Successful symptom-based management of active withdrawal from multiple illicit benzodiazepines.

Benzodiazepines are among the most often misused medications. Medication tapering is required to prevent lethal withdrawal symptoms associated with abrupt cessation. The authors report a case of a male in his early 20s who presented following a seizure precipitated by the abrupt cessation of multiple illicit substances.

Pilot of interactive texting for diabetes self-management education and support.

Background: Controlling type 2 diabetes requires medication adherence, monitoring blood sugar, weight management, and dietary and physical activity behaviors. Estimates link a 1% reduction in hemoglobin A1c (HbA1c) to up to a 40% decrease in complications. Accessible supports for self-management behaviors can help increase adherence and lower HbA1c.

Substernal multinodular goiter resulting in superior vena cava syndrome and tracheal compression.

A woman in her early 70s presented to the family medicine clinic with shortness of breath and an inability to lie flat for several months. When lying flat or on lifting her arms above her head, her face would turn bright red and she felt lightheaded. The patient also had hair loss and skin colour changes of the upper extremities.