■ Testicular torsion
M Keays, H Rosenberg
CMAJ 2019, vol 191 (28): E792
1 – Testicular torsion occurs primarily in pubertal boys and Young men
2 – Testicular torsion should be considered in patients with acute testicular pain or lower abdominal pain
3 – Testicular torsion accounts for a minority of cases of acute scrotum
4 – Doppler ultrasography is the modality of choice for diagnosis
5 – Testicular torsion is a surgical emergency
https://www.cmaj.ca/content/191/28/E792
■ Mycoplasma genitalium infection
A E Singh, A L Labbé, U Auguste
CMAJ 2019, vol 191 (4): E10
1 – Mycoplasma genitalium infection is an emergente, sexually transmitted infection (STI) that causes similar manifestations to gonorrhea and chlamydia
2 – Mycoplasma genitalium infection is common worldwide
3 – Routine testing for Mycoplasma genitalium infection is not recommended
4 – Treatment options for Mycoplasma genitalium infection are limited by antimicrobial resistance
5 – Sexual partners should be treated with the same therapy as the index case
https://www.cmaj.ca/content/191/4/E103
■ Marijuana and fertility
S Ilnistsky, S Van Uum
CMAJ 2019, vol 191 (23): E638
1 – Tetrahydrocannabinol acts on the endocannabinoid system, wihich is ubiquitous in reproductive tissues
2 – Marijuana use can decrease sperm count
3 – Marijuana use may delay or inhibit ovulation
4 – For most couples, smoking marijuana does not affect their ability to conceive, but for couples with subfertiligy or infertility, it could be a contributing fator
5 – More and better-quality research on the fertiligy implications of recreational marijuana use is needed
https://www.cmaj.ca/content/191/23/E638
■ Transgender-inclusive care
J S H Lam and A Abramovich
CMAJ 2019, vol 191 (18) E505
1 – Population studies estimate that 0,5% of adults (about 25 million people worldwide) identify as transgender
2 – Medical guidelines on providing care for transgender individuals have been published
3 – Trangender men with a cérvix are less likely than cisgender women to have up-to-date Papanicolau screening
4 – Fertility preservation should be discussed with transgender individuals before starting therapy
5 – Transgender individuals should be asked about suicidality and their mental health
https://www.cmaj.ca/content/191/3/E79
■ Foreskin care in childhood
R McLarty and D Kiddoo
CMAJ 2019, vol 191 (13): E365
1 – Rate of neonatal circumcision are declining in Canada
2 – Physiologic phimosis decreases with age
3 – Retraction of physiologic phimosis should not be forced
4 – Routine foreskin care can prevent problems
5 – Physiologic phimosis with complication or pathologic phimosis should prompt treatment
https://www.cmaj.ca/content/191/13/E365
■ Dr Paulo Fernando Leite
Cardiologia/Prevenção Cardiovascular
Estratificação de Risco Cardiovascular
Consultório: Rua Padre Rolim 815/sala 601
Tel: 33245518
CRMMG: 7026
Email: pfleite1873@gmail.com
Data: Fev 2020