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Problem-based Learning & Finding the Evidence: Case 20 : Ignacio Lopez -- I Have to Keep Working

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Ignacio Lopez -- I have to keep working

From chronic kidney disease to nephrotic syndrome, the Point of Care tools will be very helpful in clarifying aspects of the case.  Many of these POC tools also reference the latest guidelines, but you sometimes may need to find the latest by searching for them.

Don't forget the Drug Information Resources for gaining a better understanding of the drugs involved in this week's case.

 

Resources for this Case

Textbooks (look left)

This Week's Reading Assignments

PubMed Tips:  Depression & CKD

Database Searching:  Psych-related Questions

Trip Database:  Article, Books, Guidelines & more all in one place

Point of Care Tools

National and State Organizations

Lab Test Info Redux

Patient Resources

Just to make it easier for you to access the readings, here's the article & resources

Point of Care Tools

Point of Care Tools

All of the tools have some great information on this topic.  However, each has some special features that highlight information in different ways.  Since they are simple to use, try looking in more than one tool and compare them.  

PubMed Search Tips

CKD & Depression 

Have you search PubMed for articles related to possible depression with chronic kidney disease (or even nephrotic syndrome)?  Did you notice a problem with your results?

What else could you do?

  • Add more terms or use slightly different terms.
  • Use MeSH terms
  • Change the resource - perhaps PsycINFO is a better tool

Psych-related Questions

Psychological Resources

Database #1:  PsycINFO

Sometimes, your topic will be well-covered by a resource that is not PubMed.  In this case, the database PsycINFO, with its emphasis not only on psychology & psychiatry, but also on the psychological aspects of health and medicine, makes it a great addition or alternative to PubMed.

A simple keyword search gives you a few good options.  The first result in this database shows:

Database #2: CINAHL

Another database you may not have every really explored is the CINAHL database.  It overlaps a little with the results in PubMed, but has a variety of great articles PubMed does not have.  Check out some of the results from a simple keyword search:

TRIP Database

TRIP Database

Find medical resources of all types in this one meta-search engine.  Their limits let you specify the type of info you might want - look at all of the options and you might find the Guidelines limit helpful.

Screenshot of TRIP database & CKD

Lab Test Info - Redux

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.

National & State Organizations

Patient Resources

An internet search will show that there are many patient support group resources and the trick in exploring it to be sure to check the about page for details on how they use the information.  National organizations also are sources of informaiton on credible patient/family support groups.  I've listed a couple of resources below, and one other place you might also find some good suggestions for patient support groups MedLine Plus - use the search box below. 

MedlinePlus: Information Tool for Patients

MedlinePlus is a great place to find consumer-friendly materials along with directories, a dictionary & encyclopedia, and more.  Take a look and see what you find for this week's topics.  Try looking for diet info for chronic kidney disease.  They have some good references for you too.

Search MedlinePlus: