100 Cases In Clinical Pharmacology Therapeutics... ((HOT))

100 Cases in Clinical Pharmacology, Therapeutics and Prescribing explores scenarios commonly seen by medical students and junior doctors in the ward, emergency department, outpatient clinic or in general practice in which an understanding of pharmacology and sound prescribing practice is central to successful clinical management and safe patient care. A succinct summary of the patient's history, examination and any initial investigations is followed by questions on the diagnosis and management of the case. The answer includes a detailed discussion on each topic, providing practical advice on how to deal with the challenges that occur when prescribing, including planning, drug calculations, prescription review and adverse drug reactions. The book will be invaluable during clinical placements and is an ideal companion during preparation for the Prescribing Safety Assessment examination. Making speedy and appropriate clinical decisions, and choosing the best course of action to take as a result, is one of the most important and challenging parts of training to become a doctor. These true-to-life cases will teach students and junior doctors to prescribe appropriately, and to hone their diagnostic and management skills.

100 Cases in Clinical Pharmacology Therapeutics...

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Lichen planus is a chronic inflammatory epidermal and mucosal disease, the cause of which is poorly understood. We reviewed the clinical and historic features of 100 patients referred to our clinic for diagnosis and management of lichen planus. The age, gender, chief complaint, duration of the chief complaint, medical history, medications, and clinical findings were recorded. Past therapeutic modalities were reviewed. Of therapeutic significance, 25 patients with oral lichen planus had a secondary oral candidiasis. Management of symptomatic lichen planus with topical and systemic steroid is discussed. The pharmacology of topical and systemic steroid usage and the rationale for treatment are discussed.

Many would argue that teaching medical students to prescribe medicines is currently the greatest challenge in modern undergraduate education. Prescribing is a complex task that requires diagnostic skills, knowledge of medicines, communication skills, an understanding of the principles of clinical pharmacology, appreciation of risk and uncertainty, and critical judgement. The challenge would be lessened if graduates were provided with a carefully supervised and gradual introduction to practice. However, the reality is that newly qualified doctors find themselves thrust into a busy clinical environment, in which they are often required to write many more prescriptions on their first day than they have practised writing during their whole undergraduate careers, and usually with minimal supervision. They will be regularly called on to write prescriptions for drugs about which they know little and have had little experience. Furthermore, the demands on each new cohort are ever increasing, because of several well-documented trends, including increasing polypharmacy, often appropriate, more complicated regimens, increasingly vulnerable patients, higher patient throughput and shorter training hours.

Prescribe, a repository of e-learning materials, is being designed to help medical students to develop a firm grounding in the principles of clinical pharmacology and to meet the outcomes identified by Tomorrow's Doctors. Prescribe will contain interactive learning sessions in four sections, covering the principles of clinical pharmacology, common drugs, common therapeutic problems and skills relating to prescribing (Figure 1). It will also include a student formulary and opportunities for practising key skills, such as prescribing and dosage calculations, using online simulators. There will also be self-assessment exercises, a library of important publications, a glossary and links to other resources. The materials are intended to complement existing teaching initiatives and will be available free of charge to medical students registered with UK universities. 041b061a72