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The Bedford Murder

An Evidence-Based Clinical Mystery

9781560535652
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Description
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 medical book you will ever read.
Product Details
36795
9781560535652
9781560535652

Data sheet

Publication date
2003
Issue number
1
Cover
paperback
Pages count
250
Dimensions (mm)
152 x 229
Weight (g)
331
  • FAMILY TREE AND CHARACTER LIST
    Prelude
    Celias Distress (Diabetes Mellitus)
    -Intensity of glucose control in diabetes
    -Anxiety, insomnia, and benzodiazepines
    -Affect of stress on glucose levels

    Joannes Fear (Pregnancy)
    -Vaginal birth after cesarean section
    -Bacterial vaginosis in pregnancy
    -Asymptomatic bacteriuria in pregnancy

    Alexanders Secret (Hypertension)
    -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
    Nancys Dilemma (Oral Contraceptives)
    -Third generation progestins and risk of thrombosis
    -Prevalence of asymptomatic vaginal infection
    Pierres Lie (Ankle Injury)
    -Usefulness of Ottawa ankle rules
    -Microorganisms in cellulitis from a rusty nail
    Cecil Starkes (Hematuria)
    -Likelihood of pathology with asymptomatic hematuria
    -Usefulness of ultrasound in asymptomatic hermaturia

    INTERLUDE 1 (Bracken Library, Kingston)
    Beatrices Grief (Hypothyroidism)
    -Effect of excess thyroid replacement on cardiovascular risk
    -Predictors of abnormal grief reactions
    Aunt Joans Rumor (Congestive Heart Failure)
    -Adding and ACE to well controlled CHF
    -Predictors of 5 year outcome in CHF

    Fitz (Ischemic Heart Disease)
    -Target blood pressures in high-risk coronary artery disease
    -Target lipid levels in high-risk coronary artery disease

    Cecilias Gratitude (Diabetes Mellitus)
    -Blood pressure control in diabetes mellitus.

    Alexanders Quest (Hypertension)
    -Relative importance of cholesterol and Triglycerides on cardiovascular diasease

    Joannes Keys (Pregnancy)
    -Risk of vitamin A in pregnancy

    John Hagarty (Tennis Elbow)
    -Effectiveness of local corticosteroid injection in tennis elbow.

    INTERLUME 2(The Bedford Family Medicine Clinic)
    Dr. Sharpeís Dilemma (Gonorrhea)
    -Progression of asymptomatic gonorrhea
    -Concurrence of HIV and hepatitis C with gonorrhea

    Fitzs Worse Fear (Angina)
    -Prognosis with angina two years post coronary artery bypass surgery

    Roberts Connections (Testicular Lump)
    -Prognostic features of a testicular lump
    -Usefulness of ultrasound in diagnosing a testicular lump

    Gemma and Her Dad (UTI and Color Blindness)
    -Accuracy of urine nitrates in correctly diagnosing UTI
    -Adhesive urine specimen collectors in children
    -Need to investigate children with UTIs
    -Does color blindness affect ability to drive?

    Simon Werston ( Gastro-Esophageal Reflux)
    -Barium studies compared to endoscopy in GERD
    -Likelihood of malignancy in GERD if no alarm features
    -Prokinetic agents without serious side effects

    INTERLUDE3 (The Police Station in Toronto)
    Jane Harris (Osteoarthritis of the Hip)
    -Success rate and complication rate of total hip replacement

    Mary Collier (COPD)
    -Use of steroids and theophylline in COPD

    Leonard Nelson (Color Blindness)
    -Usefulness of Ishihara charts in diagnosing color blindness

    Afterlude
    Appendix 1:: Understanding the Evidence Tables
    Appendix 2:: Glossary of Terms
    References
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