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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.