Practice Management Book

http://www.fpnotebook.com/

Medical LiteratureAka: Patient Oriented Evidence that Matters, Disease Oriented Evidence, POEMS, DOE

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  1. General
    1. Read only Peer Reviewed Journals
      1. Annals of Internal Medicine
      2. ACP Journal Review
      3. Journal Watch
      4. Pediatrics
      5. Green Journal (ACOG)
      6. Postgraduate Medicine
      7. American Family Physician
      8. New England Journal
      9. JAMA
    2. Approach literature in hierarchical pattern
      1. Scan Table of Contents
      2. Read Appropriate Abstracts (Small list)
      3. Read Appropriate articles (Smaller list)
    3. Always assess validity
  2. Types of Articles
    1. POEMS (Patient Oriented Evidence that Matters)
      1. Concentrate on these articles!
      2. Studies that look at illnesses
        1. Direct bearing on patient outcomes
        2. Problems common to your practice
        3. Information that will change the way you practice
    2. DOE (Disease Oriented Evidence)
      1. Understanding of pathophysiology, and pharmacology
  3. Resources
    1. MLA Brandon/HIll Online Journal Links
      1. http://nnlm.gov/libinfo/ejournals/branhill.html
  4. Reference
    1. Shaugnessy (1997) Am Fam Physician 55(6):2155

POEMS Syndrome (C0085404)

Definition (MSH)A multisystemic disorder characterized by a sensorimotor polyneuropathy (POLYNEUROPATHIES), organomegaly, endocrinopathy, monoclonal gammopathy, and pigmentary skin changes. Other clinical features which may be present include EDEMA; CACHEXIA; microangiopathic glomerulopathy; pulmonary hypertension (HYPERTENSION, PULMONARY); cutaneous necrosis; THROMBOCYTOSIS; and POLYCYTHEMIA. This disorder is frequently associated with osteosclerotic myeloma. (From Adams et al., Principles of Neurology, 6th ed, p1335; Rev Med Interne 1997;18(7):553-62)
ConceptsDisease or Syndrome (T047)
EnglishCrow Fukase Syndrome, POEMS, POEMS Syndrome, Polyneuropathy organomegaly endocrinopathy monoclonal gammopathy and skin changes, Takatsuki Syndrome, Takatsuki's Syndrome
Spanishsíndrome POEMS, sindrome POEMS
CreditsDerived from the NIH UMLS (Unified Medical Language System)


Does (qualifier value) (C1272751)

ConceptsFinding (T033)
EnglishAble to and does, Does
Spanishes capaz y lo realiza, lo hace, lo realiza
CreditsDerived from the NIH UMLS (Unified Medical Language System)



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