Thursday, April 02, 2015

Quick Mobile Medical Dx with the Access Medicine App

The Access Medicine App is now available to UMHS faculty and students for your mobile devices.

This resource contains four of the key diagnostic resources that are in Access Medicine:
  •  Quick Medical Dx & Rx
  •  Fitzpatrick's Color Atlas of Clinical Dermatology
  •  Diagnosaurus 
  •  Diagnostic Tests
Steps to set up on your mobile: 
  1. Download the App to your device.
  2. Using a browser on your device, navigate to the Access Medicine website
  3. Sign in with your personal login.
  4. Minimize this screen and now open the App
  5. Sign into the App with your personal login.
  6. It will take a minute to download and then you are go to go!
 If you need further assistance with your set up please contact the library.
 Enjoy!

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Friday, November 21, 2014

Diagnosaurus (DDx) Comes to UMHS

"Diagnosaurus provides differential diagnoses (DDx) of symptoms, signs, and diseases. By using the various indexes, you can choose to view entries by organ system, or select to view the list of symptoms only, the list of diseases only, or all of the entries. For example, if you wish to review the causes of a patient's chief complaint, simply select the symptom or sign from the alphabetical listing. If you have made a diagnosis and wonder what other disorders to consider, select your diagnosis from the list to see its DDx."

Access from the Anne Ross Library Home page by clicking on 'AccessMedicine' and logging in using the UMHS generic login, and/or then your personal UMHS MyAccess login.

"In medicine, the terms "differential diagnosis" and "etiology" often overlap. They are sometimes distinct and sometimes synonymous. In Diagnosaurus, "DDx" is generally used when either term can apply. However, many entries have both an etiology list and a DDx. In these cases, the etiologies are the possible causes of the condition, while the DDx is the list of alternative diagnoses. For consistency, etiology is always listed before DDx. A few entries also have a list of "associated conditions" or "types."
Note that every entry is linked to related entries by way of the "See Related DDx" feature. For example, while viewing the DDx of psoriasis, you may wish to see the related DDx of scaly lesions. This feature also helps label a patient's presenting syndrome and thus leads you to the best differential diagnosis. In the example above, if the rash reminds you of psoriasis, you might start with the psoriasis entry and then link to the differential diagnosis of scaly lesions."


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Tuesday, September 10, 2013

Isabel Provides Diagnostic Medical Decision Support for UMHS Medical Students

The Anne Ross Library at  UMHS is please to be trialing EBSCO's new clinical point-of-care diagnostic database called Isabel.
"Isabel is a web-based, Diagnosis Checklist System designed to assist clinicians that may have diagnostic doubt or want reassurance on a particular diagnosis. Isabel provides a practical and dynamic diagnosis checklist within the normal workflow either as a standalone tool or fully integrated with the Electronic Medical Record (EMR). Isabel enhances the diagnostic determination process by complimenting the expertise of the clinician, minimizing risk at the most important decision point in the care process."
The evidence shows that the most effective way for clinicians to improve the quality and speed of diagnosis is for them to work up a comprehensive hypothesis or list of likely diagnoses for their patient. The Isabel clinical decision support tool enables them to do this at the point of care and operates 'hand in glove' with DynaMed and Medline Complete.
"Recent studies have proven that clinicians who 'Isabel' their patients at an early stage are able to substantially reduce clinical risk by ensuring that important possible diagnoses have not been missed." "In a recent study in the UK, physicians using Isabel found that in 29% of their cases they no longer needed to refer, 36% said they referred more appropriately, and their overall referral rate decreased by 15%."

Access via the Library Home Page with your EBSCO login.

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Thursday, September 29, 2011

The Enduring Aura of the Stethoscope

Christopher Snowbeck for Pioneer Press recently authored an interesting article called "Vital signs strong for 3M's stethoscope business". [09/23/2011]
The article gathers some interesting observations regarding this iconic diagnostic tool:
"If you ask anybody walking down the street - 'What is the one piece of equipment that identifies someone as a physician?' - easily 90 percent will say it's the stethoscope."
Yet "Cardiac auscultation - the technical term for using a stethoscope to hear heart sounds and make diagnoses - is 'a skill in decline' lamented heart experts writing last year in the British Journal of Cardiology."
"I would say there's definitely been a reduction in the amount of training for auscultation," said Dr. Robert Wilson, a cardiologist at the University of Minnesota. "But at the same time, it's also probably less important. We have all these other tests now."
However it seems the manufacturers of stethoscopes are not about to go away quietly, but point to their newer electronic stethoscopes, and a long line of other innovations designed to make the classic doctor's tool more functional than ever.
Click on post title then search website to retrieve full article .

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