Clinical Decisions Made Easier BMJ Best Practice. 2014.

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Transcript of Clinical Decisions Made Easier BMJ Best Practice. 2014.

Clinical Decisions Made EasierBMJ Best Practice . 2014

Content

• Clinical decision support Tool• Structured around the patient consultation with advice on symptom evaluation,

test ordering and treatment approach • Includes over 10,000 diagnoses in Assessments and Differential Diagnosis to

help clinicians answer questions quickly• Provides NICE Guidelines and allows for adding of institutional guidelines

locally • Integrated evidence from Clinical Evidence• Critical prescribing information with links to Martindale• Patient support leaflets

What is BMJ Best Practice?

Content

• The Condition Topics• Provides comprehensive information on a specific condition or group of conditions

3 Key Topic Types

Content

• The Assessment Topics• How to evaluate a symptom (e.g., chronic cough)• Clinical finding (e.g., peripheral oedema)• Diagnostic test finding (e.g., metabolic acidosis)

3 Key Topic Types

Content

• The Overview Topics• Provides an overview of a category of conditions

3 Key Topic Types

A Case Example

A Case Example

•A 70-year-old man is discovered by a family member to have difficulty speaking and extreme balance difficulty.

•The family member brings him to you in the Emergency Ward.

•He was last known to be fully functional 1 hour ago when the family member spoke to him by phone. There is a history of treated hypertension and diabetes.

•How should you proceed with assessing and managing this patient?

Clinical Question

A Case Example

Where to begin? - Symptom Searching

A Case Example

Find your results

A Case Example

Assessment Details

A Case Example

Differential Diagnosis

A Case Example

Condition Details

A Case Example

Diagnosis – History & Examination

A Case Example

Diagnosis – Tests

A Case Example

Diagnosis – Step-by-Step

A Case Example

Treatment – Ordered by Patient Group

A Case Example

Treatment – Links to Martindale

A Case Example

Step-by-Step – Supported by Evidence

A Case Example

Step-by-Step – Supported by Evidence

Other Features

Other Features

Images for reference

Other Features

Using BP on your mobile devices• Available on Android and Apple Devices

BMJ Publishing Group Limited 2013. All rights reserved.

Web: bestpractice.bmj.comEmail: [email protected]

Thank You

A 30-year-old woman presents with Raynaud's phenomenon.

Which one of the following clinical features suggests an underlying connective tissue disease?

1. Episodes lasting in excess of one hour2. Involvement of toes3. One previous miscarriage in early pregnancy 4. Symmetrical involvement of fingers 5. Symptoms developed as a teenager

You can find the answer in our Raynaud's phenomenon monograph.

Pop Quiz 1

Which of the following is not a recognised effect of chronic cocaine abuse?

1. Hallucinations2. Hypersomnia3. Hyponatraemia4. Severe anxiety and paranoid ideation5. Sexual dysfunction in men

You can find the answer in our Cocaine abuse monograph.

Pop Quiz 2