Help & Support

Diagnosis Guide

Table of Contents

Overview

Dem Dx is a clinical reasoning support tool that is used to provide medics with a simple to use and efficient way of taking a user from a presenting complaint, through associated symptoms, to an incidence ranked list of the most likely differential diagnoses that make up the medical investigation on patients.

The Dem Dx platform is aimed at healthcare professionals and students to help them in their clinical reasoning approach.

 

Sign Up

On signing up to Dem Dx you will receive a complimentary free trial. To do so, from the the main landing page of https://web.demdx.com click on the ‘Sign up for 7 days free’ button:

This will take you to the Sign up form. Fill in your user information, agree to the terms and service and click on ‘Sign Up’ to begin using Dem Dx:

 

You will then receive a verification email to verify your email address.


Alternatively you can sign up using an existing apple ID or facebook login:

Clicking on either one will redirect you to their respective sign-in page. 

 

Login


Once signed up, access to the app can be obtained at any time by clicking the ‘Log In’ button on the main landing page: 

On the login screen, if previously signed up using an Apple ID or a facebook login, use the appropriate buttons to Sign in:

Else enter your username and password and click ‘Login’ to gain access.

In the event of a forgotten password select ‘Don’t remember your password?’ 

In the following screen, ensure your email address is correct and click ‘Send Email’. An email will be sent to you allowing you to set a new password.

Specialty Pathways

 

  • Once logged in you will be presented with the Specialty Pathways page. Your first choice is to select a specialty that most appropriately fits a patient’s presentation: 

  • From the list of options in each specialty, select the presenting complaint that most accurately fits a patient’s presentation:

  • Once you click on a symptom, the next screen will bring up the most important clarifying symptom questions:

  • The system will continue to ask clarifying questions to help get you to a final diagnosis in the quickest, most efficient way possible. Upon reaching the end of a journey, a pathway summary to the final diagnosis will also be presented:

  • Clicking on the final diagnosis (highlighted in green) will give you a summary of that diagnosis:

Features to assist with clinical reasoning


As you navigate through a journey, the tool has several features to assist you in the process:

 

 

Read More/Less


Symptoms with extensive information on the symptom presented will have an option to ‘Read More’:

This can be clicked on to expand the details of the symptom:

Red flags

 

Urgent or serious conditions are marked with a red flag:

Differentials


Each symptom has a ‘Differentials’ button associated with it. 

Clicking this button will bring up the list of differentials that correspond to the symptoms and signs you have identified so far. It shows the potential diseases and conditions that fit with the symptoms and signs that you have selected at that stage in the patient pathway. 

These differentials are clustered by specialty and within each specialty are ranked by global incidence. As you follow the prompting of Dem Dx and add additional clinical observations, the number of potential diagnoses will reduce until you reach your presumed diagnosis.


In addition, a descriptive summary of any differential enlisted can be viewed by clicking on it: 

Media


A ‘View Media’ button associated with a symptom:

links through to our collection of media files that demonstrate clinical findings:

These include images (eg. X-rays, CT scans, MRI scans, spirometry traces):

and videos (eg. heart sounds, breath sounds):

Guidelines


A ‘Guidelines’ button associated with a symptom:

Links to a list of national guidelines pertaining to that symptom:

Clicking on an item within the Guidelines list will expand the evidence based recommendations for viewing:

Current Pathway


This gives an overview of the symptoms that have been previously selected and highlights your current position within the journey.

(Note: each selection made during the journey will appear in the Current Pathway column)

For each symptom within the current pathway column, click on the 3dot menu to view more information on the symptom: 

This displays a current presentation screen which includes the symptom information along with several tabs that highlight the different associations to that symptom (ie guidelines, media and differentials):

Additionally the 3 dot menu provides the option to navigate to the symptom page containing the selected symptom:

This allows for flexibility to view previous symptom pages or to change your pathway:

Actions (plan specific)


The ‘Actions’ button associated with a symptom:

when clicked on displays a set of pre-defined medical actions to be taken for the associated symptom:

(note: Medical actions are defined at Plan level for specific Institutions)

 

 

Print

A ‘Print Pathway’ button will be available at any point within a journey:

or at the end of a journey:

Clicking the button will take you to a Print page which includes a form, where notes pertaining to your journey can be added.

(note: Plan specific customised forms for more formalised processes within Institutions will include additional fields, along with the notes)

To preview the pathway that is to be printed, click the ‘Enable print preview’ button:

This can now be printed by clicking the ‘Print’ button.

 

 

Save PDF

 

To export a journey to a standard PDF format document that can be saved on to a device, click on the ‘SavePDF’ button which is besides the ‘Print’ button on the Print page:

Copy to clipboard

The ‘Copy to clipboard’ button which is available besides the ‘Print Pathway’ button or on the Print page is an alternative option to document your journey. Clicking on this button copies the text part of a journey to the clipboard:

And allows for it to be pasted into 3rd party applications. Below is an example of the journey text pasted into a text editor:

Quizzes

The Quiz feature can be used to test your knowledge and includes multiple-choice questions for each of the chapter specialities. To access the quiz section, click on ‘Quizzes’ on the left panel:

To access the questions, select the specialty you would like to test yourself on. Each question consists of a brief clinical description and 4-5 answer options to choose from:

As you go through the questions in each quiz, you can see how many questions you have attempted, and a bar at the top of the page highlights the questions that were answered correctly versus incorrectly:

Chosen answers that are correct are highlighted in green. And incorrect answers are highlighted in red:

(note: if an incorrect answer is selected, the correct answer will also be highlighted for reference)

As you proceed with the quiz, you can ‘Use Pathways for help’ to assist in answering the quiz questions:

This will take you into the pathways chapter for that specialty. After reviewing the chapter, you can click on the ‘Return to your quiz’ button:

Once a quiz is complete, you will receive a score as well as the option to ‘Redo Quiz’ or ‘Try Another Quiz’:

 

You can leave the quiz at any time by clicking on one of the tabs within the left panel. Clicking on the Quizzes tab after attempting a few quizzes, displays all the quizzes that were attempted and the number of questions that were completed for each:

My Account

 


Trial

Upon signing up for an account, you will receive a free 7 day trial which gives you full access to the Specialty Pathways and Quizzes: 

Clicking on the ‘My Account’ button will take you to your Account page. This page notifies you of your account details and indicates the date for when your trial is due to expire:

After the end of the free trial you will be able to continue accessing the Respiratory chapter and the multiple-choice questions, however all other chapter specialties will be locked: 

Subscribe Monthly/Annually

 

To obtain a premium subscription, navigate to the Account page by clicking on the ‘My Account’ button. There are two premium subscriptions available, Monthly (where subscriptions are billed per month) and Annually (where subscriptions are billed per year):

Upon clicking subscribe of the chosen plan, a dialog box will pop up requesting payment details:

After the payment details are filled in, click ‘Next’ and review your details. Once the details are confirmed, click ‘Pay & subscribe’:

Your Account page will now indicate that you have an Active subscription, the plan subscribed to and the date of renewal:

My Account Info


Once a premium subscription is in place a ‘My Account Info’ button will be displayed on the Account page: 

Clicking on the ‘My Account Info’ button opens a dialog box which can be used to manage your subscription plan. From here you can view or change your account and payment details,  as well as view your billing history:

If you want to edit your subscription to another plan or cancel your subscription, click on the plan name. This will open a new dialog box providing the required options to ‘Edit Subscription’ or ‘Cancel Subscription’:

Contact Us


The Contact Us page can be accessed by clicking the ‘Contact Us’ button on the left panel:

Depending on the nature of the message, specify the subject using the drop down box. This will help ensure the message reaches the appropriate targeted group:

You will be presented with a thank you note on the screen, once your message has been successfully sent: