Issue #3 (December 2019)

IN THE NEWS

The latest from MJ

  • Speaking of Clinical Sense, we're proud to announce that our Spanish scenarios are back! These are available for a small price and entirely ad-free. If app users support our initiative, we'll continue to generate Spanish scenarios, and begin developing content in other languages as well. To purchase Spanish scenarios, go to your app's "scenario languages" settings and activate Spanish.
  • Finally, we'd like to thank you for all your support during these last few months! 2019 has been an exciting year, and we're honored that you've been a part of this journey. Expect many new things for 2020, as we continue to bring world-class gamified learning tools to medical professionals everywhere.

DOCTORS' LOUNGE

Q&As from our user community

Clinical Sense: Ingested (Poisoning, Acetaminophen)

Q: In acute acetaminophen poisoning, what should we do if the patient deteriorates while we're waiting for the 4-hour post-ingestion serum acetaminophen levels?
A:  With acute acetaminophen poisoning there is a very clear management flowchart to follow. At 4 hours post-ingestion, you should measure serum paracetamol levels and plot them on the nomogram. If results are likely to be delayed until >8 hours post-ingestion you can start NAC whilst awaiting results.

For more details, please review the following guidelines on acetaminophen poisoning:

https://www.mja.com.au/journal/2015/203/5/summary-statement-new-guidelines-management-paracetamol-poisoning-australia-and
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: Yellow 2 (Gallbladder cancer)

Q: How would you follow a patient after cholecystectomy for a T1a stage gallbladder cancer?
A: There is no standard follow up schedule. Protocols may differ between institutions. Usually this consists of a combination of blood tests and CT scans. Certain guidelines recommend a 3-monthly follow up schedule in the first 2 years, with the aforementioned tests, but this really depends on where you practice.

For more details, please see the following guidelines issued by the European Society of Medical Oncology:

https://academic.oup.com/annonc/article/27/suppl_5/v28/1741490#35565001
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

Medicine
Visible (Updated)
Pediatrics
Ochre

Prognosis: Your Diagnosis

Infectious Disease
Nomadic (updated)
Diabetes
New (updated)
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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