Thursday, April 29, 2010

ScienceRoll Medical Search Engine

ScienceRoll Medical Search Engine is a personalized site by Bertalan Meskó who, with the help of Polymeta.com has created a well structured medical search database.

Search multiple sites at once including PubMed, e-Medicine, ClinicalTrials, CDC, and MedScape, and easily choose only the sites you want to search.

National Guideline Clearinghouse: If you want guidelines, they probably have it!

National Guideline Clearinghouse

The National Guideline Clearinghouse™ (NGC) is a comprehensive database of evidence-based clinical practice guidelines and related documents. NGC is an initiative of the Agency for Healthcare Research and Quality (AHRQ), U.S. Department of Health and Human Services.

The NGC mission is to provide physicians, nurses, and other health professionals, health care providers, health plans, integrated delivery systems, purchasers and others an accessible mechanism for obtaining objective, detailed information on clinical practice guidelines and to further their dissemination, implementation and use.

Browse

MedicalSpanish.com


MedicalSpanish.com provides both courses for purchase and free resources.

Free Learning Resources

Courses for Purchase(currently 25% off)

pogoe: Portal of Geriatric Online Education


The Portal of Geriatric Online Education (POGOe) is a free public repository of a growing collection of geriatric educational materials in various e-learning formats, including lectures, exercises, virtual patients, case-based discussions, simulations, as well as links to other resources.

Funded by the Donald W. Reynolds Foundation, POGOe is managed by Mount Sinai School of Medicine, Department of Geriatrics and Adult Development, on behalf of the Association of Directors of Geriatric Academic Programs (ADGAP). The site is a partnership between Mount Sinai and Vanderbilt University School of Medicine, Departments of Biomedical Informatics and Division of Geriatrics.

Library of Resources

End of Life/Palliative Care Fast Facts from EPERC


EPERC: End of Life/Palliative Education Resource Center
offers Fast Facts and Concepts, concise, practical, peer-reviewed, and evidence-based summaries on key topics important to clinicians and trainees caring for patients facing life-limiting illnesses.

Fast Facts are designed to be easily accessible and clinically relevant monographs on palliative care topics. They are intended to be quick teaching tools for bedside rounds, as well as self-study material for health care professional trainees and clinicians who work with patients with life-limiting illnesses.

What's New

# 229 Seizure Management in the Dying Patient

This Fast Fact reviews management strategies for seizures near the end of life.

# 228 Tapentadol

Tapentadol is a novel analgesic, with a 50 mg dose similar in efficacy to 10 mg of oxycodone.

# 227 The Family Meeting: End of Life Goal Setting and Future Planning

This Fast Fact discusses an approach to goal setting when the expected length of life is short.

# 226 Helping Surrogates Make Decisions

This Fast Fact reviews an approach to help surrogates through the decision process when patients cannot participate in decision-making themselves.

More Fast Facts

Fast Facts Blog

Antibiotic Guide From Johns Hopkins: ABX Guide

Johns Hopkins Antibiotic Guide

Launched in 2000, the ABX Guide is a state-of-the-art resource for diagnosing, managing and treating infectious diseases. It has become a popular infectious disease resource in the field with more than 350,000 registered users--half of whom download the application to their PDA devices.

Download the ABX Guide to your handheld device

  • ABX Guide is available for download through SKYSCAPE
  • All handheld, mobile devices are supported including Palm, PocketPC, BlackBerry® and iPhone.
  • 24x7 technical support from Skyscape.
  • Mac and PC compatible.
  • New "Table Viewer" allows users to easily and conveniently scroll through tables on their mobile devices.

Tuesday, April 27, 2010

New Clinical Practice Guidelines for Clostridium difficile Infection in Adults


The Society for Healthcare Epidemiology of America is offering access to the new
Clinical Practice Guidelines for Clostridium difficile Infection in Adults
SHEA/IDSA
ICHE May 2010

This guideline is designed to improve the diagnosis and management of Clostridium difficile infection (CDI) in adult patients. A case of CDI is defined by the presence of symptoms (usually diarrhea) and either a stool test positive for C. difficile toxins or toxigenic C. difficile, or colonoscopic or histopathologic findings revealing pseudomembranous colitis. In addition to diagnosis and management, recommended methods of infection control and environmental management of the pathogen are presented. The recommendations are based on the best available evidence and practices, as determined by a joint Expert Panel appointed by SHEA and the Infectious Diseases Society of America (IDSA) (the SHEA‐IDSA Expert Panel). The use of these guidelines can be impacted by the size of the institution and the resources, both financial and laboratory, available in the particular clinical setting.

Thursday, April 22, 2010

National Institute on Drug Abuse Resources for Clinicians


NIDA: National Insitute on Drug Abuse, has resources for Medical Clinicians including:


Related Post:
Street Names of Commonly Abused Drugs
Vintage 1970's Chart of Common Drugs and Narcotics

STD Treatment Resources from the CDC

April is STD Awareness Month.



The CDC has a resource page on Sexually Transmitted Diseases with resources such as:

Treatment Guidelines
Fact Sheets
STD Clinical Slides
Training
Publications

Also includes Treatment Updates such as this one:
Update March 4, 2010
The FDA has indicated that the erythromycin ophthalmic ointment shortage has been resolved. Erythromycin ophthalmic ointment (0.5%) is the only CDC recommended therapy for prophylaxis of ophthalmia neonatorum available in the United States. The alternative recommended therapies suggested during the shortage should no longer be used. Providers are strongly encouraged to locate and obtain erythromycin ophthalmic ointment. For current information regarding the availability of this product, see the FDA website at http://www.fda.gov/Drugs/DrugSafety/DrugShortages/ucm050793.htm.

Related Post:
Just Ask! Communicating with Patients about STD's

Thursday, April 15, 2010

Merck Medicus: Free Access to Merck Manual and More

The Merck Manual Professional Edition is a manual of diagnosis and treatment. Merck provides the content of these Merck Manuals on the web for free (visit www.merckmanuals.com). Registration is not required, and use is unlimited. The web publications are continuously updated to ensure that the information is as up-to-date as possible.

In 1899, the American drug manufacturer Merck & Co. first published a small book titled Merck's Manual of the Materia Medica. It was meant as an aid to physicians and pharmacists, reminding doctors that “Memory is treacherous.” Compact in size, easy to use, and comprehensive, The Merck Manual (as it was later known) became a favorite of those involved in medical care and others in need of a medical reference. Even Albert Schweitzer carried a copy to Africa in 1913, and Admiral Byrd carried a copy to the South Pole in 1929.




Merck offers Merck Medicus, to qualified health professionals in the United States with registration. Additional resources include Harrison's, access to PDA applications, and full text journals.

NOTE: By providing your information and clicking on the Register button, you agree that Merck, the companies with whom Merck collaborates to jointly offer products and services, and the companies working on their behalf may contact you via email regarding product information, site enhancements, special offers, educational opportunities, additional resources, programs and information about Merck.

For purposes of this consent, you can manage your contact preferences, including a request not to be contacted by e-mail, by clicking Edit My Info from the MerckMedicus home page upon sign in.

Thursday, April 8, 2010

Clinical Cases Online

Clinical Cases and Images is a useful resource that brings together various pearls of medical wisdom and aims to bridge the gap between clinical theory and practice.

Learn by reading case studies, such as this one about an 84 year old woman admitted for COPD exacerbation: http://clinicalcases.blogspot.com/2004/02/copd-vs-chf-exacerbation.html

And these cases are in test format:
Anemia with hemoglobin 4.2 mg/dL. What is the cause?

Shortness of breath and diffuse ground glass pattern on CT of the chest. What is the cause?

Abdominal pain in a 93-year-old male. What is the cause?

Elderly female with CHF complains of abdominal pain, nausea and vomiting, dizziness, and confusion for 5 days. What is the cause?

Most of the contributors to the web site are physicians at Cleveland Clinic or Case Western Reserve University (St. Vincent/St. Luke) Internal Medicine Residency Program (the blog web site is maintained by Dr. Dimov alone).

Related Posts on Pearls:

Current Psychiatry Online Pearls
PURL's from Journal of Family Practice
Tips on Prescribing for Walmart
Neurology E-Pearls of the Week
CT is Us: Radiology Pearls

Finding Free Articles in PubMed

PubMed does have some free full text articles, and the following screens show the places to look to see if an article is free:

In PubMed results, in the default Summary display format, the "Free article" link under a citation indicates that free full text of the article is available (Figure 1).

The "Free article" link opens the citation in Abstract display where users can choose icon links to the full text (Figure 2).


Additional access to other free full text articles (if available) also appears on the search results screen (Figure 3). The "Free Full Text" filter in the upper right narrows the search results to only citations with free full text. Also, free full text articles in PubMed Central are indicated.
TIP: Sometimes articles are no longer on the publisher's website but will still be in PubMed Central.


Information from NLM's FAQ.

Medical Images from Hardin MD on your mobile device

Hardin MD Gallery Collections are going mobile. Hardin MD Mobile makes it easier to see the medical images in their entirety on a mobile screen. The first collection to mobile:

Free public-domain galleries

Images include many skin manifestations, such as scabies, measles, thrush, and psoriasis.

Thursday, April 1, 2010

Patient Education Search Engine

Check out this custom search engine for Patient Education Handouts by David Rothman. This (recently re-created) Custom Search Engine searches authoritative and trusted consumer health information and patient education resources recommended by the U.S. National Library of Medicine and/or by CAPHIS (the Consumer and Patient Health Information Section of the Medical Library Association).

Consumer Health and Patient Education Information Search Engine