CCFP EXAM GUIDELINES

SELECTED GUIDELINES & HELPFUL LINKS

 

This list is not meant to be exhaustive. Guidelines change regularly;  be sure you are using the most recent guideline (may not be listed here).  Feel free to suggest changes!

Selected Clinical Guidelines

1. Abdominal Pain


2022 CUA Management of ureteral calculi Guideline
https://www.cua.org/system/files/Guideline-Files/7581_Guideline_Ureteral%20calculi_Online_Epub.pdf
The Toronto Consensus for the Treatment of Helicobacter pylori Infection in Adults (2016) Gastroenterology 2016;151:51–69 https://www.cag-acg.org/images/publications/Hp_Toronto_Consensus_2016.pdf Evaluation and medical management of the kidney stone patient (2010) Can Urol Assoc J 2010;4(6):375-9 https://www.cua.org/themes/web/assets/files/guidelines/en/evaluation_and_medical_management_of_the_kidney_stone_patient.pdf Canadian practice guidelines for surgical intra-abdominal infections Can J Infect Dis Med Microbiol 2010;21(1) http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2852280/ ACG Clinical Guidelines: Diagnosis and Management of Celiac Disease (2013) Am J Gastroenterol 2013;108:656-676 http://gi.org/wp-content/uploads/2013/05/ACG_Guideline_CeliacDisease_May_2013.pdf ACG Clinical Guideline: Primary Sclerosing Cholangitis (2015) Am J Gastroenterol 2015; 110:646–659 http://gi.org/wp-content/uploads/2015/05/Primary-Sclerosing-Cholangitis-May2015.pdf Clinical Practice Guidelines for the Medical Management of Nonhospitalized Ulcerative Colitis: The Toronto Consensus Gastroenterology 2015;148:1035–1058 https://www.cag-acg.org/images/publications/cpg_toronto_consensus_on_uc_may2015.pdf Inflammatory Bowel Disease - World Gastroenterology Organisation Global Guidelines (2015) http://www.worldgastroenterology.org/UserFiles/file/guidelines/inflammatory-bowel-disease-english-2015.pdf Advances in the management of colonic diverticulitis CMAJ 2012;184(13):1470-1476 http://www.cmaj.ca/content/184/13/1470 TOP Alberta Guidelines - H. Pylori (2016) http://www.topalbertadoctors.org/download/362/h_pylori_guideline.pdf TOP Alberta Guidelines - Celiac Disease (2010) http://www.topalbertadoctors.org/download/352/celiac_summary.pdf?_20160101082247 GI.org Complete list of guidelines http://gi.org/clinical-guidelines/clinical-guidelines-sortable-list/ Canadian Association of Gastroenterology Clinical Practice Guideline for the Management of Irritable Bowel Syndrome (IBS) (2019) Journal of the Canadian Association of Gastroenterology 2019; 2(1): 6–29 https://academic.oup.com/jcag/article/2/1/6/5290372 ACG and CAG Clinical Guideline: Management of Dyspepsia 2017; Vol 112: 988-1013 https://www.cag-acg.org/images/publications/CAG_CPG_Dyspepsia_AJG_Aug2017.pdf




3. Allergy


Anaphylaxis Rule of 5 https://canadiem.org/tiny-tip-anaphylaxis-treatment/ World Allergy Organization Guidelines for the Assessment and Management of Anaphylaxis WAO Journal 2011; 4:13–37. http://www.waojournal.org/content/4/2/13 Management of anaphylaxis in primary care: Canadian expert consensus recommendations (2010) Allergy. 2010 Sep;65(9):1082-92. http://onlinelibrary.wiley.com/doi/10.1111/j.1398-9995.2010.02418.x/epdf Emergency department diagnosis and treatment of anaphylaxis: a practice parameter (2014) AAAII. Ann Allergy Asthma Immunol 2014;113,599-608. https://www.aaaai.org/Aaaai/media/MediaLibrary/PDF%20Documents/Practice%20and%20Parameters/Anaphylaxis-Practice-Parameter-2014.pdf A Consensus Approach to the Primary Prevention of Food Allergy Through Nutrition: Guidance from the American Academy of Allergy, Asthma, and Immunology; American College of Allergy, Asthma, and Immunology; and the Canadian Society for Allergy and Clinical Immunology American Academy of Allergy 9(1) 22-43 https://joule-inc.cloud.tyk.io/redirect/13b0c2dd-ed76-4c85-a96b-fef0e7ab5b51/clinicalkey/cpg/1-s2.0-S2213219820312113




5. Antibiotics


See topics for respective diseases




6. Anxiety


Canadian clinical practice guidelines for the management of anxiety, posttraumatic stress and obsessive-compulsive disorders (2014) BMC Psychiatry 2014, 14(Suppl 1):S1 http://www.biomedcentral.com/content/pdf/1471-244X-14-S1-S1.pdf




7. Asthma


Recognition and management of severe asthma (2017) CANADIAN JOURNAL OF RESPIRATORY, CRITICAL CARE, AND SLEEP MEDICINE
2017, VOL. 1, NO. 4, 199–221 https://cts.lung.ca/sites/default/files/documents/cts/2017%20CTS%20Severe%20Asthma%20Position%20Statement.pdf Adult asthma management in 1 figure - see Figure 3, Page 162 https://cts-sct.ca/wp-content/uploads/2018/01/ASTHMA-GUIDELINE-APRIL-2012.pdf Asthma in Preschoolers (2015) CPS & CTS. Can Respir J 2015;22(3):135-143. www.respiratoryguidelines.ca/sites/all/files/2015_CTS-CPS_Diagnosis_Management_Asthma_Preschoolers.pdf Inhalers - Helpful summary table Ontario Lung Association PCAP https://hcp.lunghealth.ca/clinical-tools/ (see " Respiratory Medications Reference") 2019 GINA Asthma Guideline https://ginasthma.org/pocket-guide-for-asthma-management-and-prevention Canadian Thoracic Society COVID-19: Information for Healthcare Professionals & the Respiratory Community https://cts-sct.ca/covid-19/




8. Atrial Fibrillation


The 2020 Canadian Cardiovascular Society/Canadian Heart Rhythm Society Comprehensive Guidelines for the Management of Atrial Fibrillation Canadian Journal of Cardiology 36 (12) 1847-1948 https://www.onlinecjc.ca/article/S0828-282X%2820%2930991-0/fulltext




9. Bad News & 19. Crisis


SPIKES—A Six-Step Protocol for Delivering Bad News: Application to the Patient with Cancer The Oncologist 2000;5(4):302-311. http://theoncologist.alphamedpress.org/content/5/4/302.full Office Crisis - see www.OfficeEmergencies.ca




10. Behavioural Problems


DSM-5 Criteria for ADHD
http://www.cdc.gov/ncbddd/adhd/diagnosis.html
Canadian ADHD Guidelines (2018) https://www.caddra.ca/canadian-adhd-practice-guidelines/




11. Breast Lump


Screening for Breast Cancer (2018) CTFPHC Guidelines https://canadiantaskforce.ca/guidelines/published-guidelines/breast-cancer-update/ Breast Cyst Aspiration (2012) CFP 2012:58(11);1240. http://www.cfp.ca/content/58/11/1240.full Hereditary Breast and Ovarian Cancer (2008) CFP 2008:54(12);1691-1692. http://www.cfp.ca/content/54/12/1691.full




12. Cancer


CTFPHC - http://canadiantaskforce.ca Screening for Cervical Cancer (2013) CTFPHC - http://www.cmaj.ca/content/185/1/35.full Clinical Practice Guidelines for the Management of Melanoma in Australia and New Zealand Cancer Council Australia, Australian Cancer Network, Ministry of Health, New Zealand 2008 http://canadiantaskforce.ca/appraised-guidelines/2013-melanoma/ Colorectal Cancer—Protocol 2014 CTFPHC Guidelines http://canadiantaskforce.ca/ctfphc-guidelines/2015-colorectal-cancer/protocol/ Screening for Breast Cancer (2018) CTFPHC Guidelines https://canadiantaskforce.ca/guidelines/published-guidelines/breast-cancer-update/




13. Ischemic Heart Disease & 54. Chest Pain


BC Guidelines - CHF (2015) http://www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/bc-guidelines/heart-failure-chronic Providing a perspective on the 2007 focused update of the American College of Cardiology and American Heart Association 2004 guidelines for the management of ST elevation myocardial infarction (2009) CCS - Can J Cardiol 2009;25(1):25-32 http://www.ccs.ca/images/Guidelines/Guidelines_POS_Library/STEMI_CanP_2009.pdf 2017 Comprehensive Update of the Canadian Cardiovascular Society Guidelines for the Management of Heart Failure Canadian Journal of Cardiology, 2017-11-01, Volume 33, Issue 11, Pages 1342-1433 http://www.onlinecjc.ca/article/S0828-282X(17)30973-X/abstract 2019 Canadian Cardiovascular Society/Canadian Association of Interventional Cardiology Guidelines on the Acute Management of ST-Elevation Myocardial Infarction: Focused Update on Regionalization and Reperfusion Canadian Cardiovascular Society 2019; 35(2): 107-132 https://www.onlinecjc.ca/article/S0828-282X(18)31321-7/abstract Canadian Cardiovascular Society Clinical Practice Update on the Assessment and Management of Syncope Canadian Cardiovascular Society 2019; 36(8): 1167-1177 https://www.onlinecjc.ca/article/S0828-282X(19)31549-1/fulltext




14. Chronic Disease


See topics for respective diseases including 16. Chronic Pain Guideline for opioid therapy and chronic noncancer pain CMAJ May 2017 189(18) E659-E666 http://www.cmaj.ca/content/189/18/E659 Managing opioid use disorder in primary care (2019) Canadian Family Physician 2019, Vol. 65, 321-330 https://www.cfp.ca/content/cfp/65/5/321.full.pdf Treatment Optimization in Multiple Sclerosis: Canadian MS Working Group Recommendations Canadian Journal of Neurological Sciences July 2020; 47(4) 437 - 455 https://www.cambridge.org/core/journals/canadian-journal-of-neurological-sciences/article/treatment-optimization-in-multiple-sclerosis-canadian-ms-working-group-recommendations/6F71BA9F915D7AC1228BBB52EF3B8AD7




15. Chronic Obstructive Pulmonary Disease


Pharmacotherapy in patients with COPD — An update (2017) CANADIAN JOURNAL OF RESPIRATORY, CRITICAL CARE, AND SLEEP MEDICINE 2017, VOL. 1, NO. 4, 222–241 https://cts-sct.ca/wp-content/uploads/2018/01/Pharmacotherapy-of-COPD-2017.pdf Inhalers - PCAP Helpful summary table https://hcp.lunghealth.ca/clinical-tools/ (see " Respiratory Medications Reference") Pharmacologic management of COPD: Breadth of products for encouraging a breath of air Can Fam Physician May 2016 62: 410-414 http://www.cfp.ca/content/62/5/410.full.pdf Prevention of Acute Exacerbations of COPD (2015) American College of Chest Physicians & Canadian Thoracic Society http://journal.chestnet.org/article/S0012-3692(15)38941-8/pdf Managing dyspnea in patients with advanced chronic obstructive pulmonary disease (2011) Canadian Thoracic Society. Can Respir J 2011;18(2). https://cts-sct.ca/wp-content/uploads/2018/01/Managing-Dyspnea_COPD-2011.pdf Management of COPD (2008) Canadian Thoracic Society. Can Respir J 2008;15(Suppl A):1A-8A. https://cts-sct.ca/wp-content/uploads/2018/01/Highlights-for-Primary-Care GOLD COPD Guidelines (2018) http://goldcopd.org/wp-content/uploads/2016/04/GOLD-2018-WMS.pdf Canadian Thoracic Society Clinical Practice Guideline on pharmacotherapy in patients with COPD (2019) Canadian Journal of Respiratory, Critical Care, and Sleep Medicine https://cts-sct.ca/wp-content/uploads/2019/10/CTS-COPD-Rx-2019-Guideline_Final.pdf




16. Chronic Pain


CAEP Position Statement: Emergency department management of people with opioid use disorder CJEM2020:1–4 https://caep.ca/wp-content/uploads/2020/10/FINAL-caep_position_statement_emergency_department_management_of_people_with_opioid_use_disorder.pdf 2021 Guidance in Authorizing Cannabis Products Within Primary Care (CFPC)
https://www.cfpc.ca/CFPC/media/PDF/CFPC-Guidance-in-Cannabis-Within-Primary-Care.pdf




17. Contraception


Canadian Contraception Consensus parts 1-4 (2015-2016) Part 1: J Obstet Gynaecol Can 2015;37(10):936–938
http://www.jogc.com/article/S1701-2163(16)30033-0/pdf Part 2: J Obstet Gynaecol Can 2015;37(11):1033–1035 http://www.jogc.com/article/S1701-2163(16)30054-8/pdf Part 3: J Obstet Gynaecol Can 2016;38(3):279-300 http://www.jogc.com/article/S1701-2163(15)00025-0/pdf SHARC-FM - Contraception https://sites.google.com/site/sharcfm/contraception-clinical-card SOGC Emergency Contraception Guidelines SOGC - J Obstet Gynaecol Can 2012;34(9):870–878 http://sogc.org/wp-content/uploads/2013/01/gui280CPG1209E_001.pdf?d727de Vasectomy CUA - Can Urol Assoc J 2016; 10(7-8):E274-8 https://www.cua.org/themes/web/assets/files/vasectomy4017_v4.pdf




18. Cough


Cough Toolkit. Canadian Thoracic Society (2012) https://cts-sct.ca/wp-content/uploads/2018/03/Cough.pdf Inhalers - PCAP Helpful summary table https://hcp.lunghealth.ca/clinical-tools/ (see " Respiratory Medications Reference")




19. Counseling  & 25. Depression  & 43. Grief &  95. Substance Abuse & 96. Suicide


Canadian Guidelines Clinical guidelines for the management of major depressive disorder in adults (2009) CANMAT – J Affective Disorders 2009;111:S1-S64 http://www.canmat.org/resources/canmat%20depression%20guidelines%202009.pdf Canadian Network for Mood and Anxiety Treatments (CANMAT) and International Society for Bipolar Disorders (ISBD) 2018 guidelines for the management of patients with bipolar disorder Bipolar Disord. 2018 Mar; 20(2): 97–170 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5947163/pdf/BDI-20-97.pdf BC Guidelines Major Depressive Disorder in Adults - Diagnosis and Management http://www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/bc-guidelines/depression-in-adults Anxiety and Depression in Children and Youth - Diagnosis and Treatment http://www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/bc-guidelines/anxiety-and-depression-in-youth "Substance Abuse" - Rationale for changes to the diagnostic term and diagnostic criteria http://www.dsm5.org/Documents/Substance%20Use%20Disorder%20Fact%20Sheet.pdf Substance Use Disorder DSM-5 Diagnostic Criteria http://www.drugabuse.gov/publications/media-guide/science-drug-abuse-addiction-basics Agency for Healthcare Research and Quality (2012) http://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/tobacco/5steps.html Simplified guideline for prescribing medical cannabinoids in primary care Canadian Family Physician 2018; 64(2): 111-120 https://www.cfp.ca/content/64/2/111




20. Crisis


See 9. Bad News




21. Croup


Canadian Croup in children 2013 Review Article – CMAJ 2013:185(15);1317-1323 http://www.cmaj.ca/content/185/15/1317.full Acute management of croup in the emergency department (2017) Paediatr Child Health 22(3):166-169 (2017) https://www.cps.ca/en/documents/position/acute-management-of-croup




22. DVT Risk


Thrombosis Canada: DVT Diagnosis “Clinical Guide” (2015) http://thrombosiscanada.ca/wp-content/uploads/2015/11/2_Deep-Vein-Thrombosis-Diagnosis_2015Nov02-FINAL1.pdf Thrombosis Canada: DVT Treatment “Clinical Guide” (2015) http://thrombosiscanada.ca/wp-content/uploads/2015/11/3_Deep-Vein-Thrombosis-Treatment-2015Nov15-FINAL2.pdf Orthopedic thrombophylaxis guidelines (2015) http://thrombosiscanada.ca/wp-content/uploads/2015/11/8_Thromboprophylaxis-Orthopedic_2015Oct10-FINAL1.pdf Pregnancy thrombphylaxis guidelines (2015) http://thrombosiscanada.ca/wp-content/uploads/2015/11/10_Pregnancy_Thromboprophylaxis_2015Oct10-FINAL2.pdf Antithrombotic Therapy and Prevention of Thrombosis, 9th ed, section on Diagnosis of DVT American College of Chest Physicians Guidelines (2012) Chest. 2012;141(2_suppl) http://journal.chestnet.org/article/S0012-3692(12)60731-4/fulltext VTE in Pregnancy (SOGC 2014) http://sogc.org/wp-content/uploads/2014/06/gui308CPG1406E.pdf VTE in IBD (CAG 2014) (Based on the 2012 CHEST guidelines) Gastroenterology. 2014 Mar;146(3):835-848.e6. http://www.gastrojournal.org/article/S0016-5085(14)00101-2/abstract




23. Dehydration


See topics for respective diseases




24. Dementia & 66. Mental Competency


Canadian Guidelines: Recommendations of the 5th Canadian Consensus Conference on the diagnosis and treatment of dementia
https://alz-journals.onlinelibrary.wiley.com/doi/full/10.1002/alz.12105 Endorses the 2011 NIA-AA criteria for MCI & Dementia from http://www.ncbi.nlm.nih.gov/pubmed/21514250 CMA Code of Ethics http://policybase.cma.ca/dbtw-wpd/PolicyPDF/PD04-06.pdf CTFPHC Recommendations on screening for cognitive impairment in older adults (Nov 2015) http://www.cmaj.ca/content/early/2015/11/30/cmaj.141165.full.pdf Recommendations of the 5th Canadian Consensus Conference on the diagnosis and treatment of dementia Ismail Z, Black SE, Camicioli R, et al. Alzheimer’s Dement. 2020;16:1182–1195. https://alz-journals.onlinelibrary.wiley.com/doi/epdf/10.1002/alz.12105




25. Depression


See 19. Counselling




26. Diabetes


Excerpt from the Canadian Ophthalmological Society evidence-based clinical practice guidelines for the management of diabetic retinopathy Can J Ophthalmol. 52(S1), 2017. http://www.sciencedirect.com/science/article/pii/S0008418217310475 Canadian Diabetes Association 2021 Guidelines https://guidelines.diabetes.ca/ Insulin prescription checklist CFP 2015; 61(5); 445-447 http://www.cfp.ca/content/61/5/445.full.pdf BC Guidelines Diabetes Care (2015) http://www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/bc-guidelines/diabetes IDSA Guidelines Clinical Practice Guideline for the Diagnosis and Treatment of Diabetic Foot Infections (2012) Clin Infect Dis. (2012) 54 (12): e132-e173. http://cid.oxfordjournals.org/content/54/12/e132.full.pdf Diabetes in Pregnancy (2016) J Obstet Gynaecol Can 2016;38(7):667-679 http://www.jogc.com/article/S1701-2163(16)39087-9/pdf




27. Diarrhea


ROME IV https://theromefoundation.org/rome-iv/rome-iv-criteria/ Guidelines for the investigation of chronic diarrhoea in adults: British Society of Gastroenterology, 3rd edition Gut 2018;67(8):1380-1399 https://www.ncbi.nlm.nih.gov/pubmed/29653941 Clinical Practice Guidelines for Clostridium difficile Infection in Adults and Children: 2017 Update by the Infectious Diseases Society of America (IDSA) and Society for Healthcare Epidemiology of America (SHEA)
https://www.idsociety.org/practice-guideline/clostridium-difficile/




28. Difficult Patients & 76. Personality Disorder


CPSO Recommendations on ending physician / patient relationship www.cpso.on.ca/policies-publications/policy/ending-the-physician-patient-relationship CANMAT task force recommendations for the management of patients with mood disorders and comorbid personality disorders (2012) Annals Of Clinical Psychiatry 2012;24(2):163-9 https://www.ncbi.nlm.nih.gov/pubmed/22563572




29. Disability


See topics for respective diseases




30. Dizziness


The Clinical Differentiation of Cerebellar Infarction from Common Vertigo Syndromes West J Emerg Med. 2009 Nov; 10(4): 273–277. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2791733/ Initial Evaluation of Vertigo Am Fam Physician. 2006 Jan 15;73(2):244-251. http://www.aafp.org/afp/2006/0115/p244.html HINTS+ exam HI: https://www.youtube.com/watch?v=4EBwtckFfTo
N: https://www.youtube.com/watch?v=0rHNappbYtE
TS: https://www.youtube.com/watch?v=zgqCXef-qPs +: Plus hearing loss Vertigo/dizziness as a Drugs’ adverse reaction J Pharmacol Pharmacother. 2013 Dec; 4(Suppl1): S104–S109. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3853661/ Establishing a diagnosis of benign paroxysmal positional vertigo through the dix-hallpike and side-lying maneuvers: a critically appraised topic. Neurologist. 2008 May;14(3):201-4. http://www.ncbi.nlm.nih.gov/pubmed/18469678 Does my dizzy patient have a stroke? A systematic review of bedside diagnosis in acute vestibular syndrome CMAJ 2011:183(9);E571-E592. http://www.cmaj.ca/content/183/9/E571.full.pdf




31. Domestic Violence


Canada Intimate Partner Violence (2005) SOGC - J Obstet Gynaecol Can 2005;27(4):365–388 http://sogc.org/guidelines/intimate-partner-violence-consensus-statement/ Canadian Task Force 2013 review of US Screening Guidelines (which do recommend screening) and their applicability here https://canadiantaskforce.ca/wp-content/uploads/2016/05/2013-domestic-abuse-en.pdf




32. Dyspepsia


See 1. Abdominal Pain




33. Dysuria & 101. UTI


Canadian Management of Recurrent UTI (2010) SOGC - J Obstet Gynaecol Can 2010;32(11):1082–1090 http://sogc.org/wp-content/uploads/2013/01/gui250CPG1011E_001.pdf CPS UTI in Children (2014) CPS - Paediatr Child Health 2014;19(6):315-19 http://www.cps.ca/documents/position/urinary-tract-infections-in-children IDSA Uncomplicated UTI (2011) IDSA - Clin Infect Dis 2011;52(5):e103–e120 http://cid.oxfordjournals.org/content/52/5/e103.full.pdf Recurrent Uncomplicated UTI in Women (2019) https://www.auanet.org/guidelines/recurrent-uti No. 397 – Conservative Care of Urinary Incontinence in Women JOGC 2019; 42(4) https://joule-inc.cloud.tyk.io/redirect/13b0c2dd-ed76-4c85-a96b-fef0e7ab5b51/clinicalkey/cpg/1-s2.0-S1701216319304633




34. Earache


Canadian Guidelines Management of acute otitis media 2016 CPS - Paediatr Child Health 2016;21(1):39-44 http://www.cps.ca/documents/position/acute-otitis-media Acute otitis externa 2018 CPS - Paediatr Child Health 2013;18(2):96-98 https://www.cps.ca/en/documents/position/acute-otitis-externa Relevant Articles Update on AOM in children < 2 2011 Canadian Family Physician Journal http://www.cfp.ca/content/57/11/1283.full The Diagnosis and Management of AOM 2013 Pediatrics http://pediatrics.aappublications.org/content/131/3/e964.full Provincial Guidelines Alberta 2015 http://www.topalbertadoctors.org/download/366/AOM_guideline.pdf?_20150526045231 BC 2010 http://www2.gov.bc.ca/assets/gov/health/practitioner-pro/bc-guidelines/otitis.pdf Otovent ventilatoin device article http://www.cmaj.ca/content/187/13/961.full ENT Canada information sheet - myringotomy tube http://www.entcanada.org/education/general-public/public-information-sheets-2/ears/myringotomy-tubes/




35. Eating Disorders


Family-based treatment of children and adolescents with anorexia nervosa: Guidelines for the community physician CPS - Pediatr Child Health 2010;15(1):31-5 http://www.cps.ca/documents/position/anorexia-nervosa-family-based-treatment Guideline Watch: Practice Guideline for the Treatment of Patients with Eating Disorders, 3rd ed (APA 2012) http://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/eatingdisorders-watch.pdf Practice Parameter for the Assessment and Treatment of Children and Adolescents With Eating Disorders (AACAP 2015) http://www.jaacap.com/article/S0890-8567(15)00070-2/pdf Clinical Practice Guidelines for the BC Eating Disorders Continuum of Services (2012) http://www.bcmhsus.ca/Documents/clinical-practice-guideline-for-the-bc-eating-disorders-continuum-of-services.pdf Canadian practice guidelines for the treatment of children and adolescents with eating disorders Couturieret al. Journal of Eating Disorders (2020) 8:4 https://jeatdisord.biomedcentral.com/track/pdf/10.1186/s40337-020-0277-8




36. Elderly


Colon Ca: Can J Gastroenterol 2010:24(12);705-714. https://www.ncbi.nlm.nih.gov/pubmed/21165377 Cognitive Impairment: CMAJ 2015 (Early Release) www.cmaj.ca/content/early/2015/11/30/cmaj.141165.full.pdf Dementia: Can Geriatr J 2012:15(4);120-126. www.alzheimer.ca/~/media/Files/national/For-HCP/for_hcp_recos_CCCDTD4_en.ashx Deprescribing: www.deprescribing.org Deprescribing proton pump inhibitors Evidence-based clinical practice guideline Canadian Family Physician May 2017, 63 (5) 354-364 http://www.cfp.ca/content/63/5/354 Deprescribing antipsychotics for behavioural and psychological symptoms of dementia and insomnia - Evidence-based clinical practice guideline Canadian Family Physician January 2018, 64 (1) 17-27 http://www.cfp.ca/content/cfp/64/1/17.full.pdf Depression: Journal of Affective Disorders 117 (2009) S1–S2 www.canmat.org/resources/canmat%20depression%20guidelines%202009.pdf Diabetes: J Diabetes 2013;37(suppl 1):S1-S212. (Chapter 37) http://guidelines.diabetes.ca Falls: CMAJ 2009;181:815-20 http://www.cmaj.ca/content/181/11/815 Frailty in Older Adults – Early Identification and Management (2017) BC Guidelines https://www2.gov.bc.ca/assets/gov/health/practitioner-pro/bc-guidelines/frailty-full_guideline.pdf Glaucoma: Can J Ophthalmol 2009;44(Suppl 1),S1-S93. http://www.ncbi.nlm.nih.gov/pubmed/19492005 HTN: Canadian Journal of Cardiology 2015:31;549-568. http://www.ncbi.nlm.nih.gov/pubmed/25936483?dopt=Abstract Immunization: PHAC. Canadian Immunization Guide. http://www.phac-aspc.gc.ca/publicat/cig-gci/index-eng.php Osteoporosis: CMAJ 2010;182(17),1864-73 http://www.cmaj.ca/content/182/17/1864.full Pap: CMAJ 2013:185(1);35-45. http://www.cmaj.ca/content/185/1/35 Prostate: Can Urol Assoc J. 2011 August; 5(4): 235–240 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3147035/ CTFPHC - http://www.cmaj.ca/content/186/16/1225 STOPP: BMC Geriatrics 2009, 9:5 http://bmcgeriatr.biomedcentral.com/articles/10.1186/1471-2318-9-5 Vision: Ann Intern Med. 2009;151:37-43, W10 https://www.researchgate.net/profile/Yingming_Chen/publication/50855254_Vision_Screening_in_the_Elderly_Current_Literature_and_Recommendations/links/541333100cf2788c4b3593db.pdf Visual acuity: Can J Ophthalmol 2007;42(1),39-45 http://www.ncbi.nlm.nih.gov/pubmed/17361239 Visual Acuity: CMAJ May 14, 2018 190 (19) E588-E594 https://canadiantaskforce.ca/guidelines/published-guidelines/impaired-vision/ Acuity Cdn Ophthalmology Society 2007 (not medical guidelines) http://www.cos-sco.ca/cpgs/COSVisionScreeningCPG_pkg_Feb07.pdf Canadian 24-Hour Movement Guidelines for Adults ages 65 years and older: An Integration of Physical Activity, Sedentary Behaviour, and Sleep https://csepguidelines.ca/adults-65/




37. Epistaxis





38. Family Issues


See topics for respective diseases




39. Fatigue


Recent insights into 3 underrecognized conditions
Myalgic encephalomyelitis–chronic fatigue syndrome, fibromyalgia, and environmental sensitivities–multiple chemical sensitivity
Canadian Family Physician June 2018, 64 (6) 413-415 http://www.cfp.ca/content/64/6/413 2015 IOM diagnostic criteria for CFS/SEID http://iom.nationalacademies.org/~/media/Files/Report%20Files/2015/MECFS/MECFS_ReportBrief.pdf Top 10 differential diagnoses in family medicine: Fatigue May 2007; Vol 53; 892 https://www.cfp.ca/content/cfp/53/5/892.full.pdf




40. Fever


Canadian Fever in returning traveler (2011) CATMAT http://www.phac-aspc.gc.ca/publicat/ccdr-rmtc/11vol37/acs-3/pdf/returningtravellerfever-fievrevoyageurderetour-eng.pdf USA Management of neonates with suspected or proven early-onset bacterial sepsis Peds 2012;129:1006–1015 http://www.ncbi.nlm.nih.gov/pubmed/22547779 Infective Endocarditis in Adults: Diagnosis, Antimicrobial Therapy, and Management of Complications (2015) AHA (Endorsed by IDSA). Circulation. 2015; 132: 1435-1486 http://circ.ahajournals.org/content/132/15/1435.full.pdf+html International Guidelines for Management of Severe Sepsis and Septic Shock (2012) SSC (Endorsed by IDSA) Critical Care Medicine 2013;41:580-637 http://www.idsociety.org/uploadedFiles/IDSA/Guidelines-Patient_Care/IDSA_Practice_Guidelines/Fever_and_Infections/2013%20Sepsis%20Guidelines.pdf




42. Gastrointestinal bleed


International Consensus Recommendations on the Management of Patients With Nonvariceal Upper Gastrointestinal Bleeding (2010). Ann Intern Med. 2010;152(2):101-113. http://annals.org/article.aspx?articleid=745521 Summary slide: http://annals.org/data/Journals/AIM/20198/9TT1.jpeg




43. Gender specific issues


See guidelines for respective topics




44. Grief


See 19. Counselling




45. Headache


Guideline for primary care management of headache in adults CFP2015;61:670-9 http://www.cfp.ca/content/61/8/670.full.pdf




46. Heart Failure


2021 CCS/CHFS Heart Failure Guidelines Update
https://www.onlinecjc.ca/article/S0828-282X(21)00055-6/fulltext




47. Hepatitis


Diagnosis and management of hemochromatosis: 2011 Practice Guideline by the American Association for the Study of Liver Diseases Journal of Hepatology, Vol. 54, No. 1, 2011 http://onlinelibrary.wiley.com/doi/10.1002/hep.24330/full Canadian Guidelines Management of chronic hepatitis B (2012) Can J Gastroenterol 2012:26(12). http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3551569/pdf/cjg26917.pdf The management of chronic hepatitis C: 2018 guideline update from the Canadian Association for the Study of the Liver CMAJ June 04, 2018 190 (22) E677-E687 http://www.cmaj.ca/content/cmaj/190/22/E677.full.pdf An update on the management of chronic hepatitis C (2015) Can J Gastroenterol 2015:29(1). http://www.pulsus.com/journals/abstract.jsp?jnlKy=2&atlKy=13233&isuKy=1244&isArt=t Diagnosis and Management of Hepatitis C Am Fam Physician. 2015;91(12):835-842. http://www.aafp.org/afp/2015/0615/p835.html Management of Hepatitis B Virus Infection: 2018 Guidelines from the Canadian Association for the Study of the Liver and Association of Medical Microbiology and Infectious Disease Canada 2018;1(4):156-217 https://canlivj.utpjournals.press/doi/full/10.3138/canlivj.2018-0008




48. Hyperlipidemia


2021 CCS Guidelines for the Management of Dyslipidemia for the Prevention of Cardiovascular Disease in Adults https://www.onlinecjc.ca/article/S0828-282X(21)00165-3/fulltext

Prevention and management of cardiovascular disease in primary care (2015)
Can Fam Physician 2015;61:857-67
http://www.cfp.ca/content/61/10/857.full “Best Science Medicine” Podcast - CVD risk calculator http://chd.bestsciencemedicine.com/calc2.html PROVE-IT Trial N Engl J Med 2004; 350:1495-1504 http://www.nejm.org/doi/full/10.1056/NEJMoa040583




49. Hypertension


SPRINT Trial N Engl J Med 2015; 373:2103-2116 http://www.nejm.org/doi/full/10.1056/NEJMoa1511939 Hypertension Canada Guidelines http://www.hypertension.ca Hypertension Canada’s 2020 Evidence Review and Guidelines for the Management of Resistant Hypertension Canadian Journal of Cardiology 36 (2020) 625-634 https://www.onlinecjc.ca/action/showPdf?pii=S0828-282X%2820%2930188-4 Canadian Cardiovascular Society/Canadian Thoracic Society Position Statement on Pulmonary Hypertension Canadian Journal of Cardiology 36 (2020) 977-992 https://cts-sct.ca/wp-content/uploads/2020/07/FINAL_CCS_CTS-PAH-Statement-July-2020.pdf




50. Immigrants


Evidence-based clincal guidelines for immigrants and refugees CMAJ 2010:183(12)E824 http://www.cmaj.ca/content/183/12/E824-E925 Caring for refugees and newcomers in the post–COVID-19 era https://www.cfp.ca/content/67/8/575




51. Immunization


NACI Canada Immunization Guide https://www.canada.ca/en/public-health/services/canadian-immunization-guide.html Key Immunization Information 2013 - Recommended Immunization Schedules http://www.phac-aspc.gc.ca/publicat/cig-gci/p01-12-eng.php#gene Working with Vaccine Hesitant Parents (2018) CPS Position Statement https://www.cps.ca/en/documents/position/working-with-vaccine-hesitant-parents Reducing Pain during Childhood Vaccines: CPG 2015 CMAJ. 2015 Sep 22;187(13):975-82 http://www.cmaj.ca/content/early/2015/08/24/cmaj.150391 Recommendations on the use of COVID-19 vaccines https://www.canada.ca/en/public-health/services/immunization/national-advisory-committee-on-immunization-naci/recommendations-use-covid-19-vaccines.html




52. In Children


See the complete list of Canadian Pediatric Society position statements and practice points at https://www.cps.ca/en/documents H.E.A.D.S.S. Interview http://www.bcchildrens.ca/Youth-Health-Clinic-site/Documents/headss20assessment20guide1.pdf Canadian Urological Association guideline on the care of the normal foreskin and neonatal circumcision in Canadian infants Can Urol Assoc J 2017;12(2):E76-99. https://www.cua.org/themes/web/assets/files/5033_foreskin_guideline_longversion.pdf Managing functional constipation in children 2014 A Rowan-Legg; Canadian Paediatric Society Paediatr Child Health 2011;16(10):661-5 http://www.cps.ca/documents/position/functional-constipation Diagnosis and management of sepsis in the paediatric patient Paediatr Child Health 2020 25(7): 475 https://www.cps.ca/en/documents/position/diagnosis-and-management-of-sepsis-in-the-paediatric-patient Managing pain and distress in children undergoing brief diagnostic and therapeutic procedures Paediatr Child Health 2019 24(8):509-521 https://www.cps.ca/en/documents/position/managing-pain-and-distress COVID-19 information and resources for paediatricians https://www.cps.ca/en/tools-outils/covid-19-information-and-resources-for-paediatricians




53. Infections


See topics for respective diseases Canadian guideline on HIV pre-exposure prophylaxis and nonoccupational postexposure prophylaxis CMAJ 2017 November 27;189:E1448-58. http://www.cmaj.ca/content/cmaj/189/47/E1448.full.pdf




54. Infertility


Advanced Reproductive Age (2011) SOGC - J Obstet Gynaecol Can 2011;33(11):1165–1175 http://sogc.org/guidelines/advanced-reproductive-age-and-fertility/ Committee Opinion No. 407: Thyroid Disease and Infertility Journal of Obstetrics and Gynaecology Canada (JOGC), 2020 42(10) 1279-1282 https://joule-inc.cloud.tyk.io/redirect/13b0c2dd-ed76-4c85-a96b-fef0e7ab5b51/clinicalkey/cpg/1-s2.0-S1701216320305971




55. Insomnia


Canadian Thoracic Society 2011 guideline update: Diagnosis and treatment of sleep disordered breathing Can Respir J 2011;18(1):25-47. http://www.ncbi.nlm.nih.gov/pubmed/21369547 Cognitive Behavioral Therapy for Chronic Insomnia: A Systematic Review and Meta-analysis. Ann Intern Med. 2015;163(3):191-204 http://www.ncbi.nlm.nih.gov/pubmed/26054060 Alberta Guideline for Primary Adult Insomnia (2015) https://actt.albertadoctors.org/CPGs/Lists/CPGDocumentList/Adult-Insomnia-CPG.pdf




56. Chest Pain


see 13. Ischemic Heart Disease




57. Joints


Diagnostic Criteria http://www.rheumatology.org/Portals/0/Files/2010_Preliminary_Diagnostic_Criteria.pdf Canadian Rheumatoid Arthritis Management Guidelines (2012) http://jrheum.org/content/early/2011/09/12/jrheum.110207.full.pdf BC Guidelines – RA http://www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/bc-guidelines/rheumatoid-arthritis 2012 Canadian Fibromyalgia Guidelines http://fmguidelines.ca/ Gout scoring tool http://rheumatology.oxfordjournals.org/content/early/2014/09/16/rheumatology.keu378.full.pdf Taking the stress out of managing gout http://www.cfp.ca/content/55/12/1209.full?etoc ORASI - International OA guidelines http://oarsi.org/sites/default/files/docs/2014/non_surgical_treatment_of_knee_oa_march_2014.pdf BC Guidelines – OA http://www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/bc-guidelines/osteoarthritis




58. Lacerations


Tetanus guidelines for Canada http://www.phac-aspc.gc.ca/publicat/cig-gci/p04-tet-eng.php




59. Learning


Primary care of adults with intellectual and developmental disabilities http://www.cfp.ca/content/64/4/254?etoc= School Children with Learning Disabilities Canadian Pediatric Society learning module https://www.mdcme.ca/courseinfo.asp?id=170 (expires April 2016) ADHD - CADDRA https://www.caddra.ca/download-guidelines/




60. Lifestyle


A ‘Stages of Change’ Approach to Helping Patients Change Behavior AFP 2000; 61(5):1409-1416 http://www.aafp.org/afp/2000/0301/p1409.html Canadian Physical Activity Guidelines https://www.csep.ca/CMFiles/Guidelines/CSEP_PAGuidelines_adults_en.pdf




61. Loss of consciousness & 86. Seizures


Emergency management of the paediatric patient with generalized convulsive status epilepticus (2014) CPS Paediatr Child Health 2011;16(2):91-7 http://www.cps.ca/assets/pdfreactor/pdf.php?lang=en&paper=convulsive-status-epilepticus Diagnosis, evaluation and management of the hypertensive disorders of pregnancy (2014) SOGC J Obstet Gynaecol Can 2014;36(5):416–438 http://sogc.org/wp-content/uploads/2014/05/gui307CPG1405Erev.pdf ThinkFirst / Parachute Canada Guidelines for Family Physicians www.parachutecanada.org/downloads/programs/activeandsafe/Concussion_Guidelines_for_Physicians.pdf SCAT5 for concussion assessment https://bjsm.bmj.com/content/bjsports/early/2017/04/26/bjsports-2017-097506SCAT5.full.pdf Emergency management of the paediatric patient with convulsive status epilepticus Paediatr Child Health 2021 26(1):50-57 https://www.cps.ca/en/documents/position/emergency-management-of-the-paediatric-patient-with-convulsive-status-epilepticus




62. Loss of weight


See topics for respective diseases




63. Low Back Pain


2017 Back Pain (CMAJ)
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5687927/pdf/189e1386.pdf
Guideline for the Evidence-Informed Primary Care Management of Low Back Pain http://nationalpaincentre.mcmaster.ca/documents/LowerBackPainGuidelineNov2011.pdf Back pain summary (Alberta) http://www.topalbertadoctors.org/download/573/LBPSUMMARYnov24.pdf Red flags to screen for malignancy and fracture in patients with low back pain: systematic review BMJ 2013;347:f7095 http://www.bmj.com/content/347/bmj.f7095 A systematic review and meta-analysis of yoga for low back pain. Clin J Pain. 2013 May;29(5):450-60. http://www.ncbi.nlm.nih.gov/pubmed/23246998 Exercise to reduce low back pain https://myhealth.alberta.ca/health/Pages/conditions.aspx?hwid=tr5948 CMPA Guidance on low back pain https://www.cmpa-acpm.ca/-/diagnosing-back-pain-keeping-an-open-mind-helps-minimize-risk




64. Meningitis


2020 Guidelines for the management of suspected and confirmed bacterial meningitis in Canadian children older than 2 months of age (CPS) http://www.cps.ca/documents/position/management-of-bacterial-meningitis




65. Menopause


Managing Menopause (2014) SOGC - J Obstet Gynaecol Can 2014;36(9 eSuppl A):S1–S80 http://sogc.org/wp-content/uploads/2014/09/gui311CPG1505Erev.pdf SOGC – Hormone Therapy Products Available in Canada for Treatment of Menopausal Symptoms. (2011) 2nd ed. http://www.menopauseandu.ca/documents/HTbooklet11.pdf




66. Mental Competency


See 24. Dementia




67. Multiple Medical Problems


See topics for respective diseases




68. Neck Pain


Canadian C-Spine Rules
http://www.emottawa.ca/assets/documents/research/cdr_cspine_poster.pdf
NEXUS rule
https://www.mdcalc.com/nexus-criteria-c-spine-imaging Cervical Radiculopathy: Non-operative Management of Neck Pain and Radicular Symptoms http://www.aafp.org/afp/2010/0101/p33.html




69. Newborn


See 105. Well Baby Care and topics for respective diseases




70. Obesity & 91. Smoking Cessation


Recommendations for prevention of weight gain and use of behavioural and pharmacologic interventions to manage overweight and obesity in adults in primary care (2015) CTFPHC – CMAJ 2015;187(3);184-195. http://www.cmaj.ca/content/187/3/184 Recommendations for growth monitoring, and prevention and management of overweight and obesity in children and youth in primary care (2015) CTFPHC – CMAJ 2015;187(6);411-421 http://www.cmaj.ca/content/187/6/411 Agency for Healthcare Research and Quality (2012) http://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/tobacco/5steps.html Canadian Smoking Cessation Guidelines CAN-ADAPTT (CAMH 2012) https://www.nicotinedependenceclinic.com/English/CANADAPTT/Documents/CAN-ADAPTT%20Canadian%20Smoking%20Cessation%20Guideline_website.pdf Obesity in adults: a clinical practice guideline (2020); 192(31) E875-E891 https://www.cmaj.ca/content/192/31/E875 The screening and management of newborns at risk for low blood glucose Paediatr Child Health 2019 24(8):536-544 https://www.cps.ca/en/documents/position/newborns-at-risk-for-low-blood-glucose




71. Osteoporosis


Clinical Practice Guidelines for the Diagnosis and Management of Osteoporosis in Canada (2010) CMAJ 2010:182(17);1864-1873. http://www.cmaj.ca/content/182/17/1864 Recommendations for preventing fracture in long-term care (2015) CMAJ 2015:187(15);1135-1144 http://www.cmaj.ca/content/187/15/1135 Who should receive bone mineral density testing? CFP 2015:61(7);612 http://www.cfp.ca/content/61/7/612.short




72. Pain


See 14. Chronic Disease, Pain & Chronic Pain




74. Parkinsonism


Differentiation and Diagnosis of Tremor Am Fam Physician. 2011 Mar 15;83(6):697-702. http://www.aafp.org/afp/2011/0315/p697.html Parkinson Disease: An Update Am Fam Physician. 2013 Feb 15;87(4):267-273. http://www.aafp.org/afp/2013/0215/p267.html Parkinson’s Guidelines CMAJ 2019 http://www.cmaj.ca/content/cmaj/191/36/E989.full.pdf




75. Periodic Health Assessment


CTFPHC - www.Canadiantaskforce.ca CFPC Preventive Care Checklist https://portal.cfpc.ca/CFPC/Resources/EN/Periodic_Health_Examination/content_id_1184.aspx Update on age-appropriate preventive measures and screening for Canadian primary care providers Canadian Family Physician February 2016, 62 (2) 131-138 http://www.cfp.ca/content/cfp/62/2/131.full.pdf




76. Personality Disorder


see 28. Difficult Patients




77. Pneumonia


Canadian Guidelines for the Initial Management of Community-acquired Pneumonia: An evidence-based update (2000) CIDS & CTS Organization – Can J of Infect Dis 2000;11(5): 237–248. http://www.ncbi.nlm.nih.gov/pubmed/11058205 Clinical practice guidelines for hospital-acquired pneumonia and ventilator-associated pneumonia in adults (2008) Can J of Infect Dis 2008;19(1):19-53. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2610276/ CURB-65 SCORE Thorax 2003; 58: 377-82. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1746657/ Legionnaire’s Disease -Contact Tracing http://www.phac-aspc.gc.ca/id-mi/legionella-eng.php Diagnosis and Treatment of Adults with Community-acquired Pneumonia. An Official Clinical Practice Guideline of the American Thoracic Society and Infectious Diseases Society of America 2019;200(7):e45-e67 https://www.idsociety.org/practice-guideline/community-acquired-pneumonia-cap-in-adults/ Pneumonia Infographic https://www.thereviewcourse.com/single-post/2019/10/11/INFOGRAPHIC-Updates-for-the-2019-Pneumonia-Guidelines




79. Pregnancy


Asymptomatic Bacteriuria in Pregnancy (2018)
CTFPHC - CMAJ July 09, 2018 190 (27) E823-E830
https://canadiantaskforce.ca/guidelines/published-guidelines/asymptomatic-bacteriuria/ Should I avoid prescribing domperidone to women to increase milk production? CFP 2012;58(9):952-3 http://www.cfp.ca/content/58/9/952.full SOGC Clinical Practice Guidelines - Pregnancy (33 separate guidelines at the time of printing) http://sogc.org/clinical-practice-guidelines/ New for 2016: Management of spontaneous labour at term in healthy women http://www.jogc.com/article/S1701-2163(16)39222-2/pdf Guideline No. 410: Prevention, Screening, Diagnosis, and Pregnancy Management for Fetal Neural Tube Defects JOGC 2020; 43(1) https://joule-inc.cloud.tyk.io/redirect/13b0c2dd-ed76-4c85-a96b-fef0e7ab5b51/clinicalkey/cpg/1-s2.0-S1701216320309014 Guideline No. 405: Screening and Counselling for Alcohol Consumption During Pregnancy JOGC 2020; 42(9) https://joule-inc.cloud.tyk.io/redirect/13b0c2dd-ed76-4c85-a96b-fef0e7ab5b51/clinicalkey/cpg/1-s2.0-S1701216320302231 SOGC COVID-19 Resources https://sogc.org/en/-COVID-19/en/content/COVID-19/COVID-19.aspx




80. Prostate


Canadian Urological Association guideline on male lower urinary tract symptoms/benign prostatic hyperplasia (MLUTS/BPH): 2018 update
Can Urol Assoc J 2018;12(10):303-12.
https://www.cua.org/themes/web/assets/files/canadian_urological_association_guideline_on_male_lower_urinary_tract5616__3_.pdf Prostate cancer screening: Canadian guidelines (2011) Can Urol Assoc J. 2011;5(4):235–240. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3147035/ Recommendations on screening for prostate cancer with the prostate-specific antigen test (2014) CTFPHC - CMAJ 2014;186(16):1225-1234 http://www.cmaj.ca/content/186/16/1225.full Guideline for referral of patients with suspected prostate cancer by family physicians and other primary care providers (2015) CFP 2015:61(1)33-39 http://www.cfp.ca/content/61/1/33.short Canadian Urological Association guideline on male urethral stricture CUAJ 2020;14(1) https://www.cua.org/system/files/Guidelines/6792_revised.pdf




82. Rash





83. Red Eye


No Canadian guidelines exist American Academy of Optometry Conjunctivitis Guidelines (2018) https://www.aao.org/preferred-practice-pattern/conjunctivitis-ppp-2018 Bell Palsy Guidelines CMAJ 2014 http://www.cmaj.ca/content/186/12/917




85. Schizophrenia


Treatment of Schizophrenia (2005) Can J Psychiatry 2005;50(Suppl 1):1S-56S. https://ww1.cpa-apc.org/Publications/Clinical_Guidelines/schizophrenia/november2005/cjp-cpg-suppl1-05_full_spread.pdf Canadian Schizophrenia Guidelines: Schizophrenia and Other Psychotic Disorders with Coexisting Substance Use Disorders (2017) The Canadian Journal of Psychiatry https://journals.sagepub.com/doi/full/10.1177/0706743717720196




86. Seizures


See 61. Loss of consciousness




87. Sex


2021 CUA Erectile Dysfunction Guideline https://cuaj.ca/index.php/journal/article/view/7572/5068 CMPA - Reporting & Age of consent for sexual activity https://www.cmpa-acpm.ca/-/age-of-consent-for-sexual-activity-and-duty-to-report CUA Practice guidelines for erectile dysfunction (2015) Can Urol Assoc J 2015;9(1-2):23-9 https://www.cua.org/themes/web/assets/files/guidelines/en/erectile_dysfunction_feb_2015.pdf Comprehensive sexual health assessments for adolescents Paediatrics & Child Health 2020 25(8): 551 https://www.cps.ca/en/documents/position/comprehensive-sexual-health-assessments-for-adolescents




88. Sexually Transmitted Infections


PHAC Canadian Guidelines on Sexually Transmitted Infections http://www.phac-aspc.gc.ca/std-mts/sti-its/cgsti-ldcits/index-eng.php




89. Shortness of Breath


See 7. Asthma, 15. COPD




90. Skin disorder


Management of acne: Canadian clinical practice guideline CMAJ 2015, early release http://www.cmaj.ca/content/early/2015/11/16/cmaj.140665.full.pdf Scabies (2015) CPS - Paediatr Child Health 2015;20(7):395-98. http://www.cps.ca/en/documents/position/scabies Head Lice (2015) CPS - Practice point (not published) http://www.cps.ca/en/documents/position/head-lice Diagnosis and management of psoriasis (2017) Canadian Family Physician, Vol. 63, 278-285. https://www.cfp.ca/content/cfp/63/4/278.full.pdf Atopic Dermatitis: A practical guide to management (2019) Eczema Society of Canada https://eczemahelp.ca/wp-content/uploads/2019/03/ESC_AD_Practical-Guide-to-Management-for-HCP_2019.pdf




91. Smoking Cessation


See 70. Obesity




92. Somatization





93. Stress


See topics for respective diseases




94. Stroke


Canadian Stroke Best Practice Recommendations: secondary prevention of stroke guidelines, update 2017 (published in 2018) International Journal of Stroke 2018, Vol. 13(4) 420–443 https://journals.sagepub.com/doi/pdf/10.1177/1747493017743062 Canadian Stroke Best Practice Recommendations for Acute Stroke Management: Prehospital, Emergency Department, and Acute Inpatient Stroke Care, 6th Edition, Update 2018. Int J Stroke. 2018 Dec;13(9):949-984 https://www.ncbi.nlm.nih.gov/pubmed/30021503 Canadian Stroke Best Practice Recommendations: Mood, Cognition and Fatigue Following Stroke practice guidelines (2015). Int J Stroke 2015;10(70:1130–1140. http://onlinelibrary.wiley.com/doi/10.1111/ijs.12557/pdf HELPFUL RESOURCE – BC Guidelines Stroke and Transient Ischemic Attack – Acute and Long-Term Management (2015) http://www2.gov.bc.ca/assets/gov/health/practitioner-pro/bc-guidelines/stroketia_2015_full.pdf Canadian Stroke Best Practice Recommendations, seventh edition: acetylsalicylic acid for prevention of vascular events CMAJ 2020 March 23;192:E302-11 https://www.cmaj.ca/content/cmaj/192/12/E302.full.pdf




95. Substance Abuse (now called Substance Use Disorder in DSM-5)


See 19. Counselling




96. Suicide


See 19. Counselling




97. Thyroid


BC Guidelines http://www2.gov.bc.ca/assets/gov/health/practitioner-pro/bc-guidelines/thyroid.pdf USA Guidelines for the Treatment of Hypothyroidism (2014) ATA Thyroid 2014;24(12): 1670-1751. http://online.liebertpub.com/doi/full/10.1089/thy.2014.0028 Hyperthyroidism and Other Causes of Thyrotoxicosis (2011) ATA Thyroid 2011;21(6): 593-646. http://online.liebertpub.com/doi/full/10.1089/thy.2010.0417 Diagnosis and Management of Thyroid Disease During Pregnancy and Postpartum (2011) ATA Thyroid 2011;21(10): 1081-1125. http://online.liebertpub.com/doi/full/10.1089/thy.2011.0087 Guidelines for Patients with Thyroid Nodules and Differentiated Thyroid Cancer (2009) ATA. Thyroid 2009;19(11): 1167-1214. http://online.liebertpub.com/doi/full/10.1089/thy.2009.0110 Committee Opinion No. 407: Thyroid Disease and Infertility Journal of Obstetrics and Gynaecology Canada (JOGC), 2020 42(10) 1279-1282 https://joule-inc.cloud.tyk.io/redirect/13b0c2dd-ed76-4c85-a96b-fef0e7ab5b51/clinicalkey/cpg/1-s2.0-S1701216320305971




98. Trauma


See ATLS guidelines




100. Upper respiratory tract infection


Acute Sore Throat CFP 2011;57(7):791-794 http://www.cfp.ca/content/57/7/791.full Empirical Validation of Guidelines for the Management of Pharyngitis in Children and Adults JAMA.2004;291(13):1587-1595. http://jama.jamanetwork.com/article.aspx?articleid=198485 Canadian clinical practice guidelines for acute and chronic rhinosinusitis (2011) Allergy, Asthma, & Clin Immunol 2011;7:2. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3055847/ Summary in CFP: Canadian guidelines for acute bacterial rhinosinusitis Clinical summary (2014) CFP 2014;60(3):227-234. http://www.cfp.ca/content/60/3/227.full HELPFUL RESOURCE Choosing Wisely Canada – Sinusitis Treatment
http://www.choosingwiselycanada.org/wp-content/uploads/2014/04/Sinusitis-EN-web.pdf




101. UTI


See 33. Dysuria




102. Vaginal Bleeding


Canadian Abnormal Uterine Bleeding in Pre-menopausal Women (SOGC 2018) https://www.jogc.com/article/S1701-2163(18)30117-8/fulltext Epidemiology and Investigation of Suspected Endometrial Cancer (SOGC 2018) https://www.jogc.com/article/S1701-2163(18)30571-1/fulltext Abnormal Uterine Bleeding: Taking the stress out of controlling the flow (2015) CFP 2015:61(8);693-697 http://www.cfp.ca/content/61/8/693.full




103. Vaginitis


Canada Vulvovaginitis: Screening for and Management of Trichomoniasis, Vulvovaginal Candidiasis, and Bacterial Vaginosis (2015) SOGC - J Obstet Gynaecol Can 2015;37(3):266–274 http://sogc.org/wp-content/uploads/2015/03/gui320CPG1504E.pdf Patient handout - skin care recommendations http://mvprogram.org/files/2013/02/Pt-handout-Skin-care-recommendations.pdf




104. Violent / Aggressive Patient


Treatment of Schizophrenia (2005) Can J Psychiatry 2005;50(Suppl 1):1S-56S. https://ww1.cpa-apc.org/Publications/Clinical_Guidelines/schizophrenia/november2005/cjp-cpg-suppl1-05_full_spread.pdf See Appendix II: Acute emergent phase: The severely aggressive and (or) agitated patient (page 54S)




105. Well Baby Care


NRP Update for 2016 Perlman JM, Wyllie J, Kattwinkel J, et al.; Neonatal Resuscitation Chapter Collaborators. Part 7: Neonatal resuscitation: 2015 International consensus on cardio-pulmonary resuscitation and emergency cardiovascular care science with treatment recommendations. Circulation 2015;132(16 Suppl 1):S204–41. https://www.cps.ca/en/documents/position/neonatal-resuscitation-guidelines#table1 Rourke Baby Record http://www.rourkebabyrecord.ca/ Nutrition for healthy term infants, six to 24 months: An overview (2014) CPS - Paediatr Child Health 2014;19(10):547-49 http://www.cps.ca/en/documents/position/nutrition-healthy-term-infants-6-to-24-months Newborn male circumcision (2015) CPS - Paediatr Child Health 2015;20(6):311-15 http://www.cps.ca/documents/position/circumcision Preventing Ophthalmia Neonatorium (2015) Paediatr Child Health 2015;20(2):93-96 http://www.cps.ca/en/documents/position/ophthalmia-neonatorum Guidelines for detection, management, and prevention of hyperbilirubinemia in term and late preterm newborn infants Paediatr Child Health 2007;12(Suppl B):1B-12B http://www.cps.ca/documents/position/hyperbilirubinemia-newborn COVID-19 information and resources for paediatricians https://www.cps.ca/en/tools-outils/covid-19-information-and-resources-for-paediatricians