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FM2 Family Medicine
Acronyms
Toronto Notes 2019
Acronyms
ACR albumin:creatinine ratio FAP ACEI angiotensin converting enzyme inhibitors FBG AIN anal intraepithelial neoplasia FOBT AMC another medical condition FRS AKI acute kidney injury GAD ABG arterial blood gas GERD AR absolute reduction HAART ARB angiotensin receptor blockers HDL-C BMI body mass index HNPCC BPH benign prostatic hyperplasia hs-CRP BPPV benign paroxysmal positional vertigo HSIL BRBPR bright red blood per rectum HPV CA cancer HRT CABG coronary artery bypass graft IBD CAD coronary artery disease IBS CBC complete blood count ICS CCB calcium channel blockers IFG CHEP Canadian Hypertension Education IGT
familial adenomatous polyposis MAOI fasting blood glucose MMSE fecal occult blood test MOCA Framingham Risk Score MSM generalized anxiety disorder MUFA gastroesophageal reflux disease NPH highly active anti-retroviral therapy NTD high density lipoprotein cholesterol NTG hereditary non polyposis colon cancer O&P high sensitivity C-reactive protein OA high-grade squamous intraepithelial lesion OCD human papillomavirus OCP hormone replacement therapy OCPD inflammatory bowel disease OD irritable bowel syndrome OGTT inhaled corticosteroids OSA impaired fasting glucose OTC impaired glucose tolerance PCOS ischemic heart disease PFT isoniazid PHE interpersonal therapy PID intravenous pyelogram PMS kidneys, ureter, bladder x-ray PND low density lipoprotein cholesterol PPI low-grade squamous intraepithelial lesion PPD left ventricle PSA left ventricle hypertrophy PTSD metered dose inhaler PUD
monoamine oxidase inhibitor PUFA mini mental status examination PVD Montreal cognitive assessment RA men who have sex with men RCT monounsaturated fatty acids SAH human insulin isophane SDRI neural tube defects SIDS nitroglycerin SLE ova and parasites SNRI osteoarthritis
obsessive compulsive disorder SOB oral contraceptive pill SSRI obsessive compulsive personality disorder TIA once a day TC oral glucose tolerance test TCA obstructive sleep apnea TG over the counter TM polycystic ovarian syndrome TMJ pulmonary function test TUIP periodic health examination TURP pelvic inflammatory disease UC premenstrual syndrome URTI paroxysmal nocturnal dyspnea UTI proton pump inhibitor VAIN purified protein derivative VDRL prostate specific antigen VIN post-traumatic stress disorder VBI peptic ulcer disease WSIB
polyunsaturated fatty acids peripheral vascular disease rheumatoid arthritis
randomized controlled trial subarachnoid hemorrhage
serotonin dopamine reuptake inhibitor sudden infant death syndrome systemic lupus erythematosis serotonin norepinephrine reuptake inhibitor
shortness of breath
selective serotonin reuptake inhibitor transient ischemic attack
total cholesterol
tricyclic antidepressant
triglyceride
tympanic membrane temporomandibular joint
transurethral incision of the prostate transurethral resection of the prostate ulcerative colitis
upper respiratory tract infection urinary tract infection
vaginal intraepithelial neoplasia venereal disease research laboratory vulvar intraepithelial neoplasia vertebrobasilar insufficiency Workplace Safety and Insurance Board
Program IHD CK creatine kinase INH CBT cognitive behavioural therapy IPT CF cystic fibrosis IVP CHF congestive heart failure KUB CPAP continuous positive airway pressure LDL-C CRC colorectal cancer LSIL CVA costovertebral angle LV CVD cardiovascular disease LVH DHP dihydropyridine MDI DMPA depot medroxyprogesterone
DRE digital rectal exam
DS double strength
EC emergency contraception
ED emergency department
ER extended release F/U follow-up
Adult Periodic Health Exam
Male and female evidence-based preventive care checklist forms are available online at http://www.cfpc.ca, most recently updated in 2015
Four Principles of Family Medicine
College of Family Physicians of Canada Guidelines
1. The family physician is a skilled clinician
■ diagnoses and manages diseases common to the population served
■ recognizes importance of early diagnosis of serious life-threatening illnesses
2. Family medicine is a community-based discipline
■ provides information and access to community services
■ responds/adapts to changing needs and circumstances of the community
3. The family physician is a resource to a defined practice population
■ serves as a health resource
■ advocates for public policy to promote health
4. The patient-physician relationship is central to the role of the family physician
■ commits to the person, not just the disease ■ promotes continuity of patient care
Periodic Health Examination
• CanadianTaskForceonPreventiveHealthCareestablishedin1976todevelopanddisseminateclinical practice guidelines for primary and preventive care
• recommendationsarebasedonsystematicanalysisofscientificevidence
• periodicpreventivehealthvisitsarerecommendedinsteadofannualphysicalexaminations
Purpose of the Periodic Health Examination
• primaryprevention:identifyriskfactorsforcommondiseases;counselpatientstopromotehealthy behaviour
• secondaryprevention:pre-symptomaticdetectionofdiseasetoallowearlytreatmentandtoprevent disease progression
Classification of Recommendations (GRADE, 2011)
Strength of Recommendation
• strong:confidencethatdesirableeffectsoutweighundesirableeffects(strongrecommendationforan intervention) or that the undesirable effects outweigh desirable effects (strong recommendation against an intervention)
■ implies that most individuals will be best served by the recommended course of action