Clinical Sense

I’ve never written an app review before, but I thought that this app deserved it. It’s an amazing app and realistic. I’m an aspiring doctor and I have learned so much from this app. It’s the best medical app I’ve downloaded. This app makes learning fun and exciting plus it’s realistic. I love everything about this app. I also love that it is kept updated. They come out with new cases weekly. Sometimes it’s even a couple times a week. I have no complaints. I love all medical joyworks apps including Prognosis. These apps were very well done and I never get old playing them. I’ve had both apps for years now. Thank you for such amazing apps!

It’s a great little Ap to catch a quick review, but be cautious as some of the treatments in the scenarios are not in line with current recommendations. For example, the scenario with cat scratch disease (Bartonella) recommended withholding antibiotics despite the patient having over a week of fever and lymphadenopathy. The scenario also recommended a lymph node biopsy with PCR testing to confirm the diagnosis despite a very clear history. The research on antibiotics vs no antibiotics is pretty clear and the expert consensus is that any patient with a clear history and lymphadenopathy be treated with azithromycin. The consensus is that lymph node biopsy should be reserved for cases that do not respond to appropriate antibiotics. UpToDate has a great review of cat scratch disease.

This app takes you step-by-step through various patient encounters almost like a game, which is a fun change-up from just reading. When simply reading about a topic, it’s hard to retain everything. There’s also a difference between understanding the material and knowing exactly how to put it into practice. This app help you learn the material AND grasp how to apply it in clinical settings. They already show lab results, but I haven’t seen imaging results, and that would be helpful. Other nice additions would be more questions about what the differential diagnosis is and what history questions and physical exam components you’d add. Basically, more questions would help me think even more critically through the process. Thanks for a fun, helpful app!