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Users' Guides to the Medical Literature
XXI. Using Electronic Health Information Resources in Evidence-Based Practice
Dereck L. Hunt, MD, MSc;
Roman Jaeschke, MD, MSc;
K. Ann McKibbon, MLS;
for the Evidence-Based Medicine Working Group
JAMA. 2000;283:1875-1879.
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CLINICAL SCENARIO
You are a general internist reviewing the condition of a 55-year-old woman with type 2 diabetes mellitus and hypertension. Her glycemic control is excellent with metformin, and she has no history of complications. To manage her hypertension, she takes a small daily dose of a thiazide diuretic. During the examination, you note that her weight is stable, she has no evidence of peripheral neuropathy, and her blood pressure is 155/88 mm Hg. After arranging for glycosylated hemoglobin, cholesterol, and microalbumin assessments, you reassure your patient that she is doing well and ask her to return in 3 months. After she has left, you notice that her blood pressure over the past 6 months has been about the same as it was today. You wonder if she would benefit from more aggressive . . . [Full Text of this Article]
THE CLINICAL QUESTION
Matching Your Question to the Best Medical Information Resource Using Prefiltered Evidence-Based Medicine Resources to Answer Focused Clinical Questions Finding Answers to More General Questions: Textbooks and the Internet
RESOLUTION OF THE SCENARIO
CONCLUSION
Author Affiliations: Department of Medicine (Drs Hunt and Jaeschke and Ms McKibbon) and Health Information Research Unit (Dr Hunt and Ms McKibbon), McMaster University, Hamilton, Ontario.
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