Key points In Canada, more than 50 000 opioid-related deaths have occurred since September 2024, mostly in British Columbia, ...

Background: Primary care physicians, who manage the care of most children with asthma, often do not optimally assess disease control, prescribe asthma controller medications, or provide family asthma ...

A 47-year-old man with discomfort in the upper chest, difficulty swallowing food and drinks, and weight loss of 10 kg over 2 months underwent computed tomography (CT), which excluded malignancy but ...

Key points A 20-year-old pediatric cancer survivor presented to her local oncology centre in southwestern Ontario with right supraclavicular adenopathy. She had a history of stage IIA Hodgkin lymphoma ...

Patients presenting with a positive pregnancy test and vaginal bleeding or pelvic pain routinely undergo transvaginal ultrasound as the standard diagnostic assessment. Pregnancy of unknown location is ...

Background: Pay inequality related to social identity has been observed among physicians, even after accounting for hours worked and specialty. Physician identity factors, such as gender and race, may ...

Key points A 56-year-old woman presented to the emergency department with a 2-day history of central chest pain and dyspnea. Her medical history included having had a myocardial infarction (MI) with n ...

Angiotensin-converting-enzyme (ACE) inhibitors are responsible for 20%–40% of emergency department visits for angioedema. [1] [1] The incidence of ACE inhibitor–induced angioedema is about 0.1%–0.7% ...

A 76-year-old man on dabigatran for rate-controlled atrial fibrillation had follow-up transthoracic echocardiography (TTE) ...

A 3-year-old girl presented to the emergency department with limping. On the morning of the presentation, she had jumped off ...

Pregnant people who have had a previous cesarean delivery can have a TOLAC or an elective cesarean. For patients with high likelihood of vaginal birth after cesarean (VBAC), TOLAC is the recommended ...

Young-onset type 2 diabetes is defined as type 2 diabetes diagnosed before age 40 years The annual incidence in Canada is 50–150 per 100 000 people aged 20–29 years and is rapidly rising. 1, 2 Type 2 ...