Here you can request help, make suggestions, give criticism, submit feature requests, post corrections, and add any other polite comments you’d like the world to see.
new comments page, go ahead and ask away!
Thank you, Dr. Morgan. Your site is very informative and helpful! Chris Petrosino, BSN, RN (FNP – May, 2019)
This is a great idea and I look forward to using it more but it is difficult to use. It’s difficutlt to find templates that make sense. For example, this anemia evaluation. After selecting micro vs. macrocytosis and the other selections the calculated result should read as an assessment to be able to copy and paste in an EHR. I think this is the idea of the site.
It should read as follows…based on selections above the calculated result.
ANEMIA OF CHRONIC DISEASE
This patient likely has a *microcytic* anemia due to *low* ferritin ….etc etc. without the asterisk of course.
Peripheral blood smear clues may include rouleaux formation, myelophthisis. CBC clues may include normal RDW.
Usual causes of ANEMIA OF CHRONIC DISEASE may include Temporal arteritis, Rheumatoid arthritis, Chronic inflammation, or Chronic infection. Unusual causes of ANEMIA OF CHRONIC DISEASE may include Hodgkin lymphoma, Renal cell carcinoma, Castleman disease, or Myelofibrosis.
*This differential is quite short actually*
Hi – the calculator was an approach to anemia that I thought was interesting. Definitely not the only way to do it. When I’m using these, I usually paste them into the assessment as a type of ‘medical decision making’ section. But I see your point and can try to make another version that addresses your suggestions.
Is it possible to input data then have the output be put into paragraph form to be used for an EHR assessment? For example, instead of this…
CURB-65/CRB-65 Score for PneumoniaClinical Features:
absent <– Confusion
greater 19 mg per dL (6.8 mmol per L) <– Blood Urea Nitrogen
less than 30 breaths per minute <– Respiratory rate
systolic greater than/equal to 90 and diastolic greater than 60 <– Blood pressure
greater than/equal to 65 CURB-65 = 2: Short inpatient hospitalization or closely-supervised outpatient treatment
Have the output read…
In this patient confusion is absent, Blood Urea Nitrogen is greater than 19 mg per dL, the Respiratory rate is less than 30 breaths per minute, the systolic blood pressure is greater than/equal to 90 and diastolic greater than 60, and age is greater than/equal to 65 giving a CURB-65 score of 2. The patient may require short inpatient hospitalization or closely-supervised outpatient treatment.
Hi – it wouldn’t be difficult to make a more plain language output generating version as you’ve suggested. I’ll try to work on that version.
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