Wednesday, December 19, 2012

Alveolar Gas | Medical App News

Alveolar Gas Medical App for the iPad
A.P. (Pete) Shepherd, Ph.D., a retired Professor of Physiology at the University of Texas Health Science Center at San Antonio, Texas, has developed an iPad app for teaching the factors that affect the composition of "Alveolar Gas". A student or instructor can manipulate variables like tidal volume, dead space, and the oxygen consumption rate and see how they affect alveolar PO2 and PCO2. The app is suitable for use either as a classroom demonstration or self-instruction.

In addition to students studying respiratory physiology, health professionals who have found this app useful include residents in anesthesiology and pulmonary medicine, respiratory therapists, and nurse anesthetists. Although the app was released only recently, it is already being used in leading universities and hospitals around the world.

Monday, December 10, 2012

Clinical Pathology Question Bank | Medical App Review

Clinical Pathology Question Bank Medical App for iPhone
The Clinical Pathology Question bank is an iPhone and iPad app developed by Board Vitals, LLC. 

This app is an attractive, easy to use board review app designed for physicians preparing for the clinical pathology boards.

Detailed performance feedback and feedback on why a particular option is the best answer is provided, making it a great way to prepare for the test.

As a hospitalist, I am not able to comment on how applicable the content is for the clinical pathology boards, but the answers are appropriate when compared to UpToDate.

The Clinical Pathology Question Bank costs $29.99.

A Lite version of the Clinical Pathology Question Bank is also available. 

Friday, December 7, 2012

FluView by CDC | Medical App Review Just in time for Flu Season

Flu View Medical App for the iPhone
To help prepare for influenza season get the FluView app from the CDC.  

FluView is simple and easy to use, and allows you to view the last 3 weekly influenza activity maps for the United States.

However, FluView is not as fun as Plague Inc.

FluView is a Must Have App for hospitalists 
  • Helps planning vacation (be ON vacation when the flu hits, not on call for the ED....)
  • Reminds you when you should start checking patients with URI symptoms for influenza.

Monday, December 3, 2012

X-Anatomy | Medical App Review | Cross sectional anatomy app

x-anatomy cross sectional anatomy app for iphone and ipad
X-Anatomy™ is a cross-sectional human anatomy and medical imaging atlas developed by Dr. Francis Isidoro for the iOS platform.  This application has annotated, zoomable CT images of different body areas (head, chest, pelvis, etc) that are commonly encountered in clinical practice.

X-Anatomy is an excellent point of care resource for non-radiologists that review CT and MRI images.  This app is appropriate for medical students, residents, and attending physicians.  Advanced practice nurses and students will also find this a useful app.

A particularly useful feature is the ability to select and follow that structure through the other images for that body area.  This allows you to trace blood vessels, ribs, and other structures and develop a better understanding of the pathway the structures take through the studied body region.  The X-Anatomy video illustrates this feature. 

Key Features of X-Anatomy
  • Annotated cross sectional images
  • Zoomable images
  • Follow structures through the entire body region 

Thursday, November 29, 2012

FH Diagnosis | Medical App Review

FH Diagnosis screen shot on an Apple iPhoneFH Diagnosis is a free iPhone app designed to assist in the diagnosis of Familial Hypercholesterolaemia (FH) using the Dutch Lipid, MEDPED, and Simon Broome criteria for FH.

These complex diagnostic criteria are rarely used, except in lipid-specialty clinics, for the diagnosis of potential FH.  This easy to use app provides a tool that any healthcare professional can use to establish a diagnosis of FH and start appropriate treatment for this disorder that can lead to premature cardiovascular death.

The user interface of FH Diagnosis is straight forward, nothing is complicated or difficult to use.

FH Diagnosis is strongly recommended for primary care providers and specialist physicians who manage patients with lipid disorders.  

The medical content adviser for FH Diagnosis is Gregory Thomas, MD, MPH, FACC, FASNC.

Dr Thomas is known for co-leading the interdisciplinary team that found atherosclerosis in ancient Egyptian mummies.  (JAMA 2009;302(19):2091-2094.)

This app was created by KKIT Creations LLC using support from Genzyme, a pharmaceutical company.  There appears to be no promotional bias in this app.

Wednesday, November 28, 2012

Ward Round Picture Quiz | Medical App Review

Ward Round Picture Quiz Screen shot on Apple iPhone
Ward Round Picture Quiz is a medical gamification project by Guerilla Tea

Ward Round Picture Quiz a visual diagnosis quiz app that is packaged in an easy to use UI with good quality clinical images.   This app is great for medical students, residents, and anyone else interested in how healthcare professionals diagnose patients. 

The quizzes are clearly something a medical student or resident could use while waiting for a conference or clinic to start!

Ward Round Picture Quiz Screen shot showing gouty arthritis of elbow

The clinical content was developed by Adrian Raudaschl, MBChB from Glasgow University in Scotland.

Key points
  • Great user interface
  • Good clinical content
  • Challenge your diagnostic skills in a fun way.

Ward Round: Picture Quiz - Guerilla Tea

Tuesday, October 16, 2012

Mediquations medical calculator for the iPhone | Medical App Review

Mediquations Medical Calculator app on an iPhone by Apple Inc.
Mediquations was developed in 2008 by a 3rd year medical student at UTMB and puts 85 medical calculations and scoring tools in your iPhone. Frequent updates have made Mediquations one of the best medical calculators available for iOS devices.

Mediquations supports US and SI units, and includes information on the use of the calculations.

Mediquations is available from the iTunes/iPhone App Store.

Calculations/Scoring systems in Mediquations
  • A-a O2 Gradient
  • Abbreviated Mental Test Score (AMTS)
  • Absolute Neutrophil Count
  • Age
  • Anion Gap
  • Aortic Valve Area (Continuity)
  • Aortic Valve Area (Gordon)
  • APACHE II score
  • Arterial Oxygen Content
  • Arterial Oxygen Delivery
  • Basic Activities of Daily Living (ADL) (Barthel)
  • Basal Energy Expenditure (Harris-Benedict)
  • Bayesian Sensitivity/Specificity
  • Body Mass Index (BMI)
  • Body Surface Area (BSA)
  • Body Surface Area (Unknown Height; Current Formula)
  • Boston Criteria for Heart Failure
  • Carboplatin Dosing
  • CHADS Score
  • Child-Pugh Criteria
  • Cardiac Output (Fick)
  • Cockcroft Gault GFR
  • Corrected QT (QTc)
  • Corrected Serum Calcium
  • Corrected Serum Phenytoin
  • Corrected Serum Sodium
  • Creatinine Clearance (Cockcroft Gault) (CrCl)
  • Creatinine Clearance (measured) (CrCl)
  • CURB-65 Score for Community Acquired Pneumonia NEW!
  • Delta Gap
  • Dermatome Map (Reference; No Calculation)
  • Fractional Excretion of Calcium (FECa)
  • Fractional Excretion of Sodium (FENa)
  • Fractional Excretion of Urea (FEUrea)
  • Framingham Cardiac Risk Score
  • Free Sodium Deficit for Hyponatremia
  • Free Water Deficit for Hypernatremia
  • Gas Unit Conversion (mmHg to/from kPa)
  • Glasgow Coma Scale
  • Heart Rate from EKG
  • Henderson-Hasselbach Equation
  • Hepatitis Discriminant Function
  • Ideal Body Weight (IBW)
  • Iron Dextran Dosing
  • IV Drip Rate
  • Light's Criteria
  • LDL Cholesterol Estimation (Friedewald Equation)
  • Maintenance Fluids
  • Maximum Allowable Blood Loss
  • Mean Arterial Pressure
  • MELD Score
  • Mini-Mental Status Exam (MMSE)
  • Number Needed to Treat (NNT)
  • Opiate Equivalence
  • Osmolality (Serum)
  • Osmotic Gap (Stool)
  • Oxygen Index NEW!
  • P/F Ratio NEW!
  • Parkland Formula
  • Peak Flow (predicted)
  • PELD Score
  • Pneumonia Severity Index
  • Pregnancy Calculator (enter LMP or Due Date)
  • Pulmonary Vascular Resistance
  • Rate Pressure Product
  • Ranson Criteria
  • Reticulocyte Production Index
  • Revised Trauma Score (regular and coded)
  • Schwartz Pedi GFR
  • Serum Ascites Albumin Gradient (SAAG)
  • SIRS Criteria
  • Steroid Equivalence
  • Systemic Vascular Resistance
  • Temperature Conversion
  • Tubular Resorption of Phosphate (TRP)
  • Transtubular K Gradient
  • Urinary Calcium Excretion (Ca / Cr)
  • Urine Output
  • Weight Unit Conversion
  • Well's Criteria
  • Winters' Formula

Apple iTunes App
Manufactured by: Mediquations
4 based on 408 reviews
$4.99 New

5 Minute Clinical Consult - Medical App Review

5 Minute Clinical Consult - 5MCC - App running on ann iPhone
The 2013 edition of 5 Minute Clinical consult is released, bringing diagnostic and treatment information on over 900 conditions to iOS devices.  This is an excellent update for this classic reference used by many physicians, advanced practice nurses, and students for years.

Key points
  • Update of a classic medical reference
  • Evidence based diagnosis and treatment
  • Advanced searching and bookmarking
  • Cost $99.99

5 Minute Clinical Consult 2013 - Unbound Medicine, Inc.

Apple iTunes App
Manufactured by: Unbound Medicine
4 based on 10 reviews
$99.99 New

Monday, October 15, 2012

Medical Calculator - Medical calculator for the iPhone | Medical App Review

Medical Calculator is a free medical calculator for the iPhone and iPod Touch.

Medical Calculator can be downloaded from the iPhone/iTunes app store.

Medical Calculator supports US and SI units.

Calcuations in Medical Calculator
  • A-a Oxygen Gradient
  • Absolute Neutrophile Count (ANC)
  • Age Calculator
  • Alcoholic Hepatitis Discriminant Function
  • Anion Gap
  • APGAR Score
  • Basal Energy Expenditure
  • Body Mass Index (BMI)
  • Body Surface Area (BSA)
  • Bicarb Deficit
  • CHADS2 Score for stroke risk
  • Corrected Calcium for Hypoalbuminemia
  • Corrected QT for HR (QTc)
  • Corrected Sodium
  • CSF WBC Correction for RBCs
  • Delta Gap
  • Fick Cardiac Output
  • Fractional Excretion of Sodium (FENa)
  • Fractional Excretion of Urea (FEUrea)
  • Free Water Deficit
  • GFR (Cockcroft-Gault)
  • GFR (MDRD)
  • Glasgow Coma Scale
  • Ideal Body Weight (IBW)
  • IV Infusion Rate
  • LDL Cholesterol
  • Lean Body Weight
  • Maintenance Fluids
  • Mean Arterial Pressure (MAP)
  • MELD Score (Model for End-Stage Liver Disease)
  • Oxygenation Index
  • Parkland Burns
    • Fluid requirements for first 8 hours
    • Fluid requirements for first 24 hours
  • Pregnancy Wheel
    • Enter last menstrual period (LMP) or due date (EDC)
    • Conception date
    • 1st trimester date
    • 2nd trimester date
    • Estimated Date of Confinement (EDC, due date)
    • Weeks pregnant today
  • Ranson's Criteria for pancreatitis mortality
  • Renal Failure Index
  • TIMI Score for STEMI
  • TIMI Score for UA/NSTEMI
  • Well's Criteria for Pulmonary Embolism (PE)
  • Winter's Formula for Metabolic Acidosis Compensation

Apple iTunes App
Manufactured by: Market Wall
3.5 based on 2625 reviews
$0.99 New

PEER VIII - Medical App Reivew

PEER VIII is an emergency medicine board review app released by the American College of Emergency Physicians.   PEER VIII is an excellent portable resource for emergency medicine board study while on the move.

The only thing that would make PEER VII better would be CME credit!

Key Features
  • Self Assessment Pretest to identify areas of weakness
  • Study by Category (why an answer is correct/incorrect)
  • Post test (Practice board exam)
  • Paid App - $69.99, and worth every penny 
PEER VIII - American College of Emergency Physicians

Apple iTunes App
Manufactured by: American College of Emergency Physicians
$69.99 New

Tuesday, August 7, 2012

Medical App Review - UpToDate

UpToDate for iOS is an essential medical app for on the go physicians like hospitalists.

UpToDate looks great on an iPad, and is easier to read with the larger screen.

The ability to search for information on drugs, diagnosis, and treatment at the point of care is essential when providing medical care for complex patients - and this app delivers!

Additionally, UpToDate allows you to earn CME at the rate of 0.5 hours of AMA Category 1 credit per search.  Most physicians can earn an entire year's worth of CME with this app alone.

The only downside to this app is the cost of an UpToDate subscription, but when viewed in light of the CME, it is a bargain.

UpToDate - UpToDate, Inc.

Find clinical answers at the point of care or anywhere you need them! Now you can access UpToDate's® current, synthesized clinical information — including evidence-based recommendations — quickly and easily on your iPad, iPhone, or iPod touch.
4 based on 189 reviews

Monday, August 6, 2012

Medical App Review - ACP Immunization Advisor

ACP Immunization Advisor is a free app for the iPhone and iPad that delivers the latest immunization recommendations from the American College of Physicians (ACP).

Immunization Advisor is an easy to use and professional quality medical app.

Immunization Advisor is an excellent and authoritative resource for any healthcare professional with an iOS device.

ACP Immunization Advisor - American College of Physicians

Wednesday, August 1, 2012

Medical App Review: Healthcare Blue Book - Prices for medical services

Healthcare Blue Book is a free medical app developed by CareOperative LLC.  This app lists price ranges and a localized "fair price" for common medical tests, procedures, and physician services.

For example, the Medicare Facility Limiting Price for a high level initial inpatient visit (CPT 99223) is $213 (national base rate).

The Healthcare Blue Book indicates that the fair price for the same service is $333 for my local area.

This app is by no means comprehensive, but it is an interesting tool to evaluate medical costs - making it useful for patients, students, residents, and anyone who would like to learn more about the costs of healthcare services.

Healthcare Blue Book - CareOperative, LLC

Monday, July 23, 2012

Medical eBook Review - Guide to iPhone and iPad use by Medical Professionals - iHealthcare

iHealthcare details how medical professionals like doctors and nurses use iPhones and iPads.  Data is compiled from published surveys and the few available peer reviewed publications.

iHealthcare details:
- iOS device adoption
- Medical App use
- Medical App discovery
- Hospital support of iOS devices
- The medical app marketplace

iHealthcare is a free ebook available in all iBookstores worldwide and is a great resource for doctors, nurses, medical administrators, and medical app developers.

iHealthcare 2012 - R Robinson & M Burk

iHealthcare is published by independent authors using iBooks Author.

Friday, July 13, 2012

Medical App Review - MNA Screening Tool for Malnutrition

MNA (Mini Nutritional Assessment) app for the iPhone and iPad
MNA is a free nutritional screening app developed for Nestle. 

This app is easy to use, and uses the validated Mini Nutritional Assessment (MNA) tool to assess the risk of malnutrition in patients.

MNA - UKCDesign

MNA is easy to use, and has an option to save patient information for later review.

MNA suffers from an uninspiring user interface and a requirement to enter a patient name to start the screening tool.

However, MNA is the only malnutrition screening tool in the iTunes app store at this time. 

Malnutrition is a common, though unrecognized problem.  Adding MNA to your app collection may help you identify patients at risk of malnutrition.

Thursday, July 12, 2012

Medical App Review - ICD9 Consult 2012 for iPhone - Easy to use ICD reference

ICD9 Consult 2012 by Evan Schoenberg for the iPhone and iPad
ICD9 Consult is an iOS app that is an excellent point of care (or point of filling out a charge sheet..) ICD-9 reference.  This app contains all of the 2012 ICD9 codes, which can be searched in several different ways. 

This app is well designed, responsive, and comprehensive.

Coding apps like ICD9 Consult are essential to hospitalists, intensivists, and other on the go medical specialists that do not have the luxury of going to an office to fill out charges.

ICD9 Consult 2012 - Evan Schoenberg

ICD9 Consult is a great companion app to any one of the excellent E&M coding apps found in iTunes

A free version of ICD9 Consult is also available.

Wednesday, July 11, 2012

Medical App Review - Sanford Guide 2011-12 for iPhone

Sanford Guide for Antibiotics and Antimicrobial therapy on the iPhone
The Sanford Guide is a classic antibiotic and infectious disease reference that is now available on the iPhone. 

Antibiotic suggestions are available by infection type and microbe, making this a high value clinical application.  A must have for medical students, residents, and attending physicians that use antibiotics on a routine basis.

The citations of primary medical literature also make the Sanford Guide highly useful in educational settings.

The Sanford Guide to Antimicrobial Therapy 2011 - Antimicrobial Therapy, Inc.

The high clinical value of the Sanford Guide is reflected by consistently high rankings in the iTunes App Store for Top Grossing Medical Apps.

A new version of the Sanford Guide, updated for 2012, will be released in the near future.

Monday, July 2, 2012

Medical App Review - Journal Club - Evidence Based Medicine App for your iOS Device

Journal Club is an evidence based medicine app developed for iOS devices by a group of physicians at Periphreal Brain LLC.

Journal Club for iPhone - Peripheral Brain, LLC

Journal Club allows you to review results from a growing list of landmark clinical trials at the point of care, making it an excellent resource for teaching medical students and residents, and for discussing treatment plan options with patients.

A unique app that would be useful to medical students, residents, fellows, and attendings.

This app includes links to the original articles and has features for easy sharing.

Consider contributing your medical writing skills to the Wikijournalclub which powers the Journal Club app.  A great item to add to your CV for fellowship applications...

These opinions were formulated after using the Journal Club app for 6 weeks as a teaching attending on an internal medicine hospitalist service, and are completely biased in favor of useful, high quality medical apps such as Journal Club.

Journal Club is the July Medical App of the Month for MedicaliPhone

ACCORD, AFFIRM, COURAGE, COMET, SHOCK, UPLIFT, FACTT. Let’s face it: the sea of evidence-based medicine is vast, and wading through stacks and stacks of JAMA, NEJM, and JACC just isn't feasible. What should be at the top of the reading list?
4.5 based on 43 reviews

Tuesday, June 26, 2012

New eBook in the iPad iBookstore - iHealthcare 2012

A new ebook detailing how healthcare professionals use iPhones and iPads has been released in the iBookstore. Data from numerous surveys and peer reviewed articles on mobile device use are presented with clear, eye catching graphics.

iHealthcare will be a great asset to anyone evaluating iOS devices for use in medical education or medical practice.

 iHealthcare can be downloaded from the iTunes iBookstore.

Friday, April 27, 2012

2011 @MedicaliPhone Survey - iOS Devices used by Physicians

Here are some of the results of our 2011 survey of iOS device use by physicians. 
 Most doctors in the survey had an iPhone 4, which is a big change from 2010 when most doctors used a iPhone 3.

iPad use is also growing, now at 15% of physicians.

The full results of the @medicaliphone survey will be included in the soon to be released iHealthcare 2012 report.