General Medical SOFTWARE

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Blood Gases - Wins Single User Shipped in 7 days Cat.# MS-1 $150.00 ADD TO CART Install on 5 computers Shipped in 7 days Cat.# MS-1SL1 $350.00 ADD TO CART Install on 10 computers Shipped in 7 days Cat.# MS-1SL2 $580.00 ADD TO CART

Does the thought of "acid-base balance" make your skin crawl? Do "A-a gradients" terrorize you? You need Blood Gases program. This terrific program teaches some of the most difficult, yet most important material in medicine.

There's a normal values drill for those just learning. For experts: an A-a gradient tutorial, calculation drill, and interpretation quiz. You'll learn acid-base balance in a tutorial and interpretation quiz.

There's also a teaching tutorial and calculation drill for acidosis correction - very important now that "routine" bicarb is no longer given. During any of Blood Gases' training drills, you can refer to the on-line manual for additional learning. - very important now that "routine" bicarb is no longer given. During any of Blood Gases' training drills, you can refer to the on-line manual for additional learning.

Not only does Blood Gases teach, but it will also interpret lung function and acid-base balance for you. You'd never expect that of such an inexpensive program.

Derm-Challenger - Wins Single User Shipped in 3 to 5 days Cat.# CH-31 $530.00 ADD TO CART Screenshot_1

Primary Care Dermatology Series - Dermatology Basics with Case Studies

Derm-Challenger identifies and describes the physiologic functions of the skin, the basic anatomy of the skin and its accessory structures, and the most important cell types of the skin and their functions. This knowledge provides the foundation for understanding anatomic and physiologic alterations that occur in skin diseases and enables the physician assistant to identify and diagnose over 80 common and not-so-common dermatological problems.  

Derm-Challenger gives you immediate access to a large image library for use in differential diagnosis.  In addition, there are 100 actual patient cases and 82 synopses of common dermatological conditions to stimulate your learning. 

An easy-to-use interface is combined with immediate feedback and scoring to maximise your retention of the material and reinforce the vital knowledge you need to give the best possible care. Regular use of Derm-Challenger will increase your clinical confidence and hone your ability to accurately interpret dermatologic disorders.

1. Describe the structure and function of the skin and its basic histologic structures.
2. Define the terms used in the description of dermatologic disease.
3. Describe the key elements of the history, physical examination and laboratory testing of skin diseases.
4. Describe the presentation and diagnosis of dermatologic diseases commonly encountered in the practice of primary care medicine.
5. Describe the dermatologic manifestations of systemic diseases commonly encountered in the practice of primary care medicine.
6. Demonstrate the knowledge and cognitive skills required to achieve objectives 1-5 by scoring at least 80% on all topics studied for CME credit.
   

Table of Contents:

Dermatology: Reference and Review

Structure And Function Of The Skin
Structure and Function of the Skin

Dermatologic Terminology And Lesion Types
Dermatologic Terminology and Lesion Types

History, Examination And Laboratory Testing
History, Examination and Laboratory Testing

Growths: Pigmented
Nevus
Malignant Melanoma

Growths: Epidermal
Verruca Vulgaris (Warts)
Seborrheic Keratosis
Squamous Cell Carcinoma
Basal Cell Carcinoma

Growths: Dermal and Subcutaneous
Xanthomas
Dermatofibroma
Keloid
Neurofibromatosis
Capillary Hemangioma
Pyogenic Granuloma
Ganglion Cysts

Rashes: Epidermal: Eczematous Rashes
Eczematous Disorders
Allergic Contact Dematitis
Seborrheic Dermatitis
Xerotic Eczema
Dyshidrotic Eczema
Eczema Herpeticum

Rashes: Epidermal: Scaling Papules, Plaques, and Patches
Psoriasis
Secondary Syphilis
Mycosis Fungoides
Discoid Lupus Erythematosus
Pityriasis Rosea
Reiter's Syndrome
Keratosis Pilaris
Granuloma Annulare
Dermatophyte Infections
Acanthosis Nigricans
Actinic Keratosis
Sarcoidosis

Rashes: Epidermal: Vesicles and Bullae
Herpes Simplex
Herpes Zoster
Pemphigus Vulgaris
Bullous Pemphigoid
Hand, Foot and Mouth Disease
Necrotizing Fasciitis

Rashes: Epidermal: Inflammatory Papules
Scabies
Insect Bites
Miliaria
Lichen Planus
Pediculosis Pubis
Sweet's Syndrome
Cutaneous Larva Migrans
Cheilitis

Rashes: Epidermal: Pustules
Acne Vulgaris
Acne Rosacea
Acne, Steroid-induced
Bacterial Folliculitis

Rashes: Epidermal: White Spots
Vitiligo
Tuberous Sclerosis

Rashes: Dermal: Generalized Erythema
Systemic Lupus Erythematosus
Dermatomyositis

Rashes: Dermal: Localized Erythema
Erythema Nodosum
Erysipelas
Raynaud Phenomenon

Rashes: Dermal: Specialized Erythema
Erythema Multiforme
Toxic Epidermal Necrolysis
Urticaria

Rashes: Dermal: Purpura
Vasculitis
Livedo Reticularis
Venous Lake
Systemic Amyloidosis
Leukocytoclastic Vasculitis
Purpura Fulminans

Ulcers
Factitious Skin Ulcer
Cutaneous Ulcers
Pyoderma Gangrenosum
Apthouse Stomatitis

Hair and Nails
Alopecia Areata
Traction Alopecia
Nail Pitting

Q & A: Dermatology
Q & A: Structure and Function of the Skin
Q & A: Dermatological Terminology and Lesion Types
Q & A: History, Examination, and Laboratory Testing
Q & A: Growths
Q & A: Rashes: Epidermal
Q & A: Rashes: Dermal
Q & A: Ulcers
Q & A: Hair and Nails

Dermatology: Current Topics of Interest
Heat Stroke
Major Radiation Exposure - What to Expect and How to Respond
Management of Occupational Exposures to Blood and Body Fluids
Laceration Management
Cellulitis
Do Mammalian Bites Require Antibiotic Prophylaxis
Herpes Zoster
Sterile Versus Nonsterile Gloves for Repair of Uncomplicated Lacerations in the Emergency Department
Thermal Burns
Are Blood Cultures Necessary In Adults With Cellulitis?
Domestic Violence: An Approach to Identification and Intervention
High Prevalence of Methicillin-Resistant Staphylococcus Aureus in Emergency Department Skin and Soft Tissue Infections
National Study of US ED Visits for Attempted Suicide and Self-Inflicted Injury, 1997-2001

A Practical Guide to Communication Skills in Clinical Practice - Wins   Mac Single User Shipped in 14 days Cat.# MC-23 $240.00 ADD TO CART Site Licence Shipped in 14 days Cat.# MC-23SL $580.00 ADD TO CART

This set of four CD-ROM constitutes a comprehensive guide to medical communication skills, with over forty filmed scenarios demonstrating practical ways in which communication techniques can improve patient health care and support. These programs set out the basic principles of good skills in communication, and then go on to illustrate more advanced techniques involved in dealing with patients’ emotions (including anger, despair, denial and depression) and in unearthing hidden agenda or worries that the patient may have (such as anorexia or physical abuse by the spouse). Further sections deal with the techniques of breaking bad news, and special situations such as the diagnosis of Alzheimer’s or AIDS and cultural and ethnic difficulties. Other sections deal with paediatric issues, palliative care and end-of-life decisions, and the new area of genetic counselling, when blood tests for genetic predisposition to certain cancers are being considered or have been done.

Communication Skills - The Basics, The four E’s, An additional E, The Class System, C- Context, 
L - Listening Skills, A - Acknowledgement, S - Strategy, S - Summary

Dealing With Feelings - When the Patient Cries, Handling Anger, Assessing Depression, Unresolved Grief, Down Syndrome, Assessing the need for Support, Dealing with Denial

Breaking Bad News - S-P-I-K-E-S six step protocol, Rheumatoid arthritis, Recurrent breast cancer, "How long have I got?", "My Mother is not to be told.", "Your Husband has died."

Special or Difficult Situations - Handling requests for a second opinion, Cross cultural communications, Translators, Complementary medicine, My partner has AIDS, Alzheimer’s disease

Children and their Parents - Four useful principles for non-paediatric clinicians, Downs Syndrome

Uncovering the Hidden Problem - When to suspect a hidden agenda, A case of hypokalemia, Headaches and bruises, Worsening diabetes control

Palliative Care and End-of-Life Issues - Discussing a "Do not Resuscitate" order, Discussing discontinuing ventilator support

Genetic Testing & Counselling - The basic principles of counselling for genetic tests, Pre-test counselling, Discussing the results of a genetic test.

Challenger Lung Sounds - Wins Single User Shipped in 2 to 5 days Cat.# CH-39 $530.00 ADD TO CART

A Complete Pulmonary Auscultation Course

Challenger Lung Sounds, like all Challenger products, provides the resources and functionality you need in one, cost-effective, easy-to-use, go-anywhere package.

Challenger Lung Sounds contains over 100 high-resolution images and audio interactive Flash animations that highlight the most important lung sounds, their mechanism of production, the locations where they are commonly heard, and their clinical associations. Hear and view in real time for an ideal pulmonary auscultation review.

Improve auscultatory diagnosis of respiratory events based on accurate diagnosis. Identify the differential diagnosis of a respiratory event based on history and physical examination. Real patient audio tracings incorporating computer-based analysis and Multi-channel Stethography.

Table of Contents:

Common Lung Sounds
Overview
Bronchial Sounds
Vesicular Sounds
Crackle Sounds
Wheeze Sounds
Rhonchi Sounds
Wheezes vs. Rhonchi
Pleural Rub Sounds
Stridor Sounds
Common Sounds Quiz

Sound Patterns
Normal Sound Patterns
Asthma
Congestive Heart Failure
Pneumonia
Chronic Obstructive Pulmonary Disease
Bronchiectasis
Idiopathic Pulmonary Fibrosis
Sound Patterns Quiz

Case Studies
Case 1
Case 2
Case 3
Case 4
Case 5
Case 6
Case 7
Case Studies Quiz

Challenger Lung Sounds is intended for everyone interested in clinical medicine, particularly students and residents in medicine, nursing, and respiratory care, as well as those in physician assistance and emergency care programs.

1. Improve auscultatory proficiency by self-study of respiratory events.
2. Identify the differential diagnosis of a respiratory event based on the history and physical examination.
3. Identify a course of treatment for respiratory events based on accurate diagnosis.

Challenger Integrative Health Care - Wins Single User Shipped in 2 to 5 days Cat.# CH-46 $530.00 ADD TO CART

Complementary and Alternative Therapies

Challenger Integrative Health Care provides an overview of the sweeping changes currently occurring in the fields of integrative, complementary, and alternative medicine. These are not small, incremental changes; rather, colossal shifts are shaking the foundations of modern health care in one of the most important social movements of the late twentieth and early twenty-first centuries.

Based on the book "Integrative Health Care" by Victor S. Sierpina, M.D., Challenger Integrative Health Care features over 320 questions covering key aspects of complementary and alternative therapies. The content is organized into 29 chapters.

Table of Content:

Section I - Introduction
Preliminaries
Chapter 1 - What is Integrative Health Care?
Chapter 2 - How to Talk to Patients about Integrative Health Care

Section II - Using Integrative Health Care in Your Own Life
Introduction
Chapter 3 - Being Well, Being a Role Model
Chapter 4 - Mind, Body, and Now . . . Spirit

Section III - Using Integrative Health Care in Your Practice
Introduction
Chapter 5 - Patient-Centered and Relationship-Centered Care
Chapter 6 - The Role of Mid-Level Practitioners
Chapter 7 - Reimbursement, Liability, and Other Practice Issues
Chapter 8 - Continuing Education in Integrative Health Care

Section IV - Specific Therapies
Introduction
Chapter 9 - Alternative Systems of Care
Chapter 10 - Herbals
Chapter 11 - Diet and Nutrition
Chapter 12 - Nutriceuticals
Chapter 13 - Pharmacological and Biological Treatments
Chapter 14 - Bioelectromagnetic Therapies
Chapter 15 - Mind-Body Medicine
Chapter 16 - Hands-on Healing Techniques

Section V - Integrative Care of Specific Health Problems
Introduction
Chapter 17 - Anxiety and Depression
Chapter 18 - Arthritis
Chapter 19 - Asthma
Chapter 20 - Cancer
Chapter 21 - Coronary Artery Disease and Congestive Heart Failure
Chapter 22 - Diabetes
Chapter 23 - Gastrointestinal Problems
Chapter 24 - Headache
Chapter 25 - Hypercholesterolemia
Chapter 26 - Hypertension
Chapter 27 - Musculoskeletal Problems
Chapter 28 - Upper Respiratory Infection
Chapter 29 - Urinary Tract Infections

Appendix - Tools and Resources
Books
Complementary and Alternative Medicine Research Centers
Journals and Newsletters
Organizations
Websites

Target Audience:
Challenger Integrative Health Care is intended for all physicians, both primary care providers and specialists, who require information on alternative health care practices in use by the general population.

Educational Objectives:
The educational objectives of the Challenger Integrative Health Care training program are as follows. On completing the program, the medical practitioner will be able to:

1. Define the terms used in integrative health care.
2. Describe the key elements of discussing integrative health care with your patients.
3. List alternative systems of care in use in the United States.
4. Describe the major herbals used in integrative health care by detailing common usage, activity, adverse effects and contraindications, dosages, and drug interactions.
5. Describe the nutriceuticals used in integrative health care by detailing benefits and therapeutic uses, therapeutic dose range, risks, natural sources, and RDA.
6. Describe possible integrative health care techniques/treatments for the following disorders:
   
7. Anxiety and depression
8. Arthritis
9. Asthma
10. Cancer
11. Coronary artery disease and congestive heart failure
12. Diabetes
13. Gastrointestinal problems
14. Headache
15. Hypercholesterolemia
16. Hypertension
17. Musculoskeletal problems
18. Upper respiratory infections
19. Urinary tract infections
     
20. Demonstrate mastery of the knowledge and cognitive skills required to achieve objectives 1-6 by scoring at least 80% on all topics studied for CME credit.

Med-Challenger FM Career - Wins Single User Shipped in 2 to 5 days Cat.# CH-7 $1,240.00 ADD TO CART Med-Challenger FM Career - Residents Version Single User Shipped in 2 to 5 days Cat.# CH-8 $ 660.00 ADD TO CART

Comprehensive Review and Assessment for Practicing Family Physicians

Med-Challenger FM Career provides you with over 4,800 boards-simulated, case-focused questions and answers covering 317 essential topics in family medicine. These questions are designed to assess and strengthen your knowledge of clinical concepts in a boards-emulative format. The course also includes 3,400 high-resolution, fully-expandable images. With the purchase of this course, you will also receive over 280 AMA Category 1 CME credits that are good for five years, plus our Boards-Pass Guarantee. There is no other comparable peer-reviewed product providing both comprehensive review and the most up-to-date information on standards-of-care in family medicine

Table of Contents

Overview: Fundamentals of Family Medicine
Allergy and Rheumatology
Cardiovascular Disorders
Care of Older Adults
Chest Radiology
Dermatology
ECG Interpretation
End-of-Life Care
Endocrinology
Environmental Injuries
Eye, Ear, Nose and Throat
Gastroenterology
Gynecology and Obstetrics
Health Promotion and Disease Prevention
Hematology and Oncology
Infectious Diseases
Law and Ethics
Life-Threatening Signs and Symptoms
Musculoskeletal Disorders
Nephrology and Urology
Neurology
Pediatric Chest Radiology
Pediatrics
Psychiatric and Behavioral Disorders
Pulmonary Disorders
Resuscitation: Arrhythmias
Resuscitation: CPR and Ventilation
Resuscitation: Fluids and Electrolytes
Resuscitation: Pediatric
Toxicology
Trauma: Extremity and Orthopedic
Trauma: Stabilization, Head, and Neck
Trauma: Trunk
Wound Management

Target Audience
Med-Challenger FM is intended for all practitioners of Primary Care or clinicians otherwise involved in the diagnosis and treatment of acute or emergent medical problems.

Educational Objectives
The objective of the Med-Challenger continuing medical education program is to provide an interactive review of the knowledge base of acute care and emergency medicine. After completing this course, the participating clinician will be better equipped to:

• confidently manage the broad spectrum of acute and emergent medical problems encountered in the practice of primary care and emergency medicine
• formulate appropriate differential diagnoses for patients presenting with acute medical problems of uncertain etiology
• efficiently initiate therapeutic and diagnostic procedures for patients presenting with acute medical disorders
• cope effectively with the uncertainty that is inherent in the initial treatment of acute and emergent disorders, effectively stabilizing critical patients while refining the differential diagnosis
• handle efficiently the spectrum of common disorders involving all organ systems. In particular, the physician will be better equipped to resuscitate seriously ill patients and to diagnose and treat acute cardiovascular disorders; diseases of the eye, ear, nose, throat, skin and soft tissues; endocrinologic disorders; traumatic and environmental injuries; gastrointestinal diseases; gynecologic and obstetric disorders; hematologic and oncologic problems; immunologic, allergic and rheumatologic diseases; infectious diseases; life-threatening signs and symptoms; musculoskeletal disorders; pulmonary diseases; and intoxications and poisonings
• demonstrate mastery of the knowledge and cognitive skills required to achieve objectives 1-5 by scoring at least 80% on all topics studied for CME credit.

Challenger Toxicology - Wins Single User Shipped in 2 to 5 days Cat.# CH-48 $530.00 ADD TO CART Screenshot_1

Fundamentals, Quiz and Atlas

The educational objectives of the Challenger Toxicology training program are as follows. On completing the program, the medical practitioner will be able to: Identify presentation, describe indications/contraindications and prescribe treatment of toxicological events involving the following:

Includes:

• 37 Chapters covering general toxicological presentations, diagnoses and treatments
• Over 400 questions included for comprehensive coverage of key aspects of toxicology
• Easy-to-use browser-based platform gives you rapid click-and-learn access to diagnostic & treatment information
• Prepare and study on your home or office computer - online as well
• Multiple score submission options and direct CME certificate fulfilment

Challenger Pain Management - Wins Single User Shipped in 2 to 5 days Cat.# CH-50 $530.00 ADD TO CART Screenshot_1

A reference for primary care providers and specialists, who require information
on Pain Management practices

Challenger Pain Management is intended for all physicians, both primary care providers and specialists, who require information on pain management practices.

In these days of fast paced clinical changes it is crucial for primary care practitioners to continuously update their knowledge and skills in the area of evidence based medicine, specifically; current best practices, diagnostic skills, risk factor identification and current treatment options.

On completing the program, the medical practitioner will be able to describe the fundamentals of pain neuroanatomy and neurochemistry and use this knowledge to identify pain mechanisms and choose pharmacotherapy tailored to the patient's specific needs.

• Experts provide the latest treatments and practices in the major areas of Pain Management in an illustrated, lecture-based format
• Interactive learning environment allows for quick navigation from topic to topic for seamless study
• Prepare and study on your home or office computer - online as well
• Dynamic Q & A assessments with feedback and detailed scoring
• Multiple score submission options and direct CME certificate fulfilment

Chapter Listing

• A Current Overview of Pain
• Analgesic Pharmacology: NSAID's, COXIB's
• The Two Categories of Chronic Pain: Nociceptive and Neuropathic
• Summary and Comments
• Lecture Review and Assessment
• Addendum: Pain Management and Sedation in the ED

Challenger Infectious Diseases - Wins Single User Shipped in 2 to 5 days Cat.# CH-51 $530.00 ADD TO CART

Complete Primary and Acute Care Presentations

Challenger Infectious Diseases provides physicians with the most up-to-date information for diagnosis and treatment of infectious diseases. The course provides current information on new and emerging diseases, such as SARS, as well as diseases such as HIV/AIDS and infections of the cardiovascular, gastrointestinal, and musculoskeletal systems. Coverage also includes subjects such as tick-borne illnesses, traveller's infections, and parasitic infections.

Table of Contents:

Cardiovascular Infections

Central Nervous System Infections

Drugs

Gastrointestinal Infections
Botulism
Diarrhea
Hepatitis
Peritonitis
Miscellaneous

Head and Neck Infections

HIV/AIDS, STDs, and Infections in Pregnancy
HIV/AIDS
STDs
Infections in Pregnancy

Musculoskeletal Infections

Respiratory Infections

Sepsis

Soft Tissue Infections
Cellulitis
Gas Gangrene
Tetanus
Toxic Shock Syndrome
Skin Abscess
Superficial Skin Disorders
Severe Acute Respiratory Syndrome (SARS)

Traveler's Infections, Parasitic Infections, and Tick-Borne Diseases
Traveler's Infections
Parasitic Infections
Tick-Borne Diseases

Urinary Infections

1. Confidently manage the broad spectrum of acute and emergent medical problems associated with infectious disease encountered in the practice of primary care and emergency medicine.
2. Formulate appropriate differential diagnoses for patients presenting with acute medical problems of uncertain etiology.
3. Efficiently initiate therapeutic and diagnostic procedures for patients presenting with acute medical disorders.
4. Handle efficiently the spectrum of common disorders involving Infectious Disease. In particular, the physician will be better equipped to diagnose and treat conditions relating to: HIV/AIDS, Soft Tissue Infections, Head and Neck Infections, Tick Borne Illnesses, Central Nervous System Infections, Sexually Transmitted Diseases, Gastrointestinal Infections, Respiratory Infections, Infections in Pregnancy, Musculoskeletal Infections, Traveller's Infections, Parasitic Infections, Cardiovascular Infections, Urinary Infections, SARS, Sepsis and Drugs used in the treatment of Infectious Diseases.