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Problem-based Learning & Finding the Evidence: Case 2: Tiffany Smails -- One tough kid

Textbooks

The following are textbooks of possible interest and most are available online but a few are print only -- they are still helpful.  

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Videos

Finding Videos

Of course, everyone thinks of YouTube for videos, but there are a few medically focused resources.  The New England Journal of Medicine has a great collection of videos (Videos in Clinical Medicine) and this is part of our subscription (so VPN is needed).  Another resource to which we subscribe is JOVE.  They have a Clinical Skills section that is great for things like the physical exam.  

For this week, NEJM has a perfect video for this case.

Week 2: Tiffany Smails -- One tough kid

Resources for this case include:

 

Textbook Suggestions (look left)

DDX Tools

National Organizations - Child Info Sources

Finding Pediatric Growth Charts

Lab Tests Info

Survivorship Resources

Favorite Resources

Access Medicine Medscape Up to Date

DDX & Symptom Checker Resources

Symptoms & DDX Resources

Symptoms and differential diagnositic information is often buried in a number of our resources.  However, a few tools (both online and for your smart phone/PDA) have special tools to help with this process.

For a refresher of all of the options, check out the Background Info tab.  Below are some of the online options.

Online Look-up Tools

 

More DDX Checker Tools

Check out our home grown tool or use one of the mnemonics.

National Organizations

Child Information Sources

Knowing the national organizations that provide information on a particular disease can be a good way to quickly get to authoritative information that has a broad perspective.  

For the topic of cancer, the key government organization is the National Cancer Institute.  You may have looked at the PDQ (Physician's Data Query) information previously and they also have quick overview Fact Sheets.  Additionally, the key non-government organization is the American Cancer Society which is a little more patient-centric but does put out some great stats and research information for physicians.  They also have a Fact Sheet series of publications.

Finding Pediatric Growth Charts

Growth Charts

If you need a blank form to chart a child's growth patterns, where can you get a copy?  You may try to Google this and it will be hit & miss as to what you might find.  I've heard from previous searchers that some have been found but are not downloadable for individual use.  So, here are a few tips for finding them.

1)  Who would have an interest in making these freely available?  

Perhaps government organizations -- maybe even international health-oriented organizations.  So make Google help you more with a site:gov  search or include the organization's name in your search (e.g., world health organization).


 

2)  There's an app for that.

A tool that you might find helpful in your rotation years is medcalc.com.  It will give you a chance to put in patient data and generate a chart based on the CDC charts.  The product will be an image that you can print out - perhaps in a Word document so you can plot out the patient's historical trend.


3)  A Professional Organization Resource -- What to expect at different ages of a child

This website provides a quick view of what to expect with child development.  Designed for the general public, but has great information and is recommended by Dr. Goldberg.  You could pair this information with what you glean from the textbooks.

Lab Tests Info

Looking up information about the results of lab tests are mostly background questions.  The following resources are easy to use tools to find very reliable information about the normal values, reference ranges, and more.

Cancer Survivorship Resources

Patient Survivorship Resources

For this topic, the MedlinePlus Childhood Cancer page has some resources for parents about survivorship and understanding procedures (and associated anxiety).  Also, look for the link to pre-formatted searches in PubMed.

Other helpful resources about survivorship are from the Children's Oncology Group (COG) and ASCO regarding their recommendations for cancer survivors and long term health care.

Patients will often have questions and want explanations of so many different procedures, conditions, and general health topics.  Don't just push them to "google it" - have a short list of worthwhile sites for them to start looking for more information.  Here are a couple specific to this case and the meta-search enging MedlinePlus.