Using Dynamed (iphone Version) FSU College of Medicine

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1 Using Dynamed (iphone Version) FSU College of Medicine Nancy Clark, M.Ed. F L O R I D A S T A T E U N I V E R S I T Y C O L L E G E O F M E D I C I N E 1

2 Disease Quick References DynaMed - Web Version Expand All Categories Link to full text article or PUBMED abstract Expand Category of Interest Or Organization of DynaMed Description (including ICD-9 Codes) Description, Also called, ICD-9 Codes, Types, Organs Involved, Who Is Most Affected, Incidence/ Prevalence Causes and Risk Factors Causes, Pathogenesis, Likely risk factors, Possible risk factors Complications and Associated Condition History CC, HPI, Meds, PMH, FH, SH, ROS Physical Skin, HEENT, Neck, Extremities, Neuro, Pelvic Diagnosis Making the diagnosis, Rule out, Tests to order, Blood tests, Urine studies, Imaging studies, Pathology tests, Other diagnostic testing Prognosis Treatment Treatment Overview, Diet, Activity, Counseling, Medications, Surgery, Consultation and referral, Other management, Follow-up Prevention and Screening References (including Reviews and Guidelines) Patient Information F L O R I D A S T A T E U N I V E R S I T Y C O L L E G E O F M E D I C I N E 2

3 Disease Quick References DynaMed Online Exercises for Practice 1. A 65 year old Jewish woman is worried that she may get Parkinson s Disease because her father was diagnosed with it when he was 65. He was a heavy smoker. She does not smoke or drink alcohol or coffee. What do you tell her? 2. What might she do to help prevent Parkinson s Disease? 3. Can you give her any information to take home with her? DynaMed PDA Version (iphone) The PDA versions of DynaMed contains almost all of the content on the web; so it is quite rich. Produced by Skyscape.com, it is designed to update. Categories are the same as for the web site. Sections are accessed by a drop down menu. Internal bookmarks are provided at the end of each section to facilitate navigation. Pull up Categories Return to Bookmarks Symbol DynaMed PDA Exercise for Practice 4. What is the prognosis for a 60 y/o female with Stage IV metastatic breast cancer? F L O R I D A S T A T E U N I V E R S I T Y C O L L E G E O F M E D I C I N E 3

4 Medical Calculators Medical calculators can be as simple as unit converters to make it easy to go between pounds to kilograms and so forth to highly complicated statistical calculators. There are a number of evidence based analysis calculators such as Number Needed to Treat, physiology calculators like Body Mass Index, drug dosage calculators, and so forth. There are a number of library resources that provide these calculators on the Library web site and PDA. Here we will cover three: Archimedes, Epocrates Online s MedCalc, and Epocrates Essentials PDA MedMath. Archimedes (iphone) Free with Dynamed Archimedes, which is free at Skyscape.com, is a collection of 76 handy medical calculators. It is very simple to use. See list of calculators in Archimedes on next page Type or scroll to find desired calculator and tap Tap the Main Index to switch to Table of Contents Exercises for Practice A) A 6 year old boy who is 70 pounds and 54 inches tall is recovering from sepsis. What should his caloric requirements be? (First you will need to compute his Basal Metabolic Rate). B) An 8 year old girl who is 60 pounds has moderate dehydration, estimated at 7% due to severe vomiting and diarrhea. What should her total fluids in ml per 24 hours be? Enter data Answer appears at bottom Scroll down for more info Above: What is the predicted peak flow of a 65 year old white female who is 5 2 tall? F L O R I D A S T A T E U N I V E R S I T Y C O L L E G E O F M E D I C I N E 4

5 Archimedes Calculators Available Medical Calculators ABG Acidosis Compensation Exp Comp for Resp Acidosis, acute Exp Comp for Resp Acidosis, chronic Alkalosis Compensation Exp Comp for Resp Alkalosis, acute Exp Comp for Resp Alkalosis, chronic Cardiology Cardiac Output (Fick) Critical Care Infusions Duke Score LDL Cholesterol Oxygen Consumption (Given C.O.) Mean Arterial Pressure (MAP) Pulmonary Vascular Resistance QT Corrected Systemic Vascular Resistance Conversions Celsius Fahrenheit Centimeters Inches Inches Centimeters Kilograms Pounds Weights Decisional Analysis Bayes Theorem Bayesian Analysis Tool Number Needed to Treat Fluid/Electrolyte/Nutrition Bicarbonate Bicarbonate Deficit Bicarbonate Replacement Body Body Mass Index Body Water Deficit BSA Desired Total Body Water Ideal Body Weight Parkland Equation Corrected Serum Corrected Serum Calcium for Albumin Corrected Serum Sodium for Glucose Corrected Serum Phenytion Diet Basal Metabolic Rate Calculated Caloric Requirement Coefficient of Fat Absorption Urine Output- pediatric Maintenance Fluids Maint + Deficit Fluids Pediatrics Maintenance Fluids Pediatrics Sodium Anion Gap Serum Osmolality Sodium Deficit Unit converter Glasgow Coma Scale Drug Dosing Calculator Hematology Absolute Neutrophil Count Mean Corpusc. Hemo. Conc. (MCHC) Mean Corpuscular hemo (MCH) Mean Corpuscular Volume Red Cell Distribution Width (RDW) Reticulocyte Index Hepatobiliary Hepatitis Discriminant Function MELD Score Lipids LDL Cholesterol Neurology Cerebral Blood Flow Cerebral Perfusion Pressure Glasgow Coma Scale Glasgow Coma Scale for children OB/Gyn Biophysical Profile Score Methotrexate dose Pediatrics Apgar Score Glasgow Coma Scale for children ETT: Children Maint + Deficit Fluids Pediatrics Maintenance Fluids Pediatrics Urine Output- pediatric Pharmacology Critical Care Infusions Digoxim Dose in Renal Failure Drug Dosing (mg/kg) IV Drip Rate cc/hr Dig Fab Vials in Poisoning Pulmonary Aa Gradient Acute Lung Injury Ratio Alveolar Gas Equation Arterial mixed venous O2 Content Arterial Oxygen Content Mixed Venous Oxygen Content Oxygen Consumption (Given C.O.) Oxygen Index Partial Pres of Insp Ox (Sea Level) Expected ph Hydrogen Ion Concentration ph Henderson-Hasselbatch Cylinder Flow Duration ETT: Children Duke Score Physiologic Dead Space Renal (many are above) Creatinine Clearance GFR Cockcroft-Gault Method GFR Jelliffe Method GFR MDRD Equation Kt/V (Duagridas) Transtubular K gradient Osmolal Gap F L O R I D A S T A T E U N I V E R S I T Y C O L L E G E O F M E D I C I N E 5