The Bedford Murder; An Evidence-Based Clinical Mystery

by Godwin & Hodgetts

• ISBN13: 9781560535652
• ISBN10: 1560535652
• Format: Paperback
• Copyright: 2003-05-01
• Publisher: Hanley & Belfus

Summary

As a family physician in the town of Bedford, you see a lot of interesting clinical cases, especially among the influential Savoy and Sampson families. When Nick Sampson disappears and a body turns up with connections to Nick, you are drawn into the case. As you are challenged to use an evidence-based approach in managing the wide variety of clinical cases you encounter in Bedford, the cases in turn provide evidence for solving the murder mystery. At once a thrilling, interactive mystery novel and a wonderful guide for incorporating evidence-based medicine into practice, The Bedford Murder is unlike any book you will ever read. Employs a truly unique approach: an actual murder mystery that is also a clinical text on evidence-based clinical practice The physician-detective, who is also, essentially, the reader, is presented with an ongoing stream of patient visits exhibiting a wide range of common medical problems and disorders requiring diagnosis and treatment Each clinical encounter is followed by a number of clinical questions that arise from it The text is evidence-based and designed around EBM principles The book has been accredited by the College of Family Physicians of Canada for MAINPRO-C credits in Canada. An attractive 2-color design highlights key areas in coverage Great reading!

Table of Contents

Family Tree and Character List	p. v
Preface	p. ix
Prelude	p. xi
Cecilia's Distress (Diabetes Mellitus)	p. 1
Intensity of glucose control in diabetes
Anxiety, insomnia, and benzodiazepines
Effect of stress on glucose levels
Joanne's Fear (Pregnancy)	p. 11
Vaginal birth after cesarean section
Bacterial vaginosis in pregnancy
Asymptomatic bacteriuria in pregnancy
Alexander's Secret (Hypertension)	p. 25
Thiazides in hypertension
Biochemical monitoring when taking statin drugs
Calculating cardiovascular risk
When is ramipril indicated?
Effect of life stress on blood pressure readings in the office
Smoking cessation counseling during times of life stress
Nancy's Dilemma (Oral Contraceptives)	p. 39
Third-generation progestins and risk of thrombosis
Prevalence of asymptomatic vaginal infection
Pierre's Lie (Ankle Injury)	p. 43
Usefulness of Ottawa Ankle Rules
Microorganisms in cellulitis from a rusty nail
Cecil Starkes (Hematuria)	p. 47
Likelihood of pathology with asymptomatic hematuria
Usefulness of ultrasound in asymptomatic hematuria
(Bracken Library, Kingston)	p. 53
Beatrice's Grief (Hypothyroidism)	p. 57
Effect of excess thyroid replacement on cardiovascular risk
Predictors of abnormal grief reactions
Aunt Joan's Rumor (Congestive Heart Failure)	p. 65
Adding an ACE inhibitor to well-controlled CHF
Predictors of 5-year outcome in CHF
Fitz (Ischemic Heart Disease)	p. 71
Target blood pressures in high-risk coronary artery disease
Target lipid levels in high-risk coronary artery disease
Cecilia's Gratitude (Diabetes Mellitus)	p. 79
Blood pressure control in diabetes mellitus
Alexander's Quest (Hypertension)	p. 83
Relative importance of cholesterol and triglycerides on cardiovascular disease
Joanne's Keys (Pregnancy)	p. 87
Risk of vitamin A in pregnancy
John Hagarty (Tennis Elbow)	p. 93
Effectiveness of local corticosteroid injection in tennis elbow
(The Bedford Family Medicine Clinic)	p. 99
Dr. Sharpe's Dilemma (Gonorrhea)	p. 103
Progression of asymptomatic gonorrhea
Concurrence of HIV and hepatitis C with gonorrhea
Fitz's Worse Fear (Angina)	p. 107
Prognosis with angina 2 years after coronary artery bypass surgery
Robert's Connections (Testicular Lump)	p. 113
Prognostic features of a testicular lump
Usefulness of ultrasound in diagnosing a testicular lump
Gemma and Her Dad (Urinary Tract Infection and Colorblindness)	p. 119
Accuracy of urine nitrates in correctly diagnosing UTI
Adhesive urine specimen collectors in children
Need to investigate children with UTIs
Does colorblindness affect ability to drive?
Simon Werston (Gastroesophageal Reflux)	p. 127
Barium studies compared to endoscopy in GERD
Likelihood of malignancy in GERD if no alarm features
Prokinetic agents without serious side effects
(The Police Station in Toronto)	p. 131
Jane Harris (Osteoarthritis of the Hip)	p. 135
Success rate and complication rate of total hip replacement
Mary Collier (Chronic Obstructive Pulmonary Disease)	p. 139
Use of steroids and theophylline in COPD
Leonard's Surprise (Colorblindness)	p. 143
Usefulness of Ishihara charts in diagnosing colorblindness
Afterlude	p. 145
Understanding the Evidence Tables	p. 147
Glossary of Terms in Evidence-Based Medicine	p. 151
References	p. 155
Obtaining MAINPRO-C Credits	p. 163
Index	p. 181
Table of Contents provided by Rittenhouse. All Rights Reserved.