CF II: How to prepare a prefect CPC – EBM exercise
1. Do you have a case scenario for your CPC? If yes, please write a summary of your patient scenario in the
box below. If no, please click here to select one of the five case scenarios and copy and paste it to the box below: Ms EH, a 23 yo Hispanic female presents to the GI clinic complaining of episodes of right sided abdominal pain, fevers, night sweats and a 30 lb weight loss over the last 7 months. She has not had diarrhea or seen blood in her stool. She has a history of episodic vomiting, fever, weight loss, and nausea since she was 18 years Presents for Dx and management/cure
2. Based on the scenario above, please provide an example of a background question and the name of the
resource that provides an answer. What keyword did you use to find this information? Please provide the title or heading of the relevant section in the resource. "What are the symptoms of ulcerative colitis?"
3. Based on the scenario above, please provide an example of a foreground (focused) clinical question.
"In a 23 yo Hispanic female with newly diagnosed Crohn Disease, is treatment with infliximab or azathioprine vs. budesonide (corticosteroids) effective in inducing remission?"
4. Please put the clinical question above into the PICO format:
P: 23 yo hispanic female diagnosed with Crohn disease I: infliximab OR azathioprine C: budesonide OR corticosteroids O: remission of symptoms o Based on the PICO above, what is your PubMed search strategy? (Therapy/Narrow[filter]) AND (crohn disease AND (infliximab OR azathioprine) AND (budesonide OR Corticosteroids) Limits: Published in the last 10 years, English, All Adults: 19+ years Copy and paste the most relevant reference from your PubMed search result. Mantzaris GJ, Christidou A, Sfakianakis M, Roussos A, Koilakou S, Petraki K, Polyzou P. Azathioprine is superior to budesonide in achieving and maintaining mucosal healing and histologic remission in steroid-dependent Crohn's disease. Inflamm Bowel Dis. 2009 Mar;15(3):375-82. PubMed PMID: 19009634.
o Based on the PICO above, what is your Cochrane Reviews search strategy? Crohn Disease AND corticosteroids
i. Copy and paste the most relevant systematic review from your Cochrane Reviews search result (reference only). Traditional corticosteroids for induction of remission in Crohn's disease Eric I Benchimol, Cynthia H Seow, A Hillary Steinhart, Anne Marie Griffiths April 2010
o Based on the PICO above, what is your National Guideline Clearinghouse search strategy? crohn disease i. Copy and paste the most relevant guideline from your National Guideline Clearinghouse search result (reference only). 1998 (revised 2008). NGC:007762 American College of Radiology - Medical Specialty Society.
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Health Questionnaire Please Complete All Sections of This 4 Page Questionnaire Skin History: Skin Care Concerns: Other (please specify)____________________________________________ Facial and Microdermabrasion History: Topical Skin Care History: (check all that applies) Herpes History: Never diagnosed with oral or genital herpes Treated for oral