GPAC: Guidelines and Protocols Advisory Committee

Guidelines by Alphabetical Listing

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

New! Download all guidelines and summaries here! (ZIP 16M)

- A -

Acute chest pain	Acute Chest Pain - Evaluation and Triage • Full Guideline (PDF 392K) • Appendix A: Features of acute chest pain (PDF 156K) • Appendix B: Risk of death or non-fatal MI in patients with Unstable Angina (UA)/NSTEMI (PDF 166K) • Appendix C: Evaluation and management of patients suspected of having ACS (PDF 164K)
Anaemia and iron deficiency	Investigation and Management of Iron Deficiency • Full Guideline (PDF [an error occurred while processing this directive])
Ankle injury and x-rays	Ankle Injury - X-Ray for Acute Injury of the Ankle or Mid-Foot • Full Guideline (PDF 162K) • Figure 1: Zones of the ankle and mid-foot (PDF 166K)
Antinuclear antibody testing	Antinuclear Antibody (ANA) Testing for Connective Tissue Disease • Full Guideline (PDF 141K)
Antibiotics for sore throat	Sore Throat - Diagnosis and Management • Full Guideline (PDF 240K) • Patient Guide (PDF 118K)
Anxiety	Anxiety and Depression in Children and Youth - Diagnosis and Treatment • Full Guideline (PDF 422K) • Appendix A: Diagnosis of Anxiety Disorders in Children and Youth (PDF 45K) • Appendix B: Treatment of Anxiety Disorders and Depression in Children and Youth (PDF 69K) • Appendix C: Selective Serotonin Reuptake Inhibitor (SSRI) Monitoring Form (PDF 48K) • Appendix D: Measurement of Functional Change in depressed and/or Anxious Patients (PDF 31K) • Resource Guide: Information Sources for Physicians (PDF 53K) • Resource Guide: Information Sources for Families (PDF 52K) • Anxiety in Children and Youth: A Guide for Parents (PDF 58K) • Depression in Children and Youth: A Guide for Parents (PDF 41K)
Arthritis	Osteoarthritis in Peripheral Joints - Diagnosis and Treatment • Full Guideline (PDF 2.4M) • Summary (PDF 176K) • Osteoarthritis (OA) Medications Table (PDF 217K) • Appendix A - History (PDF 84K) • Appendix B - Physical Examination (PDF 76K) • Appendix C - Alternate Diagnosis and Overall Assessment (PDF 66K) • Appendix D - Investigations (PDF 56K) • Appendix E - Follow-up Patient Assessment Form (PDF 78K) • Patient Guide for People Living with Osteoarthritis (PDF 217K) • A Guide for People with Hip Osteoarthritis (PDF 424K) • A Guide for People with Knee Osteoarthritis (PDF 311K) • A Guide for People with Hand Osteoarthritis (PDF 418K) • Choosing a Complementary Therapy (PDF 219K) • Calculation of Body Mass Index (PDF 70K) A PDA version of this guideline is also available at www.Clinipearls.ca/BCGuidelines
Arthritis, rheumatoid	Rheumatoid Arthritis: Diagnosis and Management • Full Guideline (PDF 252K) • Summary (PDF 140K) • Patient Guide (PDF 153K) A PDA version of this guideline is also available at www.Clinipearls.ca/BCGuidelines
Asthma	Asthma - Diagnosis and Management • Full Guideline (PDF 902K) • Summary (PDF 215K) • Appendix A - Asthma Inhalation Drug Dosing and Cost (PDF 207K) • Appendix B - Personal Action Plan (PDF 303K) A PDA version of this guideline is also available at www.Clinipearls.ca/BCGuidelines

- B -

B12 deficiency	B12 Deficiency - Investigation and Management of Vitamin B12 and Folate • Full Guideline (PDF 122K) A PDA version of this guideline is also available at www.Clinipearls.ca/BCGuidelines
Barium studies in GERD	Gastroesophageal Reflux Disease - Clinical Approach in Adults • Full Guideline (PDF 329K) • Appendix A - Prescription Medication Table for Gastroesophageal Reflux Disease (PDF 165K)
Bone density measurement and osteoporosis	Bone Density Measurement in Women • Full Guideline (PDF 262K) • Summary (PDF 93K) • Patient Guide (PDF 185K) A PDA version of this guideline is also available at www.Clinipearls.ca/BCGuidelines

- C -

Cancer	Palliative Care for the Patient with Incurable Cancer or Advanced Disease - Part 1: Approach to Care • Full Guideline (PDF 1.3M) • Appendix A: Palliative Performance Scale (PDF 230K) • Appendix B: Possible Investigations and Interventions (PDF 206K) • Appendix C: Edmonton Symptom Assessment System (ESAS) (PDF 364K) • Appendix D: Indications for Referral to a Specialist (PDF 217K) • Appendix E: Cancer Management Flow Sheet (PDF 211K) • Appendix F: Contents of typical home drug kit & medications that may be given by SC route (PDF 211K)
Cardiovascular	Cardiovascular Disease - Primary Prevention • Full Guideline (PDF 864K) • Summary (PDF 121K) • Figure 1: Coronary Heart/Cardiovascular Disease Risk Assessment (PDF 56K) • Appendix A - Part I: Smoking Cessation (PDF 63K) • Appendix A - Part II: Effective pharmacological aids to smoking cessation (PDF 57K) • Appendix A - Part III: Patient Handout "Quit Smoking: It's Time to Act" (PDF 58K) • Appendix B - Framingham Instruction Sheet (PDF 125K) • Appendix C - Framingham and UKPDS Risk Assessment Charts (PDF 509K) • Appendix D - Apolipoprotein B (PDF 159K) • Cardiovascular Disease - Primary Prevention. A Guide for Patients (PDF 77K) A PDA version of this guideline is also available at www.Clinipearls.ca/BCGuidelines
Cataracts and surgery	Cataract - Treatment of Adults • Full Guideline (PDF 156K) • Patient Guide (PDF 116K) A PDA version of this guideline is also available at www.Clinipearls.ca/BCGuidelines
Chest pain, acute	Acute Chest Pain - Evaluation and Triage • Full Guideline (PDF 392K) • Appendix A: Features of acute chest pain (PDF 156K) • Appendix B: Risk of death or non-fatal MI in patients with Unstable Angina (UA)/NSTEMI (PDF 166K) • Appendix C: Evaluation and management of patients suspected of having ACS (PDF 164K)
Chest x-ray, preoperative	Preoperative Testing • Full Guideline (PDF 109K)
Cholecystectomy	Gallstones - Treatment in Adults • Full Guideline (PDF 166K) • Patient Guide (PDF 101K) A PDA version of this guideline is also available at www.Clinipearls.ca/BCGuidelines
Chronic kidney disease (CKD), identification, evaluation and management	Chronic Kidney Disease - Identification, Evaluation and Management of Patients • Full Guideline (PDF 542K) • Summary (PDF 164K) • Table 1: Stages of CKD (PDF 47K) • Table 2: Evaluating Patients with Abnormal Screening Tests (PDF 49K) • Table 3: Care Objectives and Targets (PDF 57K) • Figure 1: Flow Diagram for Evaluating and Managing Patients with Suspected CKD (PDF 33K) • Appendix A: Physician Resources (PDF 127K) • Appendix B: Calculating eGFR: Conversion Table (PDF 49K) • Appendix C: Chronic Kidney Disease Flow Sheet (PDF 128K) • Appendix D: Chronic Kidney Disease - A Guide for Patients (PDF 145K) A PDA version of this guideline is also available at www.Clinipearls.ca/BCGuidelines
Chronic obstructive pulmonary disease (COPD)	Chronic Obstructive Pulmonary Disease (COPD) • Full Guideline (PDF 850K) • Summary (PDF 237K) • Appendix A - Patient Care Flow Sheet (PDF 166K) • Appendix B - Prescription Medication Table for Chronic Obstructive Pulmonary Disease (COPD) (PDF 225K) • Appendix C - Medical Indications for Home Oxygen for Stable COPD Patients (PDF 157K) • Appendix D - COPD Flare-up Action Plan (PDF 162K) • Appendix E - Antibiotic Treatment Recommendations for Acute Exacerbations of COPD (AECOPD) (PDF 174K) • COPD - A Guide for Patients (PDF 176K) A PDA version of this guideline is also available at www.Clinipearls.ca/BCGuidelines
Cognitive Impairment	Cognitive Impairment in the Elderly - Recognition, Diagnosis and Management • Full Guideline (PDF 456K) • Summary (PDF 137K) • Table 1: Clinical Features of Dementia, Depression and Delirium (PDF 69K) • Table 2: Differential Diagnosis of Dementia (PDF 64K) • Table 3: Starting dose and titration schedule of AChEIs (PDF 66K) • Appendix A - The Confusion Assessment Method (CAM) Diagnostic Algorithm (PDF 59K) • Appendix B - Geriatric Depression Scale (GDS) (PDF 71K) • Appendix C - Standardized Mini-Mental State Exam (SMMSE) (PDF 129K) • Appendix D - Clock Drawing Test (PDF 52K) • Appendix E - Montreal Cognitive Assessment (MoCA) (PDF 122K) • Appendix F - Global Deterioration Scale (PDF 72K) • Appendix G - Cognitive Impairment in the Elderly Flow Sheet (PDF 159K) • A Guide for People with Dementia and their Caregivers (PDF 158K) A PDA version of this guideline is also available at www.Clinipearls.ca/BCGuidelines
Colonoscopy	Colorectal Neoplasms - Detection in Asymptomatic Adults • Full Guideline (PDF 360K) • Patient Guide (PDF 102K) Colorectal Cancer - Follow-up of Patients after Curative Resection • Full Guideline (PDF 90K)
Colorectal cancer, detection	Colorectal Neoplasms - Detection in Asymptomatic Adults • Full Guideline (PDF 360K) • Patient Guide (PDF 102K)
Colorectal cancer, follow-up after resection	Colorectal Cancer - Follow-up of Patients after Curative Resection • Full Guideline (PDF 90K)
Congestive heart failure	Heart Failure Care • Full Guideline (PDF 411K) • Summary (PDF 124K) • Appendix A - Diuretics (PDF 37K) • Appendix B - Beta blockers (PDF 36K) • Appendix C - ACE inhibitors (PDF 27K) • Appendix D - Angiotensin receptor blockers (PDF 22K) • Appendix E - Direct acting vasodilators (PDF 25K) • Appendix F - Spironolactone (PDF 49K) • Appendix G - Digoxin (PDF 51K) • Flow Sheet (PDF 143K) • Patient Guide (PDF 174K) A PDA version of this guideline is also available at www.Clinipearls.ca/BCGuidelines

- D -

Dementia	Cognitive Impairment in the Elderly - Recognition, Diagnosis and Management • Full Guideline (PDF 456K) • Summary (PDF 137K) • Table 1: Clinical Features of Dementia, Depression and Delirium (PDF 69K) • Table 2: Differential Diagnosis of Dementia (PDF 64K) • Table 3: Starting dose and titration schedule of AChEIs (PDF 66K) • Appendix A - The Confusion Assessment Method (CAM) Diagnostic Algorithm (PDF 59K) • Appendix B - Geriatric Depression Scale (GDS) (PDF 71K) • Appendix C - Standardized Mini-Mental State Exam (SMMSE) (PDF 129K) • Appendix D - Clock Drawing Test (PDF 52K) • Appendix E - Montreal Cognitive Assessment (MoCA) (PDF 122K) • Appendix F - Global Deterioration Scale (PDF 72K) • Appendix G - Cognitive Impairment in the Elderly Flow Sheet (PDF 159K) • A Guide for People with Dementia and their Caregivers (PDF 158K) A PDA version of this guideline is also available at www.Clinipearls.ca/BCGuidelines
Depression	Anxiety and Depression in Children and Youth - Diagnosis and Treatment • Full Guideline (PDF 422K) • Appendix A: Diagnosis of Anxiety Disorders in Children and Youth (PDF 45K) • Appendix B: Treatment of Anxiety Disorders and Depression in Children and Youth (PDF 69K) • Appendix C: Selective Serotonin Reuptake Inhibitor (SSRI) Monitoring Form (PDF 48K) • Appendix D: Measurement of Functional Change in depressed and/or Anxious Patients (PDF 31K) • Resource Guide: Information Sources for Physicians (PDF 53K) • Resource Guide: Information Sources for Families (PDF 52K) • Anxiety in Children and Youth: A Guide for Parents (PDF 58K) • Depression in Children and Youth: A Guide for Parents (PDF 41K) Depression (MDD) - Diagnosis and Management • Full Guideline (PDF 342K) • Summary (PDF 135K) • Flow Sheet (PDF 141K) • Patient Guide (PDF 116K) A PDA version of this guideline is also available at www.Clinipearls.ca/BCGuidelines
Diabetes care	Diabetes Care • Full Guideline (PDF 405K) • Summary (PDF 113K) • Flow Sheet (PDF 152K) • Patient Guide (PDF 147K) • Care Objectives (PDF 47K) • Table 1: Initial Treatment of Dyslipidemia (PDF 22K) • Table 2: Types of Insulin (PDF 28K) • Table 3: Antihyperglycemic Agents for Use in Type 2 Diabetes (PDF 55K) • Table 4: Treatment of Hypoglycemia (PDF 27K) • Algorithm 1: Diagnosis of Diabetes, IFG and IGT (PDF 37K) • Algorithm 2: Management of Hyperglycemia in Type 2 Diabetes (PDF 35K) • Body Mass Index (PDF 61K) A PDA version of this guideline is also available at www.Clinipearls.ca/BCGuidelines
Diarrhea	Infectious Diarrhea - Guideline for Ordering Stool Specimens • Full Guideline (PDF 209K) • Summary (PDF 207K) • Algorithm for the Investigation of Infectious Diarrhea (PDF 124K)
Diarrhea - Investigation of Suspected Infectious Diarrhea	This guideline has been withdrawn and replaced by the new guideline "Infectious Diarrhea - Guideline for Ordering Stool Specimens"
Dyspepsia	Dyspepsia with or without Helicobacter pylori infection - Clinical Approach in Adults • Full Guideline (PDF 298K) • Appendix A - Prescription Medication Table for Oral Acid Suppression (PDF 93K)

- E -

ECG	Ambulatory ECG Monitoring - (Holter Monitor and Patient-Activated Event Recorder) • Full Guideline (PDF 194K) Electrocardiograms • Full Guideline (PDF 74K) Preoperative Testing • Full Guideline (PDF 109K)
Elderly; Frailty in Older Adults	Frailty in Older Adults – Early Identification and Management • Full Guideline (PDF 686K) • Summary (PDF 236K) • CSHA Clinical Frailty Scale (PDF 40K) • Appendix A - Seniors Assessment Tool (PDF 116K) • Appendix B - Sample Care Plan Template (PDF 115K) • Appendix C - Medication Review (PDF 108K) • Appendix D - Advance Care Planning (PDF 186K) • No Cardiopulmonary Resuscitation Form (PDF 586K) A PDA version of this guideline is also available at www.Clinipearls.ca/BCGuidelines
Endoscopy and GERD	Gastroesophageal Reflux Disease - Clinical Approach in Adults • Full Guideline (PDF 329K) • Appendix A - Prescription Medication Table for Gastroesophageal Reflux Disease (PDF 165K)
ESR	Erythrocyte Sedimentation Rate (ESR) • Full Guideline (PDF 92K) A PDA version of this guideline is also available at www.Clinipearls.ca/BCGuidelines

- F -

Folate deficiency	B12 Deficiency - Investigation and Management of Vitamin B12 and Folate • Full Guideline (PDF 122K) A PDA version of this guideline is also available at www.Clinipearls.ca/BCGuidelines
Foot injury and x-rays	Ankle Injury - X-Ray for Acute Injury of the Ankle or Mid-Foot • Full Guideline (PDF 162K) • Figure 1: Zones of the ankle and mid-foot (PDF 166K)
Frailty in Older Adults	Frailty in Older Adults – Early Identification and Management • Full Guideline (PDF 686K) • Summary (PDF 236K) • CSHA Clinical Frailty Scale (PDF 40K) • Appendix A - Seniors Assessment Tool (PDF 116K) • Appendix B - Sample Care Plan Template (PDF 115K) • Appendix C - Medication Review (PDF 108K) • Appendix D - Advance Care Planning (PDF 186K) • No Cardiopulmonary Resuscitation Form (PDF 586K) A PDA version of this guideline is also available at www.Clinipearls.ca/BCGuidelines

- G -

Gallstone treatment in adults	Gallstones - Treatment in Adults • Full Guideline (PDF 166K) • Patient Guide (PDF 101K) A PDA version of this guideline is also available at www.Clinipearls.ca/BCGuidelines
Gastroesophageal reflux disease (GERD)	Gastroesophageal Reflux Disease - Clinical Approach in Adults • Full Guideline (PDF 329K) • Appendix A - Prescription Medication Table for Gastroesophageal Reflux Disease (PDF 165K)
Genital specimens	Genital Specimens - Office and Laboratory Management • Full Guideline (PDF 196K) Below is a link to the BCCDC treatment guideline on Sexually Transmitted Infections in Adolescents and Adults, for information: http://www.stiresource.com/brochures/pdfs/STI%20Quick%20Reference.pdf

- H -

H. pylori and dyspepsia	Dyspepsia with or without Helicobacter pylori infection - Clinical Approach in Adults • Full Guideline (PDF 298K) • Appendix A - Prescription Medication Table for Oral Acid Suppression (PDF 93K)
Heart Failure Care	Heart Failure Care • Full Guideline (PDF 411K) • Summary (PDF 124K) • Appendix A - Diuretics (PDF 37K) • Appendix B - Beta blockers (PDF 36K) • Appendix C - ACE inhibitors (PDF 27K) • Appendix D - Angiotensin receptor blockers (PDF 22K) • Appendix E - Direct acting vasodilators (PDF 25K) • Appendix F - Spironolactone (PDF 49K) • Appendix G - Digoxin (PDF 51K) • Flow Sheet (PDF 143K) • Patient Guide (PDF 174K) A PDA version of this guideline is also available at www.Clinipearls.ca/BCGuidelines
Hematuria, persistent microscopic	Microscopic Hematuria (Persistent) • Full Guideline (PDF 170K)
Hemochromatosis and iron overload	Iron Overload - Investigation and Management • Full Guideline (PDF 142K) A PDA version of this guideline is also available at www.Clinipearls.ca/BCGuidelines
Hepatitis, viral testing	Hepatitis - Viral Hepatitis Testing • Full Guideline (PDF 248K) A PDA version of this guideline is also available at www.Clinipearls.ca/BCGuidelines
Hepatitis B, clinical management	Hepatitis B - Clinical Management of Chronic Hepatitis B • Full Guideline (PDF 177K) • Patient Guide (PDF 78K) A PDA version of this guideline is also available at www.Clinipearls.ca/BCGuidelines
Hepatitis C, clinical management	Hepatitis C - Clinical Management of Chronic Hepatitis C • Full Guideline (PDF 209K) • Patient Guide (PDF 71K) A PDA version of this guideline is also available at www.Clinipearls.ca/BCGuidelines
Holter monitoring	Ambulatory ECG Monitoring - (Holter Monitor and Patient-Activated Event Recorder) • Full Guideline (PDF 194K)
Hypertension	Hypertension - Detection, Diagnosis and Management • Full Guideline (PDF 775K) • Summary (PDF 154K) • Appendix A - Recommended Technique for Measuring Blood Pressure (PDF 46K) • Appendix B - Framingham Instruction Sheet (PDF 505K) • Appendix C - Home Blood Pressure Monitoring Worksheet (PDF 50K) • Appendix D - Hypertension Care Flow Sheet (PDF 191K) • Appendix E - Dietary Approaches to Stopping Hypertension (DASH) (PDF 55K) • Appendix F - Antihypertensive Drugs (PDF 80K) • Appendix G - Examples of Secondary Causes of Hypertension (PDF 95K) • Flow Sheet (PDF 191K) • Patient Guide (PDF 128K) A PDA version of this guideline is also available at www.Clinipearls.ca/BCGuidelines

- I -

Iron deficiency	Iron Deficiency - Investigation and Management • Full Guideline (PDF 834K) • Summary (PDF 237K) • Appendix A - Dietary Aspects of Iron (PDF 362K) • Appendix B - Iron Preparations (PDF 318K)
Iron overload	Iron Overload - Investigation and Management • Full Guideline (PDF 142K) A PDA version of this guideline is also available at www.Clinipearls.ca/BCGuidelines

- K -

Kidney disease

Chronic Kidney Disease - Identification, Evaluation and Management of Patients
• Full Guideline (PDF 542K)
• Summary (PDF 164K)
• Table 1: Stages of CKD (PDF 47K)
• Table 2: Evaluating Patients with Abnormal Screening Tests (PDF 49K)
• Table 3: Care Objectives and Targets (PDF 57K)
• Figure 1: Flow Diagram for Evaluating and Managing Patients with Suspected CKD (PDF 33K)
• Appendix A: Physician Resources (PDF 127K)
• Appendix B: Calculating eGFR: Conversion Table (PDF 49K)
• Appendix C: Chronic Kidney Disease Flow Sheet (PDF 128K)
• Appendix D: Chronic Kidney Disease - A Guide for Patients (PDF 145K)

A PDA version of this guideline is also available at www.Clinipearls.ca/BCGuidelines

- L -

Liver test results

Liver Chemistry Abnormalities in Adults - Evaluation and Interpretation
• Full Guideline (PDF 271K)

A PDA version of this guideline is also available at www.Clinipearls.ca/BCGuidelines

- M -

Mammography	Mammography - Protocol for the Use of Diagnostic Facilities • Full Guideline (PDF 100K) A PDA version of this guideline is also available at www.Clinipearls.ca/BCGuidelines
Methadone Maintenance Therapy (MMT) Program: Urine Drug Testing of Patients	Methadone Maintenance Therapy (MMT) Program: Urine Drug Testing of Patients • Full Guideline (PDF 99K) A PDA version of this guideline is also available at www.Clinipearls.ca/BCGuidelines
Microscopic hematuria, persistent	Hematuria - Microscopic Hematuria (Persistent) • Full Guideline (PDF 170K)

- O -

Obesity	Obesity, Overweight, and Physical Inactivity • Full Guideline (PDF 632K) • Patient Guide (PDF 34K)
Osteoarthritis	Osteoarthritis in Peripheral Joints - Diagnosis and Treatment • Full Guideline (PDF 2.4M) • Summary (PDF 176K) • Osteoarthritis (OA) Medications Table (PDF 217K) • Appendix A - History (PDF 84K) • Appendix B - Physical Examination (PDF 76K) • Appendix C - Alternate Diagnosis and Overall Assessment (PDF 66K) • Appendix D - Investigations (PDF 56K) • Appendix E - Follow-up Patient Assessment Form (PDF 78K) • Patient Guide for People Living with Osteoarthritis (PDF 217K) • A Guide for People with Hip Osteoarthritis (PDF 424K) • A Guide for People with Knee Osteoarthritis (PDF 311K) • A Guide for People with Hand Osteoarthritis (PDF 418K) • Choosing a Complementary Therapy (PDF 219K) • Calculation of Body Mass Index (PDF 70K) A PDA version of this guideline is also available at www.Clinipearls.ca/BCGuidelines
Osteoporosis and bone density measurement	Bone Density Measurement in Women • Full Guideline (PDF 262K) • Summary (PDF 93K) • Patient Guide (PDF 185K) A PDA version of this guideline is also available at www.Clinipearls.ca/BCGuidelines
Otitis Media	Otitis Media - Acute Otitis Media & Otitis Media with Effusion • Full Guideline (PDF 322K) • Appendix A - Medication Table for Acute Otitis Media (AOM) (PDF 83K) • Otitis Media in Children - A Guide for Parents (PDF 149K)
Ova and Parasite Testing of Stool Samples	This guideline has been withdrawn and replaced by the new guideline "Infectious Diarrhea - Guideline for Ordering Stool Specimens"
Overanticoagulation with warfarin	Warfarin Therapy - Overanticoagulation Treatment • Full Guideline (PDF 112K) • Patient Guide (PDF 93K)
Overweight	Obesity, Overweight, and Physical Inactivity • Full Guideline (PDF 632K) • Patient Guide (PDF 34K)

- P -

Palliative Care	Palliative Care for the Patient with Incurable Cancer or Advanced Disease - Part 1: Approach to Care • Full Guideline (PDF 1.3M) • Appendix A: Palliative Performance Scale (PDF 230K) • Appendix B: Possible Investigations and Interventions (PDF 206K) • Appendix C: Edmonton Symptom Assessment System (ESAS) (PDF 364K) • Appendix D: Indications for Referral to a Specialist (PDF 217K) • Appendix E: Cancer Management Flow Sheet (PDF 211K) • Appendix F: Contents of typical home drug kit & medications that may be given by SC route (PDF 211K)
Pharyngitis	Sore Throat - Diagnosis and Management • Full Guideline (PDF 240K) • Patient Guide (PDF 118K)
Physical Inactivity	Obesity, Overweight, and Physical Inactivity • Full Guideline (PDF 632K) • Patient Guide (PDF 34K)
Pre-operative testing	Electrocardiograms • Full Guideline (PDF 74K) Preoperative Testing • Full Guideline (PDF 109K)
Pulmonary disease, chronic obstructive	Chronic Obstructive Pulmonary Disease (COPD) • Full Guideline (PDF 850K) • Summary (PDF 237K) • Appendix A - Patient Care Flow Sheet (PDF 166K) • Appendix B - Prescription Medication Table for Chronic Obstructive Pulmonary Disease (COPD) (PDF 225K) • Appendix C - Medical Indications for Home Oxygen for Stable COPD Patients (PDF 157K) • Appendix D - COPD Flare-up Action Plan (PDF 162K) • Appendix E - Antibiotic Treatment Recommendations for Acute Exacerbations of COPD (AECOPD) (PDF 174K) • COPD - A Guide for Patients (PDF 176K) A PDA version of this guideline is also available at www.Clinipearls.ca/BCGuidelines

- R -

Rheumatoid arthritis

Rheumatoid Arthritis- Diagnosis and Management
• Full Guideline (PDF 252K)
• Summary (PDF 140K)
• Patient Guide (PDF 153K)

A PDA version of this guideline is also available at www.Clinipearls.ca/BCGuidelines

- S -

Sleep disorders	Sleep Apnea - Assessment and Management of Obstructive Sleep Apnea in Adults • Full Guideline (PDF 250K) Sleep Complaints in Adults - Primary Care Management • Full Guideline (PDF 131K)
STDs	Office and Laboratory Management of Genital Specimens • Full Guideline (PDF 196K) Below is a link to the BCCDC treatment guideline on Sexually Transmitted Infections in Adolescents and Adults, for information: http://www.stiresource.com/brochures/pdfs/STI%20Quick%20Reference.pdf
Stool specimens	Infectious Diarrhea - Guideline for Ordering Stool Specimens • Full Guideline (PDF 209K) • Summary (PDF 207K) • Algorithm for the Investigation of Infectious Diarrhea (PDF 124K)
Stool Testing	The "Investigation of Suspected Infectious Diarrhea" and the "Ova and Parasite Testing of Stool Samples" guidelines have been withdrawn and replaced by the new guideline: "Infectious Diarrhea – Guideline for Ordering Stool Specimens"
Stroke and Transient Ischemic Attack	Stroke and Transient Ischemic Attack - Management and Prevention • Full Guideline (PDF 959K) • Summary (PDF 180K) • Appendix A: Stroke Risk Assessment in Atrial fibrillation: CHADS2 Score (PDF 154K) • Appendix B: Cincinnati Stroke Scale (PDF 249K) • Appendix C: Stroke Medication Table (PDF 142K) • Appendix D: TIA/Stroke Discharge Summary to Family Physicians (PDF 152K) • Appendix E: TIA Patient Discharge Instruction (PDF 143K) • Appendix F: A Guide for Patients (PDF 148K)

- T -

T3, T4, TSH	Thyroid Function Tests in the Diagnosis and Monitoring of Adults • Full Guideline (PDF 259K)
Throat, sore	Sore Throat - Diagnosis and Management • Full Guideline (PDF 240K) • Patient Guide (PDF 118K)
Thyroid disease, testing	Thyroid Function Tests in the Diagnosis and Monitoring of Adults • Full Guideline (PDF 259K)
Thyroxin replacement therapy	Thyroid Function Tests in the Diagnosis and Monitoring of Adults • Full Guideline (PDF 259K)

- U -

Urinary tract infection, investigation

Macroscopic and Microscopic Urinalysis and the Investigation of Urinary Tract Infections
• Full Guideline (PDF 156K)

- V -

Viral testing, hepatitis

Hepatitis - Viral Hepatitis Testing
• Full Guideline (PDF 248K)

A PDA version of this guideline is also available at www.Clinipearls.ca/BCGuidelines

- W -

Warfarin therapy, initiation and maintenance	Warfarin Therapy - Initiation and Maintenance • Full Guideline (PDF 172K) • Patient Record Sheet (PDF 109K) • Patient Guide (PDF 93K)
Warfarin therapy, management during invasive procedures and surgery	Warfarin Therapy - Management During Invasive Procedures and Surgery • Full Guideline (PDF 150K) • Patient Guide (PDF 93K)
Warfarin, treatment for overanticoagulation	Warfarin Therapy - Overanticoagulation Treatment • Full Guideline (PDF 112K) • Patient Guide (PDF 93K)

- X -

X-ray of ankle, following injury

Ankle Injury - X-Ray for Acute Injury of the Ankle or Mid-Foot
• Full Guideline (PDF 162K)
• Figure 1: Zones of the ankle and mid-foot (PDF 166K)

Disclaimer

The Clinical Practice Guidelines (the "Guidelines") have been developed by the Guidelines and Protocols Advisory Committee on behalf of the Medical Services Commission. The Guidelines are intended to give an understanding of a clinical problem, and outline one or more preferred approaches to the investigation and management of the problem. The Guidelines are not intended as a substitute for the advice or professional judgment of a health care professional, nor are they intended to be the only approach to the management of clinical problems.

PDF Format

Some documents on this Web site are in PDF format and require a PDF reader. If you do not have Adobe Acrobat Reader Version 7.0 or the most recent version of another PDF reader, you can download Adobe Acrobat Reader by clicking on the 'Get Adobe Reader' icon.



Last Revised: June 30, 2010