The GenerEhlist - CCFP Exam Prep, Low Risk Obstetrics & Canadian Primary Care Medicine

Written By: Alexzandra Hughes-Visentin, FM-PGY1, Women’s College Hospital Expert Review By: Dr Alix Murphy, PGY4 OBGYN, University of Toronto Art and Co-Hosting by Aikansha Chawla - PGY1 OBGYN

  Written and Researched By: Alexzandra Hughes-Visentin, FM PGY1 – Women’s College Hospital – Toronto Expert Review By: Dr Alix Murphy, PGY4 OBGYN at University of Toronto

  Episode 4: Assessment of Patients with Memory Concerns Hosts: Care of the Elderly Drs. Christine Miller & Ian Bekker Art: Aikansha Chawla

Today we shall be talking about Pneumonia! What an exciting topic. According to Dr William Osler considered to be the “father of modern medicine” and who trained at McGill, pneumonia is known as “the old man’s friend” he wrote, “"Pneumonia may well be called the friend of the aged. Taken off by it in an acute, not often painful illness, the old man escapes those 'cold gradations of decay' so distressing to himself and his friends.” Dr. Olser himself died from complications of pneumonia. Pneumonia has a fascinating history as it has been with humanity for many centuries. Symptoms of pneumonia were first described by Hippocrates around 460 BC, but it wasn’t until the 19th century that doctors were aware pneumonia was its own condition and not a symptom of another disease. Interesting tidbits of pneumonia related history, Dr. Edwin Klebs was the first person to observe bacteria causing pneumonia under the microscope in 1875 and the bacterial genus klebsiella was named after him. Strep pneumonia, commonest cause of CAP was the first bacteria to be gram stained to distinguish gram positive from gram negative bacteria by Hans Christian Gram in 1884. Hence the name “Gram” stain. The Spanish Flu in 1918, which was an H1N1 influenza A pandemic, killed more people than the first world war in combat, resulting in approximately 20-50 million deaths, and was the second most deadly pandemic on record. In comparison, Covid19 worldwide deaths stand at around 7 million according to the WHO in November 2023. Alright, we could talk all day about pneumonia history, but its time to focus on CCFP objectives for pneumonia!

  Authors: Veronica Oczkowski (MS4) and Andrea Brabant (rFM PGY-2) Content Expert and Reviewer: Dr. Matt Strickland   The rest of trauma objectives including: secondary survey, child abuse suspicion, and a review of everything before we finish up.

Authors: Veronica Oczkowski (MS4) and Andrea Brabant (rFM PGY-2) Content Expert and Reviewer: Dr. Matt Strickland According to the World Health Organization (WHO) and the Centers for Disease Control (CDC), more than nine people die every minute from injuries or violence. A total of 5.8 million people of all ages and economic groups die every year from unintentional injuries and violence. The burden of injury accounts for 18% of the world’s total diseases. Motor vehicle crashes alone cause more than 1 million deaths annually and an estimated 20 million to 50 million significant injuries; they are the leading cause of death due to injury worldwide.  Traumatic presentations are unfortunately quite common, so it’s important we get comfortable with a strong approach. Our goal today is in no way to complete an exhaustive review. That being said, we did our best to prepare a brief overview that allows us to cover the CCFP objectives. Get ready. This is a pretty robust topic to cover, so buckle up!!

  https://thegenerehlist.ca/episode-3-bpsd-behavioural-and-psychological-symptoms-of-dementia/   Written By: Christine Miller, COE Resident  Review By: Dr. Christian Weins, Psychiatrist, Palliative Care Hosts: Christine Miller, COE Resident & Hannah Dunnigan, Rural Family Medicine Resident Art: as ever by Aikansha Chawla

Written By: Christine Miller, COE Resident Review By: Dr. Keiran Tuck, Neurologist, Movement Disorder Specialist Hosts: Christine Miller, COE Resident & Hannah Dunnigan, Rural Family Medicine Resident Art: as ever by Aikansha Chawla https://thegenerehlist.ca/episode-2-parkinsons-disease-part-2/ 

First of a two part review of Parkinson's Disease in the elderly. Written By: Christine Miller, COE Resident Review By: Dr. Allison Nakanishi, Geriatrician Hosts: Christine Miller, COE Resident & Hannah Dunnigan, Rural Family Medicine Resident  Art: as ever by Aikansha Chawla

A quick hello to meet the force behind all things Geriatrics in Family medicine in the GenerEHlist family.

Obesity Canada published a guideline in 2020 that we will be referring to a lot in this episode. It defines obesity as a chronic, progressive and relapsing disease characterized by the presence of adiposity that impairs health and social well-being.    So today you’ll learn what you need to know for the exam, but also some practical considerations for real life visits that take into account the pressures of diet culture, and how we as physicians can provide evidence based advice that doesn’t isolate and judge our patients. And because we know language matters, you’ll hear us use terms like “large bodies”, instead of saying someone is fat. There are advocates who have reclaimed the term fat, but today we’ll stick with medical jargon and terms aimed to avoid stigma.  

Syncope = a brief loss of consciousness and postural tone that resolves spontaneously with a return to baseline neurological function within seconds or a few minutes. Presyncope = near LOC. Should be worked up the same as we know it portends a similar risk of downstream badness as syncope. presyncope is “I almost lost consciousness and then recovered” → more of acute thing. The final common pathway of syncope is the same regardless of the underlying cause. In general, 10 seconds of interrupted blood flow to the brain.

An update episode for 2023 on some tips and tricks for both the SAMP and SOOs from the founders of The Review Course: Dr Paul Dhillon and Dr Simon Moore. New bundled labs that are okay What guidelines are too new? Review the SNO PQRST method AND, get $100 off The Review Course in 2024 by using the code 'GenerEhlist' when you register.

Written By: Savannah Leigh Bennet and Samantha Kent, FM PGY-2s, Memorial University Expert Review By: Dr Gillian Morrison, Geriatrician, St John's Newfoundland