophy of plastic and reconstructive surgery via Wassel's classification of thumb duplication","authors":"Jonathan J. Oore","doi":"10.15273/DMJ.VOL45NO1.8794","DOIUrl":"https://doi.org/10.15273/DMJ.VOL45NO1.8794","url":null,"abstract":"<jats:p>.</jats:p>","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131512796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“Apply sparingly”? A review of topical corticosteroids","authors":"S. F. Armstrong, P. Green","doi":"10.15273/dmj.vol45no1.8788","DOIUrl":"https://doi.org/10.15273/dmj.vol45no1.8788","url":null,"abstract":"<jats:p>.</jats:p>","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133411624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lymphedema in palliative care – a case of reverse hypo- dermoclysis","authors":"R. Haworth, Erin Gorman-Corsten","doi":"10.15273/DMJ.VOL45NO1.8790","DOIUrl":"https://doi.org/10.15273/DMJ.VOL45NO1.8790","url":null,"abstract":"<jats:p>.</jats:p>","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133942890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interested in getting involved with your professional organization?","authors":". .","doi":"10.15273/dmj.vol45no1.8796","DOIUrl":"https://doi.org/10.15273/dmj.vol45no1.8796","url":null,"abstract":"<jats:p>.</jats:p>","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"129 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122869879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sans peur et sans reproche: A history of the General Public Hospital in Saint John","authors":"Mike Wong","doi":"10.15273/DMJ.VOL45NO1.8793","DOIUrl":"https://doi.org/10.15273/DMJ.VOL45NO1.8793","url":null,"abstract":"<jats:p>.</jats:p>","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"115 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123908722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Marijuana: Judgement can preclude an honest dialogue in healthcare","authors":"A. Falkenham","doi":"10.15273/DMJ.VOL45NO1.8792","DOIUrl":"https://doi.org/10.15273/DMJ.VOL45NO1.8792","url":null,"abstract":"There are some topics in which medicine has a more cohesive and consistent message, but thus far, my experiences in medical school have suggested that marijuana isn’t one of them. For some, it’s a harmless drug with tremendous potential and for others, comparable to opioids.The discussions between physicians and patients regarding marijuana can be strongly influenced by ideologies in either direction, potentially undermining our ability to have an honest dialogue with patients. I explored this discussion through a combination of personal experiences in medical education and by sharing terminology and concepts that may be valuable in a patient-physician dialogue.","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"2328 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130359126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A 25-year-old female with papulopustular rash, arthritis, and retinal vasculitis","authors":"André S. Pollmann, Mark E. Seamone","doi":"10.15273/DMJ.VOL44NO2.8505","DOIUrl":"https://doi.org/10.15273/DMJ.VOL44NO2.8505","url":null,"abstract":"C A 25-year-old Caucasian female was referred to ophthalmology with a three-week history of decreased vision in her left eye. Review of systems by history and physical exam was positive for dyspnea, a widespread papulopustular rash, heart palpitations, oral and genital ulcers, migratory arthralgia (especially in her knees), and fatigue. Her medical history was significant for past intravenous (IV) drug use. She had initially been seen by a community ophthalmologist and subsequently admitted to the internal medicine service for further investigations due to concerns of significant systemic illness. She was afebrile and her vital signs remained normal. On ophthalmologic exam, her corrected visual acuity (VA) was measured at 6/6 right eye (OD) and 6/60 left eye (OS) and intraocular pressures were 14 mmHg OD and 15 mmHg OS. A subtle relative afferent pupillary defect was noted in the left eye. Slit lamp examination was unremarkable and no vitritis was noted. Extra-ocular movements were full. Fundoscopic examination revealed bilateral intra-retinal hemorrhages and perivascular sheathing (Figure 1). Roth spots (white centered hemorrhages), cotton-wool spots, and optic nerve edema were noted OS. Systemic investigations were initiated and targeted towards a differential diagnosis including inflammatory (e.g., systemic lupus erythematosus, reactive arthritis, vasculitis, sarcoidosis, inflammatory bowel disease), infectious (e.g., human immunodeficiency virus, syphilis, tuberculosis, Lyme disease, infectious endocarditis, disseminated herpetic disease), and other (e.g., disseminated intravascular coagulation, coagulopathy) possible etiologies. A chest x-ray demonstrated no evidence of granulomatous inflammation nor hilar adenopathy and a transthoracic echocardiogram was normal. Initial laboratory investigations showed a mild thrombocytosis (420 x 109/L, normal range 150-350 x 109/L) and elevated C-reactive protein (133 mg/L, normal range 0-8 mg/L). Urinalysis showed 8 RBC/HPF (normal range 0-5) and was positive for leukocyte esterase. Studies for anti-neutrophil cytoplasmic antibodies were negative. A knee joint aspiration was completed and noted inflammatory cells without bacterial growth. Dermatology obtained a skin biopsy of the rash and the resulting pathology showed a mixed perivascular infiltrate with leukocytoclasis (Figure 2). Which of the following is the most likely diagnosis?","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114218375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}