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

- A -

Acute chest pain Chest Pain - Evaluation of Acute Coronary Syndromes
Full Guideline (PDF 192K)
Anaemia and iron deficiency Investigation and Management of Iron Deficiency
Full Guideline (PDF 180K)
Ankle injury and x-rays Ankle Injury - X-Ray for Acute Ankle Injury
Full Guideline (PDF 179K)
Antiepileptic drug measurement Antiepileptic Drug Concentration Measurement in Adults

This guideline has been discontinued and removed from the web site www.BCGuidelines.ca

The guideline has been deleted as part of an ongoing process to maintain the currency of the guidelines and to focus on the core guidelines that are frequently accessed.

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)
Arthritis, rheumatoid Rheumatoid Arthritis: Diagnosis and Management
Full Guideline (PDF 251K)
Summary (PDF 118K)
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 242K)
Patient Guide (PDF 82K)

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 to Adult Patients
Full Guideline (PDF 85K)
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

Bone scans in prostate cancer Metastatic Bone Disease - Investigation in Newly Diagnosed Prostate Cancer Using Nuclear Medicine Techniques

This guideline has been discontinued and removed from the web site www.BCGuidelines.ca

The guideline has been deleted as part of an ongoing process to maintain the currency of the guidelines and to focus on the core guidelines that are frequently accessed.

Bone scans in suspected osteomyelitis Osteomyelitis - Investigation of Suspected Osteomyelitis in Normal Bone Using Nuclear Medicine Techniques

This guideline has been discontinued and removed from the web site www.BCGuidelines.ca

The guideline has been deleted as part of an ongoing process to maintain the currency of the guidelines and to focus on the core guidelines that are frequently accessed.

- C -

Cardiovascular Cardiovascular Disease - Primary Prevention
Full Guideline (PDF 820K)
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 Chest Pain - Evaluation of Acute Coronary Syndromes
Full Guideline (PDF 192K)
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 808K)
Patient Guide (PDF 227K)
Chronic obstructive pulmonary disease (COPD) Chronic Obstructive Pulmonary Disease (COPD)
Full Guideline (PDF 344K)
Summary (PDF 119K)
Appendix A - Antibiotic treatment recommendations for acute exacerbations of COPD (AECOPD) (PDF 27K)
Appendix B - Medical Indications for Home Oxygen (PDF 37K)
Patient Guide (PDF 134K)

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 131K)
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 387K)
Summary (PDF 131K)
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 145K)

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 131K)
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, diagnosis and management 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 446K)
Summary (PDF 118K)
Flow Sheet (PDF 152K)
Patient Guide (PDF 147K)

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

Diarrhea Diarrhea - Investigation of Suspected Infectious Diarrhea
Full Guideline (PDF 93K)
Dyspepsia Dyspepsia - Clinical Approach to Adult Patients
Full Guideline (PDF 102K)

Helicobacter pylori Infection Detection - Treatment in Adult Patients
Full Guideline (PDF 165K)

- 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)
Endoscopy and dyspepsia Dyspepsia - Clinical Approach to Adult Patients
Full Guideline (PDF 102K)
Endoscopy and GERD Gastroesophageal Reflux Disease - Clinical Approach to Adult Patients
Full Guideline (PDF 85K)
Epilepsy therapy, antiepileptic drug measurement Antiepileptic Drug Concentration Measurement in Adults

This guideline has been discontinued and removed from the web site www.BCGuidelines.ca

The guideline has been deleted as part of an ongoing process to maintain the currency of the guidelines and to focus on the core guidelines that are frequently accessed.

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 Ankle Injury
Full Guideline (PDF 179K)

- 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

Gastric ulcer Helicobacter pylori Infection Detection - Treatment in Adult Patients
Full Guideline (PDF 165K)
Gastroesophageal reflux disease (GERD) Gastroesophageal Reflux Disease - Clinical Approach to Adult Patients
Full Guideline (PDF 85K)
Gastroscopy Helicobacter pylori Infection Detection - Treatment in Adult Patients
Full Guideline (PDF 165K)
Genital specimens Genital Specimens - Office and Laboratory Management
Full Guideline (PDF 196K)

- H -

H pylori and dyspepsia Dyspepsia - Clinical Approach to Adult Patients
Full Guideline (PDF 102K)

Helicobacter pylori Infection Detection - Treatment in Adult Patients
Full Guideline (PDF 165K)
Heart Failure Care Heart Failure Care
Full Guideline (PDF 387K)
Summary (PDF 131K)
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 145K)

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

Hematuria, persistent microscopic Hematuria - Microscopic Hematuria (Persistent)
Full Guideline (PDF 169K)
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 754K)
Summary (PDF 138K)
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 180K)
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 Identification, Evaluation and Management of Patients with Chronic Kidney Disease
Full Guideline (PDF 808K)
Patient Guide (PDF 227K)

- 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 -

Macroscopic urinalysis Urinary Tract Infections - Macroscopic and Microscopic Urinalysis and Investigation of Urinary Tract Infections
Full Guideline (PDF 192K)
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 169K)
Microscopic urinalysis Urinary Tract Infections - Macroscopic and Microscopic Urinalysis and Investigation of Urinary Tract Infections
Full Guideline (PDF 192K)

- O -

Obesity Obesity, Overweight, and Physical Inactivity
Full Guideline (PDF 632K)
Patient Guide (PDF 34K)
Osteomyelitis and bone scans Osteomyelitis - Investigation of Suspected Osteomyelitis in Normal Bone Using Nuclear Medicine Techniques

This guideline has been discontinued and removed from the web site www.BCGuidelines.ca

The guideline has been deleted as part of an ongoing process to maintain the currency of the guidelines and to focus on the core guidelines that are frequently accessed.

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, acute Otitis Media - Acute
Full Guideline (PDF 162K)
Otitis Media, with effusion Otitis Media with Effusion (OME)
Full Guideline (PDF 111K)
Ova and parasites in stool Ova and Parasite Testing of Stool Samples
Full Guideline (PDF 89K)
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 -

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)
Prostate cancer and bone scans Metastatic Bone Disease - Investigation in Newly Diagnosed Prostate Cancer Using Nuclear Medicine Techniques

This guideline has been discontinued and removed from the web site www.BCGuidelines.ca

The guideline has been deleted as part of an ongoing process to maintain the currency of the guidelines and to focus on the core guidelines that are frequently accessed.

Pulmonary disease, chronic obstructive Chronic Obstructive Pulmonary Disease (COPD)
Full Guideline (PDF 344K)
Summary (PDF 119K)
Appendix A - Antibiotic treatment recommendations for acute exacerbations of COPD (AECOPD) (PDF 27K)
Appendix B - Medical Indications for Home Oxygen (PDF 37K)
Patient Guide (PDF 134K)

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 251K)
Summary (PDF 118K)
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)
Stool testing Investigation of Suspected Infectious Diarrhea
Full Guideline (PDF 93K)

Ova and Parasite Testing of Stool Samples
Full Guideline (PDF 89K)

- T -

T3, T4, TSH Thyroid Disease - Thyroid Function Tests in the Diagnosis and Monitoring of Adults
Full Guideline (PDF 187K)
Throat, sore Sore Throat - Diagnosis and Management
Full Guideline (PDF 240K)
Patient Guide (PDF 118K)
Thyroid disease, testing Thyroid Disease - Thyroid Function Tests in the Diagnosis and Monitoring of Adults
Full Guideline (PDF 187K)
Thyroxin replacement therapy Thyroid Disease - Thyroid Function Tests in the Diagnosis and Monitoring of Adults
Full Guideline (PDF 187K)

- U -

Urinalysis Urinary Tract Infections - Macroscopic and Microscopic Urinalysis and Investigation of Urinary Tract Infections
Full Guideline (PDF 192K)
Urinary tract infection, investigation Urinary Tract Infections - Macroscopic and Microscopic Urinalysis and Investigation of Urinary Tract Infections
Full Guideline (PDF 192K)

- 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 Ankle Injury
Full Guideline (PDF 179K)

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.

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