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| THE BEDFORD MURDER
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An Evidence-Based Clinical Mystery
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By
Marshall Godwin, MD, CCFP, FCFP, Associate Professor and Director of Research, Department of Family Medicine, Director, Centre for Studies in Primary Care, Queen's University, Kingston, Ontario, Canada
Geoffrey Hodgetts, MD, CCFP, FCFP, Associate Professor, Queen's University, Kingston, Ontario, Canada
Description
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.
Audience
Primary and Family Care Physicians
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
| Bibliographic details |
Paperback, 250 pages, publication date: MAY-2003
ISBN-13: 978-1-56053-565-2
ISBN-10: 1-56053-565-2
Imprint: HANLEY AND BELFUS MEDICAL PUBLISHERS
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Last update: 30 Nov 2009
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