Scenarios wanted! Please add your favorites! [Click on "Easy Edit", above]
Information about each scenario can include, but need not be limited to:
- the case
- the PICO'd question
- type of question/preferred study design
- suggested search strategies
- teaching tips/pearls
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Scenario #1
A 22 year-old male presents with a corneal abrasion that he received while hiking. In the past you would not have hesitated to put a patch on the damaged eye, but you recall seeing an article recently suggesting that patches are unnecessary for corneal abrasions.
P: adult with corneal abrasion
I: patch
C: no patch
O: relief of symptoms; healing of abrasion
Answerable Question: In adults with corneal abrasions, is patching the damaged eye preferable to not patching to relieve symptoms and encourage healing?
MeSH: cornea/*injuries; eye injuries/therapy; occlusive dressings
PubMed keyword: cornea AND abrasion* AND patch*
There is a Cochrane Review on this topic.
Scenario #2
Maude is 68 years of age and has recently been diagnosed with high blood pressure. She is otherwise healthy and active. You need to decide whether to prescribe her a beta-blocker or an ace-inhibiter.
P: adult hypertensive female
I: beta-blocker
C: ace inhibiter
O: relief of symptoms; controlled blood pressure
Answerable question: In middle aged adult females with hypertension, are beta blockers more effective than ace inhibiters in controlling blood pressure?
MeSH: Adrenergic beta-Antagonists/therapeutic use; Angiotensin-Converting Enzyme Inhibitors/therapeutic use; hypertension/drug therapy
There is a Cochrane Review on this topic.
Teaching tips:
- this is a good scenario for identification of potential problems with identifying or selecting keywords. The MeSH terms are usually identified through the USE FOR / SEE / SUGGESTIONS when searching MeSH. It is also very easy to select Adrenergic beta Agonists rather than Adrenergic Beta Antagonists.
- Not necessary to limit to female unless you expect to see a significant difference between males and females in study results in this area.