Issue #4 (January 2020)

IN THE NEWS

The latest from MJ

  • We hope that you've had a plentiful holiday season and that 2020 is already delivering great things to you and your loved ones.
  • This year we celebrate our 10th anniversary! That means we'll be offering plenty of goodies and exciting announcements over the next 12 months.
  • To start the jubilee, we've added a new feature to Clinical Sense - one that will convey a greater sense of its domain expertise while making IMB members smile: now, every CS scenario released will display the names of the IMB members who peer-reviewed it. By doing this, we're reassuring users that our content is of the highest caliber and that they can study confidently with it. We're also expressing our gratitude toward our IMB members, colleagues who are always keen to share their hard-earned knowledge with others. We will implement this feature across our other products later in the year.
  • Speaking of sharing, we now welcome IMB members to claim Continuing Professional Development (CPD) credits for their peer-reviewer activities with us. For this, IMB members must first contact their respective specialist association or certifying board to learn whether they can claim CPD credits with MJ. Once they've gathered all the details, IMB members are encouraged to contact us so that we may provide whatever assistance they require to move forward. If you're an IMB member and wish to learn more, please contact your MJ-IMB coordinator. 
  • That's it for now. Remember to check out the jobs page on our website for the latest vacancies available. If something catches your interest, simply follow the instructions provided in the job posting. For details, visit https://www.medicaljoyworks.com/jobs.

DOCTORS' LOUNGE

Q&As from our user community

Clinical Sense: Weak (Guillain-Barré Syndrome)

Q: This patient with Guillain-Barré Syndrome has had symptoms for 3 weeks - and you've recommended IVIG in his treatment. I thought that IVIG is only effective if administered within 2 weeks of symptom onset?
A:  In GBS, symptom onset is calculated from the onset of weakness (and not the original episode of diarrhea). This patient's diarrhea occurred 3 weeks ago, but the weakness only started 3 days ago.

You do raise an excellent point re: IVIG. The evidence points towards this being more efficacious the earlier it is started; and the best outcomes seem to occur if IVIG is started within 2 weeks from onset of weakness. For more details, see: https://jnnp.bmj.com/content/88/4/346.full
If you would like to play this scenario or join the conversation, go to the Clinical Sense app in your mobile device.

Prognosis: Your Diagnosis: Stoned (Cocaine-associated chest pain)

Q: I see this patient is hypertensive - but you've mentioned that beta-blockers are not a good management option here. Why is this?
A:  The use of beta-blockers in cocaine-associated chest pain is controversial, as they may potentially exacerbate the vasospasm. However, non-selective beta-blockers such as carvediol or labetelol may be administered in conjunction with a vasodilator, if the hypertension persists.

For more details: https://www.sciencedirect.com/science/article/pii/S0735109714062792
If you would like to play this scenario or join the conversation, go to the Prognosis: Your Diagnosis app in your mobile device.

IN CASE YOU MISSED THEM

Recently released stories

Clinical Sense

Surgery
Lumped (updated)
Pediatrics
Inflated (updated)

Prognosis: Your Diagnosis

Surgery
Compressed
Surgery
Crushed
That's all for now!

Tell us what you think or share valuable insights with the community by writing to us at: penelope@medicaljoyworks.com.

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