Climate change and emerging diseases: Emerging diseases related to climate change pose health risks and diagnostic challenges in new Canadian locations. Learn more ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.260668

A 51-year-old man presented to hospital with a 2-week history of fever, chills, headache, dyspnea, dry cough, gastrointestinal symptoms, transient pruritic arm rash, and blurred vision after he was bitten by insects while gardening. Learn more ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.252050

Rocky Mountain spotted fever is a severe tick-borne infection. Learn more ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.251935

This week on #CMAJPodcasts, we're joined by Dr. Sony Singh and Bailey Milne to explore how deep infiltrating endometriosis can invade adjacent organs and the risk of congenital anomalies for infants born to patients with endometriosis. ➡️ https://www.cmaj.ca/transcript-260662

Prenatal syphilis screening: Timely prenatal syphilis screening is critical for preventing congenital syphilis infection. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.251757

🩺🔍 Worm in stool: what is the work-up and management? CMAJ Volume 198, Issue 19 includes new articles on locally acquired ascariasis; Rocky Mountain spotted fever; climate change and emerging diseases; and more. ➡️ https://www.cmaj.ca/content/198/19

Oral manifestations of syphilis: Oral manifestations can be the first and sometimes only sign of syphilis and can occur at any stage of this disease. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.251915

Caregivers for people in their last year of life: Clinicians should recognize and respond to escalating caregiver burden in the care recipient’s last year of life. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.252034

Arginine vasopressin disorders: Diabetes insipidus has been renamed to arginine vasopressin disorders for clarity and safety. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.251716

Endometriosis and risk of congenital anomalies: In this population-based study, endometriosis is associated with small but significantly increased risks of congenital anomalies. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250439

Deep endometriosis is the most severe form of endometriosis, as it involves infiltration of endometrial-like tissue into underlying tissue, organs, musculature, and nerves, which can lead to irreversible end organ damage. Learn more in this clinical case ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.241889

This week's issue of CMAJ includes articles underscoring the imperative for timely diagnosis, effective treatment, and greater awareness of endometriosis. Read our editorial on endometriosis care ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.260662

🩺🔍 Deep endometriosis: what are the risks of diagnostic delays? Read new articles on endometriosis care; oral manifestations of syphilis; caregivers for people in their last year of life; and more, published in this week's issue of CMAJ. ➡️ https://www.cmaj.ca/content/198/18

Primary synovial chondromatosis is rare and occurs primarily in males aged 20 to 40 years. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.251762

Physicians with disabilities: By recognizing its history of exclusion, Canadian medicine can transform a legacy of ableism into one of equity and progress. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.252061

Female genital mutilation or cutting (FGM/C): The World Health Organization defines FGM/C as “all procedures involving partial or total removal of the external female genitalia or injury to the female genital organs for nonmedical reasons.” ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.251645

Screening for high-risk drinking: The recommendations streamline the process of identifying and addressing the health needs of those who consume alcohol in a hazardous way or may have more serious problems related to alcohol. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.251759

Cancer rates and gaps in care w/ Drs. Darren Brenner & Miranda Fidler-Benaoudia This week on #CMAJPodcasts, we discuss how overall cancer incidence continues to decline but young survivors are twice as likely to develop a second primary cancer. ➡️ https://www.cmaj.ca/transcript-252152

Electronic health record interoperability: In Canada, regular use of electronic health records (EHRs) — a comprehensive, digital version of a patient’s entire medical history — by physicians has risen from 36% in 2009 to 95% in 2024. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.251640

Canadian alcohol harm experts today published a "timesaving and pragmatic approach" to universal screening. It hinges on whether someone consumes more or less than 34ml of alcohol per occasion or per week, or two Canadian standard drinks. See www.cmaj.ca/content/198/... @cmaj.ca

How connected is your care? This scorecard measures electronic health record interoperability across all 13 Canadian provinces and territories. connected-care-scorecard.vercel.app via @cmaj.ca

TLDR: Canada spent billions digitizing health records. And then failed to connect them. The current state of electronic health records across Canada: an environmental scan and interoperability maturity assessment. www.cmaj.ca/content/198/... via @cmaj.ca

🩺🔍 Electronic health records in Canada: what is the current state? Read new articles on electronic health record interoperability; screening for high-risk drinking; Whipple disease, and more, published in this week's issue of CMAJ. ➡️ https://www.cmaj.ca/content/198/17

May 1st is National Physicians’ Day— Thank you to physicians across Canada for your care, judgement, and commitment to patients, and to the profession! Stay up to date with the latest evidence-based information on health care and the practice of medicine ➡️ https://www.cmaj.ca/email-alerts

🩺📚 Learn more about ophthalmoplegia and gaze-evoked nystagmus. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.252084

🩺📚 Learn more about distal symmetric diabetic neuropathy. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.251358

A poetic reflection on the act of washing a body ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.252194

🩺📚 Learn more about pediatric respiratory syncytial virus. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.251369

🩺📚 Learn more this week about acute pancreatitis caused by severe hypertriglyceridemia. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250499

🩺🔍 Severe hypertriglyceridemia: what are the causes? Read new articles on acute pancreatitis caused by severe hypertriglyceridemia, pediatric respiratory syncytial virus, distal symmetric diabetic neuropathy, and more, published in this week's issue of CMAJ. ➡️ https://www.cmaj.ca/content/198/16

🩺📚 Learn more this week about Lemierre syndrome. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.251533

🩺📚 Learn more this week about bronchiectasis and worsening symptoms. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.251668

🩺📚 Learn more this week about suicide prevention and artificial intelligence. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.251693

🩺📚 Learn more this week about sex- and gender-based harassment in medicine. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.260574

This week on #CMAJPodcasts, we discuss maternal risk beyond delivery and across populations with Dr. Giulia Muraca, Maya Rajasingham, and Irina Oltean. ➡️ https://www.cmaj.ca/transcript-251425

🩺📚 Learn more this week about sexual misconduct reports involving physicians ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.251179

🩺🔍 Sexual misconduct involving physicians: what is reported? Read new articles on sexual misconduct reports involving physicians; suicide prevention and artificial intelligence; bronchiectasis and worsening symptoms; and more. ➡️ https://www.cmaj.ca/content/198/15

Noncontact knee injury in an adolescent: Segond fracture is a small bony avulsion of the proximolateral tibia at the anterolateral ligament or complex insertion. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.251840

📢 ICYMI: Health Canada has recently approved the first needle-free epinephrine treatment for severe allergic reactions. The intranasal spray device delivers 2 mg of epinephrine into 1 nostril. Learn more about the management of anaphylaxis in CMAJ ➡️ www.cmaj.ca/content/197/...

Systemic sclerosis: Systemic sclerosis is a rare autoimmune disease characterized by vasculopathy and organ fibrosis, and the leading cause of secondary Raynaud phenomenon in adults. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.251602

Survivors of cancer in adolescence and young adulthood are at increased risk for nearly all types of subsequent primary neoplasms assessed. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.251381

Projected estimates of cancer: Age-standardized cancer incidence and mortality rates are projected to decline in Canada; however, the numbers of new cases and deaths are expected to remain at high levels, given the growing and aging population. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.252152

Cancer remains top cause of death in #Canada as new @cmaj.ca study shows multiple types rising by @laurenpelley.bsky.social #publichealth #healthequity #hpv #cervicalcancer www.cbc.ca/news/health/...

Foot ulcer and diabetes: A 67-year-old man with a history of type 2 diabetes, diabetic peripheral neuropathy, and hypertension presents to the emergency department with a skin ulceration on the bottom of his great toe. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.251538

Diabetic foot ulcers: what is the latest on management? New articles on diabetic foot ulcers; projected estimates of cancer; systemic sclerosis, and more. ➡️ https://www.cmaj.ca/content/198/14

Palmoplantar keratoderma: Hereditary palmoplantar keratoderma is one of a genetically heterogeneous group of skin disorders that are frequently misdiagnosed as treatmentrefractory eczema. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.251479

My father’s deaths: A death may be grieved many times over. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.251809

Cognitive dysfunction and multiple sclerosis: Cognitive dysfunction can present early in multiple sclerosis, even without other physical disability, and is often not detected by clinicians. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.251585

Acute generalized exanthematous pustulosis: Acute generalized exanthematous pustulosis is a severe adverse drug reaction characterized by sterile pustules. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.251459

Behavioural nudges to reduce low-value care: Nudges — including waiting room information posters targeting patients and electronic health record alerts targeting clinicians — did not reduce low-value care for low back pain in emergency departments. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.251595