Mini-CAT #1

Clinical Question: A 25-year-old woman presents to your OB/GYN clinic and she mentions that she feels upset that her PCOS is making her gain weight. She has tried lifestyle modifications, but it has not been working as well as she had hoped. She has seen commercials and has heard a lot of people talking about Ozempic and Metformin for weight loss alternatives. She asks you if either of those medications can be helpful in her goal of losing more weight. Search Question: Clearly state the question (including outcomes or criteria to be tracked) In women with polycystic ovarian syndrome (PCOS), …

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Surgery – PICO #2

Brief description of patient problem/setting (summarize the case very briefly) While watching an anesthesiologist induce a patient to become intubated for their laparoscopic appendectomy, the anesthesiologist mentions she is using propofol. You remember the last anesthesiologist used etomidate. You know that both anesthetics have different indications for them, and wonder if both can be used together to optimize both drugs synergistically during intubation. Search Question: Clearly state the question (including outcomes or criteria to be tracked) Does the combination of propofol and etomidate incite more hemodynamic stability for patients being induced for surgery versus propofol or etomidate alone? Question Type: …

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Surgery – PICO #1

Brief description of patient problem/setting (summarize the case very briefly) On the surgery floor you go to talk to a patient about a future appendectomy. The patient has read about robotic-assisted appendectomies. He wonders about if they are a better match for him over doing a laparoscopic appendectomy. Search Question: Clearly state the question (including outcomes or criteria to be tracked) In surgical patients undergoing an appendectomy, do robotic-assisted approaches to an appendectomy reduce operative time and time to discharge versus doing a laparoscopic appendectomy? Question Type: What kind of question is this? (boxes now checkable in Word) ☐Prevalence                 …

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Pediatrics – PICO #3

Brief description of patient problem/setting (summarize the case very briefly) In the pediatrics ER, you notice a symptomatic child with a bulging tympanic membrane and prescribe amoxicillin. The father of the child you are treating mentions that the last time his son had an ear infection and was treated with amoxicillin, he had diarrhea for days. The boy’s father read online that probiotics might shorten the duration of the diarrhea or can possibly eliminate it. Search Question: Clearly state the question (including outcomes or criteria to be tracked) In pediatric patients, do probiotics, given with antibiotics, shorten the course and …

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Pediatrics – PICO #2

Brief description of patient problem/setting (summarize the case very briefly) 30-month-old F, accompanied by her mother, comes in to the pediatrics emergency room c/o a cough that has not gone away x 2 days. You hear a bark-like cough, but the child does not seem to be very symptomatic. Search Question: Clearly state the question (including outcomes or criteria to be tracked) In children with mildly symptomatic croup is oral dexamethasone still the go-to steroid to administer verses oral prednisolone in reducing the duration of a child’s cough and illness trajectory? Question Type: What kind of question is this? (boxes …

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Pediatrics – PICO #1

Brief description of patient problem/setting (summarize the case very briefly) 8 y/o F, accompanied by father, comes in to the pediatrics emergency room c/o red itchy eyes with discharge x 2 days. Pt’s father reports daughters’ eyes were crusting every morning and needed to be cleaned out. This is their second time in the pediatric ER within the last two days. Search Question: Clearly state the question (including outcomes or criteria to be tracked) In pediatric patients with viral conjunctivitis, are ophthalmic antibiotics more effective than symptomatic treatment, in reducing duration of illness and clinical course? Question Type: What kind …

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