Pharmascope Épisode 115: Ostéoporose: solidifier la prise en charge – partie 3
Release Date: 11/14/2025
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Le groupe d'intérêt des membres sur la santé des patients 2SLGBTQ+ a collaboré avec projet NUANCES, centre de soins en diversité sexuelle et de genre. Dre Judith Lajeunesse et Caroline Paquette de projet NUANCES présentent un cas clinique qui permettra aux médecins de famille de mieux comprendre leur rôle en appuyant les patients qui veulent discuter une transition de genre.
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This podcast discusses two of the most common gender-affirming surgeries - vaginoplasty in a transfeminine patient and top surgery or mastectomy in a trans masculine patient. These are emotionally high stakes surgeries for our transgender and gender diverse patients. Family doctors have the knowledge and skills to provide routine postoperative care, and equally important, provide reassurance and a safe place for our patients to be heard.
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In episode 623, Jamie and James invite Samantha Moe back again to talk about the never-ending debate as to what is the target for systolic blood pressure. We look at the evidence and then try to put it into a reasonable context because at best the evidence is always nuanced. But at least you will now know the numbers. To claim your CPD credits, click the link below and then select "Claim Credits Now".
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In episode 622, Jamie and James invite Émélie Braschi back again to talk about if we should be using inhalers that combine corticosteroids and beta-agonists as rescue inhalers. We go over the best available evidence and then try to put the findings into context. To claim your CPD credits, click the link below and then select "Claim Credits Now".
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In this episode of In the Clinic, the team discusses Tina Mojsov, a 30-year-old woman who wants to lose weight. To claim your CPD credits, click the link below and then select “Claim Credits Now.”
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In episode 621, Tina, James and Mike K talk about the evidence around whole-body MRIs. We discuss how many abnormalities are found, how many cancers are actually found, and finally the lost opportunity costs. You need to know these numbers to talk to your patients about the value or lack thereof of doing this test. To claim your CPD credits, click the link below and then select "Claim Credits Now".
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In episode 620, Mike K and James bring back Danielle Perry, this time to talk about the evidence around the use of colchicine for secondary cardiovascular prevention. There are some large RCTs so we talk about all the numbers and as always put them into the proper context. To claim your CPD credits, click the link below and then select "Claim Credits Now".
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In episode 619, Mike K and James chat yet again with Émélie Braschi. The topic this time is the use of point-of-care ultrasound (POCUS) to help diagnose patients coming into emerg with dyspnea. The results certainly suggest this may be a useful tool. Tune in and find out if it is useful enough for you. To claim your CPD credits, click the link below and then select "Claim Credits Now".
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In this episode of In the Clinic, the team discusses John Painica, a 52-year-old man presenting with neck pain. To claim your CPD credits, click the link below and then select “Claim Credits Now.”
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In this episode of In the Clinic, the team discusses Nadia Hench, a 49-year-old woman following up regarding achiness, fatigue, and poor sleep. To claim your CPD credits, click the link below and then select “Claim Credits Now.”
info_outlineUn nouvel épisode du Pharmascope est maintenant disponible! Dans de ce 115ème épisode, Sébastien, Nicolas et Isabelle terminent leur série d’épisodes sur l’ostéoporose. Dans cette troisième et dernière partie, on aborde la prise en charge suite à une fracture, les marqueurs du remodelage osseux, l’ostéoporose induite par les corticostéroïdes et la prise concomitante de suppléments de calcium et de vitamine D lors de l’utilisation d’un traitement pharmacologique.
Les objectifs pour cet épisode sont les suivants:
- Discuter de la prise en charge des patients qui ont subi une fracture de fragilisation
- Discuter de l’utilité des marqueurs biochimiques du remodelage osseux
- Résumer la prise en charge de l’ostéoporose induite par les corticostéroïdes
- Conseiller adéquatement la prise d’un supplément de calcium et de vitamine D aux patients prenant un traitement pharmacologique contre l’ostéoporose
Ressources pertinentes en lien avec l’épisode
Moe S, Paige A, Allan GM. Osteoporosis in postmenopausal women. Can Fam Physician. 2021;67:346.
Calculateur FRAX
Centre for Metabolic Bone Diseases. FRAX: Fracture Risk Assessment Tool. University of Sheffield, UK.
Outil d’aide à la décision
Mayo Foundation for Medical Education and Research. Bone Health Choice Decision Aid. Mayo Clinic, USA.