Beyond the Oath

The stories, advice and random thoughts of an osteopathic medical student. Come along with me on my journey to help others and better my community.

NOTE: The views I express are my own and are not necessarily those of my institution or of the AOA. Therefore, do not consider this blog indicative of the official stances of those organizations. If you are seeking medical advice, I cannot provide that to you due to A) Not being a licensed physician and B) I don't know all the details of your case and therefore don't want to cause any problems. Seek medical attention if you find yourself in need of it.

medicalstate:

As the popularity of smartphone of tablet computing expands, so too does the library of apps. The following is a list of iOS apps that might be of interest or use for the curious, for the learners, and for the clerks.

Laboratory

  • LabDx: A reference tool for common laboratory investigations.
  • Acid Plus: A calculator tool that helps tease out the type of acidotic or alkalotic process is involved.
  • Lytes: A basic reference to the common electrolyte abnormalities, the causes, signs, and symptoms.

Calculators

  • BiliTool: An online tool that has an optimized mobile format, this tool helps calculate bilirubin levels in neonates and gives recommendations based on the risk stratification of jaundice.
  • Qx Calculate: A free calculator for many of the formulas and algorithms in medicine including risk calculators and unit conversions.
  • MedCalc Pro: A premium calculator that has a more streamlined design and more formulas than Qx Calculate. It also allows you to save patient values for use in multiple calculations.

Pharmaceutical

  • Lexicomp: The standard for monograph information, this subscription-based app includes routine updates to the drug database for newly added medications and warnings. It includes a drug interactions calculator.
  • Epocrates: For the free alternative, Epocrates continues to be a favorite among my classmates and attendings. It includes the standard dosing and regimens for medications but offers less detailed information regarding them compared to Lexicomp.

Anatomy

  • Netter’s Anatomy Atlas: Netter is a household name in the world of medical illustrations and all of his anatomical plates have been compiled in this app. A good quick reference of study tool.
  • Pocket Anatomy/Essential Anatomy: Moving into the third dimension, these two apps despite a premium price, a useful study tool for anyone interested in medicine.
  • Muscle System Pro III: For the anatomical enthusiast wishing to see muscles in all their detail and intricacies. Premium.
  • Skeleton System Pro III: For the anatomical enthusiast wishing to see bones in all their detail and intricacies. Premium.
  • Brain and Nervous System Pro III: For the anatomical enthusiast wishing to see nerves in all their detail and intricacies. Premium.

Radiology

  • Radiology 2.0: One Night in the ED: A case-based radiological app that goes through the common presentations with a methodical approach.

Clinical

  • Medscape: A basic app that includes drug interaction calculator, a procedures reference and daily news in the world of medicine.
  • Eponyms: For the medical student, half the battle is learning the language of medicine. Eponyms explains the common and obscure terms and signs of medicine named after their discoverers. 
  • Bugs and Drugs: A reference tool for antimicrobial therapy, the dosing guidelines and the sensitivity tables of all antibiotics.
  • PEPID: A clinical companion tool that provides summary information around conditions, include a brief explanation of the condition, the investigations, differential, and the treatment plan. Written in a concise form for the learner on the go.
  • UpToDate: The clinical companion tool that is a favourite among the attendings. This subscription-based app comes in both an online or offline version and mirrors the desktop counterpart. Including in-depth review of disease states and clinical pearls surrounding therapy.
  • DxSaurus: A differential diagnosis generator that works around your working diagnosis or the symptoms you see.

Reference

  • The Merck Manual: Professional Edition: A digital, pocket version of the original reference. Disease states can be searched by section or by symptom.
  • Toronto Notes 2012: This textbook is an excellent reference for any medical student and is one that I read during quiet moments on shift. A digital copy of this textbook stays with me in my eBooks library.
  • Principles and Practice of Hospital Medicine: An excellent reference for internal medicine, it offers great deal of information and clinical pearls for the hospitalist. It comes as an eBook.

Tools

  • Google Translate: For the moments where language is a barrier, this could be the only useful way to gather patient information.
  • Flashlight: For the times on call where we do not want to disturb other patients in a dark room as we make our way around.
  • Evernote: A note-taking tool to keep and sort out clinical pearls or to document clinical moments.
  • Drive/Dropbox: A cloud-based service like Drive or Dropbox offers an opportunity to store algorithms, guidelines, or textbooks that you can access anywhere. Now available on your phone or tablet.

Review

  • USMLE World QBank: For the medical student preparing for exams, the QBank is an important resource to have.

This list is by no means exhaustive but is a good starting point for readers out there interested in finding medical apps. What apps do you use?

(via thestarkofwinterfell)

Especially because I went from having 13,000 email to 11. Not 11,000…11.

Rode down Brown County State Park today. What an amazing ride. The rain of the past few days and the frustration it caused was quickly alleviated by the greatest ride of my life.

Nope.

Hesitation Point at Brown County, IN

8bitfuture:

Artificial heart ready for human trials.

French company CARMAT have announced that their artificial heart is scheduled to be implanted into patients in four medical centers around the world. The device completely replaces the patient’s original heart.

The artificial heart consists of two cavities, mimicking the organ’s ventricles, which are separated by a moving membrane that’s hydraulically powered via a special actioning fluid. This membrane reproduces the action of the ventricular wall during contractions, creating blood flow in and out of the device. The system is works in conjunctions with sensors and a microcontroller that continuously adjust the activity of the prosthesis to match the needs of the patient.

(via thekarmayogi)