assessing

Report
Clinical Decisions Made Easier
BMJ Best Practice . 2014
Content
What is BMJ Best Practice?
• 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
Content
3 Key Topic Types
• The Condition Topics
• Provides comprehensive information on a specific condition or group of
conditions
Content
3 Key Topic Types
• 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)
Content
3 Key Topic Types
• The Overview Topics
• Provides an overview of a category of conditions
A Case Example
A Case Example
Clinical Question
•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?
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
Thank You
Web: bestpractice.bmj.com
Email: [email protected]
BMJ Publishing Group Limited 2013. All rights reserved.
Pop Quiz 1
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 hour
2. Involvement of toes
3. 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 2
Which of the following is not a recognised effect of chronic cocaine abuse?
1. Hallucinations
2. Hypersomnia
3. Hyponatraemia
4. Severe anxiety and paranoid ideation
5. Sexual dysfunction in men
You can find the answer in our Cocaine abuse monograph.

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