Canadian Medical Association JournalOpinion

Involuntary treatment for substance use: application of Kass’ ethical framework to Alberta’s Compassionate Intervention Act

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

A cluster randomized controlled trial of an electronic medical record–based pathway for pediatric asthma in primary care in Alberta

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 ...
Canadian Medical Association Journal

Myocardial infarction with nonobstructive coronary artery disease in a 56-year-old woman

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 ...
Canadian Medical Association Journal

Thymic hyperplasia in an adult with Graves disease

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 ...
CMAJ

Burton line and basophilic stippling in lead poisoning

A 47-year-old man who had been working as a self-employed plumber in Nara Prefecture, Japan, for about 30 years presented to the emergency department with a 2-week history of abdominal pain and ...
CMAJ

Iron deficiency and iron deficiency anemia in pregnancy

Iron deficiency and iron deficiency anemia are common during pregnancy and are associated with adverse outcomes Prenatal iron deficiency occurs in more than 30% of pregnancies in Canada. 1 It has been ...
Canadian Medical Association Journal

Family physician pay inequality: a qualitative study exploring how physician responses to perceived patient expectations may explain gender, race, and immigration status pay ...

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 ...
Canadian Medical Association Journal

Cardiac thrombus despite anticoagulation in a 76-year-old man

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

Radiologically occult toddler’s fracture in a 3-year-old girl

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

Fertility preservation by ovarian tissue transportation and centralized cryobanking for a 20-year-old woman with Hodgkin lymphoma

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 ...
CMAJ

Colchicine-induced vacuolar myopathy

An 83-year-old man presented to the emergency department with fatigue and proximal upper- and lower-limb weakness, 10 days after a diarrheal illness. His medical history included type 2 diabetes ...
CMAJ

Disseminated herpes zoster infection in a varicella zoster–seropositive kidney transplant recipient

A 73-year-old man on immunosuppressive therapy after renal transplantation presented to our emergency department with fever, weakness, nausea, and vomiting. Before transplantation, he was seropositive ...