The Bedford Murder: An Evidence-Based Clinical Mystery

Overview

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 ...

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Philadelphia, PA 2003 Trade paperback New. Book Appears Unread Trade paperback (US). Glued binding. 250 p. Contains: Illustrations. Audience: General/trade.

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Overview

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!

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Product Details

  • ISBN-13: 9781560535652
  • Publisher: Elsevier Health Sciences
  • Publication date: 5/1/2003
  • Pages: 250
  • Product dimensions: 6.12 (w) x 8.48 (h) x 0.34 (d)

Meet the Author

Associate Professor and Director of Research, Department of Family Medicine, Director, Centre for Studies in Primary Care, Queen's University, Kingston, Ontario, Canada

Associate Professor, Queen's University, Kingston, Ontario, Canada

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Table of Contents

FAMILY TREE AND CHARACTER LIST
Prelude
Celia’s Distress (Diabetes Mellitus)
-Intensity of glucose control in diabetes
-Anxiety, insomnia, and benzodiazepines
-Affect of stress on glucose levels

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

Alexander’s 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
Nancy’s Dilemma (Oral Contraceptives)
-Third generation progestins and risk of thrombosis
-Prevalence of asymptomatic vaginal infection
Pierre’s 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)
Beatrice’s Grief (Hypothyroidism)
-Effect of excess thyroid replacement on cardiovascular risk
-Predictors of abnormal grief reactions
Aunt Joan’s 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

Cecilia’s Gratitude (Diabetes Mellitus)
-Blood pressure control in diabetes mellitus.

Alexander’s Quest (Hypertension)
-Relative importance of cholesterol and Triglycerides on cardiovascular diasease

Joanne’s 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. Sharpe's Dilemma (Gonorrhea)
-Progression of asymptomatic gonorrhea
-Concurrence of HIV and hepatitis C with gonorrhea

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

Robert’s 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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Sort by: Showing 1 Customer Reviews
  • Anonymous

    Posted April 25, 2005

    A Must for Medical Educators

    A well thought out, well written, imaginative way to help learners understand the need and methods of evidence medicine. Fun and educational! How revolutionary in medical school!

    Was this review helpful? Yes  No   Report this review
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